本研究旨在探討「死亡教育」課程方案對國小四年級兒童死亡知識、死亡態度之影響效果。以高雄市兩所國民小學共141名學生為研究對象。這兩校各有兩個班級參與實驗課程，其中的一班為實驗組，另一班則為控制組。此兩班實驗組接受為期六週，每週一單元（80分鐘），共計480分鐘的實驗課程處理，控制組則未接受實驗課程處理，而於研究結束後，再實施課程。
本研究以「兒童死亡知識測驗」、「兒童面對死亡的態度量表」為量化資料的評量工具，所得資料以獨立樣本單因子共變數分析進行統計處理，並分析「單元回饋表」、「課程總回饋表」、「觀察員紀錄表」、「事後訪談」為輔佐資料，以了解本研究方案介入的效果。主要發現如下：
一、實施死亡教育課程方案對國小四年級兒童的死亡知識提升有影響
效果。
二、實施死亡教育課程方案對死亡態度的影響效果
（一）本課程方案對國小四年級兒童的整體死亡態度無顯著影響效果。
（二）兩組僅在「對有關死亡事件的恐懼」分量表有顯著差異，「對自
己死亡的焦慮」、「對他人死亡的焦慮」、「對瀕死者的恐懼」
等分量表則無顯著差異。
三、由兒童角度評估「死亡教育」課程方案的效果
（一）整體而言，有超過半數以上的兒童表示喜歡上實驗課程，也認為
整個課程內容能幫助他們更加認識死亡，而不會使其更加害怕面
對死亡。
（二）實驗組兒童評估自我改變有「死亡、悲傷議題的相關知識增
加」、「減輕死亡恐懼感」、「面對生命與死亡的態度改變」、
「更注意身體保健」等四方面。
最後，根據本研究結果加以討論，並提出教育和輔導應用、設計與實施方案、未來研究等三方面的建議。

The purpose of the study is to assess the effects of the Death Education Program on death knowledge and death attitude for fourth-grade students. The sample consisted of 141 fourth graders from two elementary schools in Kaohsiung City in Taiwan. Participants in the experimental group received the 6-week Death Education program (a 80-minute session per week). The control group didn’t receive treatment until the study was finished.
Instruments used in this study included the Death Knowledge Test and the Death Attitude Scale. Data were analyzed by one-way ANCOVA with the pretest scores as the covariance. In addition, data from interviews, feedback sheets, and observer’s feedbacks were also analyzed . The main findings were as follows：
1.Participants in the experimental group had a significantly
higher average score on Death Knowledge Test than their
counterparts in the control group.
2.In terms of death attitudes, there was no differences
between the experimental group and the control group.
3.More than half of participants liked the Death Education
program and thought it helped them understand more about
death and become less afraid of death.
4.According to information from feedback sheets, participants
in the experimental group indicated positive changes in four
aspects, including (a) gaining more knowledge about death
and grief; (b) reducing death anxiety; (c) improving their
attitude toward life and death; and (d) paying more
attention to their physical care.
Implications for research and counseling practice were discussed according to the results of the study.

壹、中文部分
台南市教育局輔導計畫輔導團（主編）（不詳）。台南市國民小學生命教育手冊。台南市。
艾蜜麗．弗利德（民88）。爺爺有沒有穿西裝？（張莉莉譯）。台北市：格林文化。（原著出版年：1997年）
余淑娟（民90）。國小學童的死亡教育課程設計及其實施成效研究。國立台南師範學院國民教育研究所碩士論文。
吳佳娟（民90）。以兒童讀物進行生死教育之成效分析。國立屏東師範學院教育心理與輔導研究所碩士論文。
吳長益（民91）。死亡教育團體對國小學生死亡態度影響研究。私立靜宜大學青少年兒童福利學系研究所碩士論文。
吳庶深（民88）。當前死亡教育發展方向之探討。安寧照顧基金會會訊，26, 16-24.
