| Abstract: | 背景與目的：過去研究證實輔助療法可以改善高齡者的負向情緒，隨著科技的發展，現有將虛擬實境導入於長照機構中的研究多集中在姿勢平衡、認知訓練等，然而面對這類住民，更應該關注在情緒及壓力的議題。本研究將透過兩種虛擬實境的情境包含自然及建築，探討虛擬實境對機構居民在情緒上的影響。研究方法：本研究採準實驗設計法，透過自製虛擬實境影片作為介入措施，以中部3家機構住民為對象，所有的參與者透過簡單隨機分配，均分到兩組不同情境（自然、建築環境），於COVID-19期間為期兩週的介入活動，最終共 121名參與者完成收案。統計分析透過描述性統計、成對樣本t檢定、獨立樣本t檢定、單因子變異數分析與共變數分析探討兩組在DASS-21及PANAS量表所測量的正向情緒、負向情緒、憂鬱、焦慮與壓力的影響。研究結果：在實驗組與對照組都是以女性居多（61.1％、63.3％），兩組平均年齡分別為 65.88歲及 60.76歲。在心理層面發現實驗組相較於對照組在正向情緒（T=-2.53，P<0.05）、憂鬱 （T=4.85，P<0.05）與壓力（T=5.39， P<0.05）的分數有明顯影響，因此本研究認為自然景觀對於機構住民情緒有顯著影響，而相較於建築景觀，自然景觀對於機構住民情緒影響程度較大（特別在正向情感的影響）。結論：根據研究證實虛擬自然實境對於機構住民的正向情感有更明顯的提升效果。因此，本研究認為虛擬實境對情緒改善有益處，應可以被納入長照機構在規劃活動課程的選項之一。
Background and Objectives: Past studies have confirmed that complementary therapy can improve the negative emotions of the elderly. However, with the development of technology, technology can bring more contributions. Existing research on introducing virtual reality into long-term care institutions mostly focuses on postural balance and cognitive training. However, for such residents, more attention should be paid to issues of emotion and stress. This study will explore the emotional impact of virtual reality on institutional residents through two virtual reality scenarios including nature and architecture.Research Method: This study adopts a quasi-experimental design method, using self-made virtual reality videos as an intervention measure, targeting residents of three institutions in central China. All participants were randomly assigned to two groups of different situations (natural and built environments) through simple random allocation. During the two-week intervention during the COVID-19 period, a total of 121 participants finally completed the case. Statistical Analysis Through descriptive statistics, paired sample t-test, independent sample t-test, univariate analysis of variance and covariate analysis, the influence of positive emotions, negative emotions, depression, anxiety and stress measured by the DASS-21 and PANAS scales in the two groups was explored.Research Results: In both the experimental and control groups, females are predominant (61.1% and 63.3%, respectively), with average ages of 65.88 years and 60.76 years, respectively. On a psychological level, the experimental group shows significant effects in positive emotions (T=-2.53, P<0.05), depression (T=4.85, P<0.05), and stress (T=5.39, P<0.05) compared to the control group. Therefore, this study suggests that natural landscapes significantly impact the emotions of care facility residents, and compared to architectural landscapes, natural environments have a greater influence on their emotions, especially in terms of positive feelings.Conclusion: According to research, virtual natural reality has a more obvious effect on improving the positive emotions of institutional residents. Therefore, this study believes that virtual reality is beneficial to mood improvement and should be included as one of the options for long-term care institutions in planning activity courses. |