李復惠（民88）。國內死亡教育相關學位論文之回顧。安寧療護雜誌，14，74-97。
李閨華、張玉仕、劉靜女譯（民90）。死亡與喪慟：兒童輔導手冊。台北市：心理。（原著Corr, C. A., ＆ Corr , D. M.（Eds.）（1996）. Handbook of childhood death and bereavement. New York：Springer.）
李憲三（民91）。國民小學中高年級生死教育課程規劃及教學之探討。私立南華大學生死學研究所碩士論文。
沈鈺珍（民91）。理情U型自尊團體方案對國小低自尊兒童自尊、理性思考與情緒致力之輔導效果研究。國立台灣師範大學教育心理與輔導研究所碩士論文。
林烝增（民86）。兒童對死亡的認知與情緒之研究。中國文化大學兒童福利研究所碩士論文。
邱碧惠（民92）。多元化教學的生死教育課程對國小四年級兒童死亡態度影響之研究。國立新竹師範學院國民教育研究所輔導教學碩士論文。
紀孟春（民91）。國民小學低年級學生生死教育課程與教學之探討。私立南華大學生死學研究所碩士論文。
張春興（民84）。現代心理學。台北市：東華。
張淑美（民78）。兒童死亡概念之發展研究與其教育應用。國立高雄師範大學教育研究所碩士論文。
張淑美（民85）。國中生的死亡概念、死亡態度、死亡教育態度及其相關因素之研究。高雄市：復文。
張淑美（民87）。從美國死亡教育的發展兼論我國實施死亡教育的準備方向。國立高雄師範大學教育系教育學刊，14，275-294。
張淑美（民88）。中小學「生死教育」之實施。安寧療護雜誌，14，44-58。
張淑美（民90）。中學「生命教育」手冊---以生死教育為取向。台北：心理。
教育部（民92）。家庭教育法。上網日期：民92年4月2日。網址：http://www.edu.tw/society/New_message/family.html。
陳芳玲（民89）。死亡教育。載於尉遲淦（主編），生死學概論（63-83頁）。台北：五南。
陳芳玲（民91）。生命意義的探索與追尋：以讀書治療進行死亡教育。載於林绮雲、張盈堃（主編），生死教育與輔導（216-247頁）。台北：洪葉。
陳美娟（民90）。國小高年級學童死亡態度及其相關因素之研究。國立高雄師範大學輔導研究所碩士論文。
黃天中（民80）。死亡教育概論Ⅰ---死亡態度及臨終關懷研究。台北：強業。
黃松元（民68）。死亡教育---學校心理衛生中一項爭論的課題。中等教育，3（6），12-13。
黃松元（民77）。我國台灣地區中小學死亡教育課程之發展。衛生教育論文集刊， 2，136-149。
黃琪麟（民 89）。死亡教育課程介入對台東師院學生死亡態度影響之研究。國立台灣師範大學衛生教育研究所博士論文。
黃禎貞（民90）。生命魔法師~國中生死亡教育課程設計與評價之研究。國立台灣師範大學衛生教育研究所碩士論文。
葉寶玲（民88）。死亡教育課程對高中生死亡態度、憂鬱感及自我傷害行為影響效果之研究。國立彰化師範大學輔導系碩士論文。
廖秀霞（民90）。「生死教育」課程方案對國小高年級學童死亡態度影響之研究。私立南華大學生死學研究所碩士論文。
廖芳娟（民89）。台灣警察之死亡態度研究。私立南華大學生死學研究所碩士論文。
趙可式（民87）。生死教育。學生輔導，54, 44-51。
劉明松（民86）。死亡教育對國中死亡概念、死亡態度影響之研究。國立高雄範大學教育學系碩士論文。
劉惠美（民78）。兒童死亡概念之研究。國立台灣師範大學家政教育研究所碩士論文。
劉麗美、陳志賢、連廷嘉、黃玉幸、蔡純姿（民87）。高雄市國民小學生死教育手冊。高雄市：高雄市政府教育局。
鄭淑里（民84）。死亡教育課程對師院生死亡態度的影響。國立台灣師範大學教育心理與輔導研究所碩士論文。
賴怡妙（民87）。死亡教育團體方案對台灣師大學生死亡態度及生命意義感之影響。國立台灣師範大學教育心理與輔導研究所碩士論文。
蘇完女（民80）。死亡教育對國小中年級兒童死亡態度的影響。國立彰化師範大學輔導研究所碩士論文。
貳、英文部分
Atkinson,T. L.（1980）.Teacher intervention with elementary school children in death-related situations. Death Education, 4, 149-163.
Berg, C. D.（1978）. Helping children accept death and dying through group counseling. Personnel and Guidance Journal, 57（3）, 169-172.
Bibeau, D. L.（1984）.The effects of death education experience on the relationship of knowledge to attitude, anxiety, and fear concerning dying and death. Unpublished doctoral dissertation, The Pennsylvania State University, Pennsylvania .
Bowie L., ＆ Lang, P.（2000）. Is there a place for death education in the primary curriculum？Postoral Care In Education, 18（1）, 22-26.
Brookshire, M., ＆ Noland, M. P.（1985）.Teaching children about death . Elementary School Guidance & Counseling, 20（1）, 74-79.
Clay, V. S. （1976）.Childen deal with death. The School Counselor, 23, 3,175-183.
Collett, L. J., ＆ Lester, D.（1969）.The fear of death and the fear of dying. The
Journal of Psychology, 72, 179-181.
Combs, D. C.（1981）.The effects of selected death education curriculum models on death anxiety and death acceptance, Death Education, 5, 75-81.
Corr, C. A.（1993）.Coping with dying：Lessons that we should and should not learn from the work of Elisabeth Kübler-Ross. Death Studies,17（1）,69-83.
Corr, C. A., Nabe, C. M., ＆ Corr, D. M.（Eds.）（1997）.Death and dying, life and living.（2nd ed.）Brooks：Cole Pub.Com.
Cotton, C. R., ＆ Range,L. M.（1990）.Children’s death concepts：Relationship to cognitive functioning, age, experience with death, fear of death, and hopelessness. Journal of Clinical Child Psychology ,19, 123-127.
Cowen, E. L.（1980）.The wooing of primary prevention. American Journal of Community Psychology, 8, 258-284.
Crase, D.（1982）. Death education’s quest for maturity.（ERIC Document Reproduction Service No. ED 214 489）.
Crass, D.（1988）.Updating death education for children and adolescents：The literature connection.（ERIC Document Reproduction Service No. ED 300 348）.
Demmin, H. S.（1986）.Death concept formation. Doctoral dissertation. Texas Tech University. Dissertation Abstracts International, 47, 2610B.
Durlak, J. A.（1994）.Changing death attitudes through death education. In R. A. Neimeyer（Ed.）, Death Anxiety Handbook：Research, Instrumentation, and Application（pp.243-260）.Washington：Taylor ＆ Francis.
Durlak, J. A., ＆ Riesenberg, L. A.（1991）.The impact of death education. Death Studies, 15, 39-58.
Eddy, J. M.（1979）.The development and validation of a knowledge test of death and dying for college students. Dissertation Abstracts International,40（9-A）,4907-4908.
Eddy, J. M., ＆ Alles, W. F.（1983）.Death Education. St. Louis：The C. V. Mosby Company.
Feifel H., ＆ Nagy, V. T.（1980）.Death orientation and life-threatening behavior. Journal of Abnormal Psychology, 89,38-45.
Feifel H., ＆ Nagy, V. T.（1981）.Aanother look at fear of death. Journal of Consulting and Clinical Psychology, 49, 278-286.
Gesser, G., Wong, P.T. P., ＆ Reker, G. T.（1987-1988）.Death attitudes across the life-span：The development and validation of the Death Attitude Profile（DAP）.Omega, 18,109-124.
Gibson, A. B., Robert, P. C., ＆ Buttery, T. J.（1982）.Death education：A concern for the living. （ERIC Document Reproduction Service No. ED 215 938）.
Glass, J. C.（1990）.Changing death anxiety through death education in the public schools. Death Studies, 14（1）,31-52.
Glass, J. C., ＆ Knott, E. S.（1984）.Effectiveness of a lesson series on death and dying in changing adolescents’ death anxiety and attitudes toward older adults. Death Education, 8（5-6）, 299-313.
Goodman, R. F.（1990）.Development of the concept of death in children：The cognitive and affective components. Unpublished doctoral dissertation, Adelphi University, The Institute of Advanced Psychological Studies. Dissertation Abstracts International, 51, 452B.
Gordon, A. K., ＆ Klass, D.（1979）.They need to know：How to teach children about death. Englewood Cliffs, NJ: Prentice-Hall.
Green, B. R., ＆ Irish, D. P.（Eds.）（1971）. Death Education：Preparation for living. Cambridge：Schenkman.
Hayslip, B., Galt, C., ＆ Pinder, M. M.（1993-1994）.Effects of death education on conscious and unconscious death anxiety, Omega, 28（2）, 101-111.
Higgins, S.（1999）.Death education in the primary school（1）. International Journal of Children’s Spirituality, 4（1）,77-90.
Hoelter, J., ＆ Epley, R.（1979）.Death education and death related attitudes. Death Education, 3, 67-75.
Jones, C. H. , Hodges, M., ＆ Slate, J. R.（1995）.Parental support for death education programs in the schools. The School Counselor, 42（5）, 370-376.
Kane, B.（1979）. Children’s concept of death. Journal of Genetic Psychology, 134（1）,141-153.
Kaplan, F. M.（1992）.A training module on death and dying of students for special education personnel（student death）. Dissertation Abstracts International,53（2）, 468A.
Kenyon, B. L.（2001）. Current research in children’s conceptions of death：A critical review. Omega, 43（1）, 63-91.
Knight, K. H. , ＆ Elfenbein, M. H.（1993）.Relationship of death education to the anxiety, fear, and meaning associated with death. Death Studies, 17, 411-425.
Knight, K. H. ,Elfenbein, M.H., ＆ Capozzi L.（2000）.Relationship of recollections of first death experience to current death attitudes. Death Studies, 24, 201-221.
Knott, J. E.（1979）. Death education for all. In H. Wass（Ed.）, Dying：facing the facts（pp.387-390）.Washington, D.C.：Hemisphere Publishing.
Koocher, G. P.（1973）.Childhood, Death, and cognitive development. Development Psychology, 9, 369-375.
Kübler-Ross（1969）.On death and dying. New York：Macmillan.
Kurlychek, R. T.（1977）. Death Education：Some considerations of purpose and rationale. Educational Gerontology, 21,43-48.
Lagorio, J.（1997）.Life cycles：Activities for helping children live with daily change and loss. Carlsbad, Empowerment in Action.
Leviton, D.（1969）.The need for education on death and suicide. The Journal of School Health, 39（1）, 270-275.
Leviton, D.（1977）. The scope of death education. Death Education, 1, 41-56.
Lockard, B. E.（1986）.How to deal with the subject of death with students in grades K-12. （ERIC Document Reproduction Service No. ED 278 644）.
Maglio, C. J., & Robinson, S. E. （1994）.The effects of death education on death anxiety：A meta-analysis. Omega, 29（4）, 319-335.
Melear, J. D.（1975）.An investigation of the origin of the fear of death in children. Colorado Journal of Educational Research, 15（2）, 10-14.
Molnar, L. A.（1983）.Elementary death education. （ERIC Document Reproduction Service No. ED 230 518）.
Morgan, J. D.（1997）. Death education in the context of general education. In J. D. Morgan（Ed.）Readings in Thanatology（pp.1-6）.NY：Baywood Pub. Com.
Nagy, M.（1948）.The child’s theories concerning death. Journal of Genetic psychology, 73, 3-27.
Neimeyer, R. A.（Eds.）.（1994）. Death anxiety handbook：Research, instrumentation, and application. Washington, DC：Taylor ＆ Francis.
Nelson, R. C.（1977）. Counselors, teachers, and death education. The School Counselor, 24, 323-329.
Nichol, J. C.（1980）.A study of the effects of a death education unit upon secondary students. Dissertation Abstracts International, 41,2545A.
Noland, M., Richardson, G. E., ＆ Bray R. M.（1980）.The systematic development and efficacy of a death education unit for ninth-grade girls. Death Education, 4, 43-59.
Quinn, A. T.（1991）.A hospice death education course：Evaluating effectiveness in meeting goals（volunteer training）. Dissertation Abstracts International, 53（3）,728A.
Rabbi, E. A., ＆ Grollman, D. D.（1977）.Explaining death to children. Journal of School Health, 57（5）,336-339.
Rowe, K. B., ＆ Loesch, L. C.（1978）.An affective-education experience for helping children reduce their anxieties about death. Humanist Educator, 16（3）,103-109.
Rublee, D. A., ＆ Yarber, W. L.（1983）.Instructional units of death education：The impact of amount of classroom time on changes in death attitudes. Journal of school health, 53（7）, 412-415.
Schonfeld, D. J., ＆ Kappelman, M.（1990）.The impact of school-based education on the young child’s understanding of death. Development and Behavioral Pediatrics, 11,247-252.
Seibert, D.（1993）.Are you sad too？ Helping children deal with loss and death. Suggestions for teachers, parents and other care providers of children to age 10. ETR Associates, Santa Cruz. CA.（ERIC Document Reproduction Service No. ED358 398）
Speece, M. W., ＆ Brent, S. B.（1984）.Children’s understanding of death：A review of three components of a death concept. Chileren Development, 55（5）,1671-1686.
Speece, M. W., ＆ Brent, S. B.（1996）.The development of children’s understanding of death. In C. A. Corr ＆ D. M. Corr（Eds.）Handbook of childhood death and bereavement（pp29-50）.New York：Springer.
Stevenson, R. G.（1984）.A death education course for secondary schools：” couring” death ignorance（grief）. Dissertation Abstracts International,45（10）, 3108A.
Stevenson, R. G.（1986）.Measuring the effects of death education in the classroom. In G. H. Paterson（Ed.）Children and death：proceedings of the Conference. Children And Cope With Death, King’s College, London, Ontairo.
Tamm, M. E., ＆ Granqvist, A.（1995）.The meaning of death for children and adlescents：A phenomenographic study of drawings. Death Studies, 19, 203-222.
Templer, D. I.（1970）.The construction and validation of a Death Anxiety Scale. The Journal of General Psychology, 82, 165-177.
Vianello, R., ＆ Marin, M. L.（1989）.Children’s understanding of death. Early Cild Development and Care, 46, 97-104.
Wass, H., Corr, C. A., Pacholski, R. A., ＆ Sanders, C. M.（1980）.Death educationⅠ：An annotated resource guide. Washington：Hemisphere Pub.Cor.
Weeks, D., ＆ Johnson, C.（1992）.A second decade of high school death education. Death Studies, 16（3）,269-279.
Wong, T. P., Reker, G. T., ＆ Gesser, G.（1994）.Death attitude profile-revised：A multidimensional measure of attitudes toward death. In R. A. Neimeyer（Ed）, Death Anxiety Handbook：Research, Instrumentation, and Application（pp.121-149）.Washington：Taylor ＆ Francis.
Young, P. L.（1983）.A comparison of cognitive and affective instruction on coping ability toward death. Dissertation Abstracts International, 44（8）, 2349A.