臺灣博碩士論文加值系統

「Healing Garden」指庭園可透過各種環境特性，對人們產生正面效益。在這樣廣義的界定下，治療性庭園的設計並沒有明確的標準和定義來做評斷，便成為本研究欲建立醫院治療性庭園設計檢核表的動機。
本研究以都市醫院庭園為主要研究對象，根據治療性庭園（Healing Garden）與治療性景觀（Healing Landscape）為原則，試著發展出醫院治療性庭園設計檢核表。並假設(1)不同類別的使用者對景觀元素重要性的認知程度有差異、(2)不同類別的使用者對行為活動需求性的需求程度有差異、(3)不同類別的使用者對景觀效益獲得性的期望程度有差異、(4)景觀元素重要性與景觀效益期望性具有正相關、(5)行為活動需求性與景觀效益期望性具有正相關，以及(6)景觀元素重要性與行為活動需求性具有正相關。
本研究主要以量化方法來進行分析，以不同類別使用者為受測樣本，包含醫師、醫技人員、病患及家屬，目的在釐清不同類別的使用者所認知並期望的治療性庭園要項有那些，並探究自變項景觀元素以及行為活動，對依變項景觀效益的相關性，進而分析自變項對依變項的影響力。
研究結果顯示，整體上而言不同類別的使用者對景觀元素重要性認知程度、行為活動需求性認知程度與景觀效益期望性認知程度無顯著差異，但在景觀元素「動物」項達顯著水準 (F=5.82, P<.01)，在景觀效益「提供活動」與「社會支持」達顯著水準(F=3.22, P<.05；F=6.70, P<.01)。景觀元素重要性認知與景觀效益期望性認知間呈現正相關(r=0.63, P<.01)；行為活動需求性認知與景觀效益期望性認知間呈現正相關(r=0.74, P<.01)；景觀元素重要性認知與行為活動需求性認知間呈現正相關(r=0.64, P<.01)。並經由迴歸分析景觀元素重要性認知(β=0.29)與行為活動需求性認知(β=0.55)預測景觀效益期望性認知達顯著(F = 98.22, p＜0.05；R2＝0.60)。本研究結果可作為醫院治療性庭園的檢核，以及未來規劃設計上的原則參考。

The purpose of this study is to develop a landscape design check list of the hospital’s healing garden. The study of discussions of previous studies about “Healing Garden” and “Healing Landscape”, and contrasting their main guidelines, “landscape elements (for example, plants, water, sun, animal…etc)” and “activity needs (spaces and facilities for sitting, walking, talking, playing, eating, exercising…etc)” were considered important dimensions that have great effects on healing. Hence, the research hypothesized that “landscape elements” and “activity needs” are correlated with “landscape benefits”. Beside this, the “landscape elements” and “activity needs” could be the major causes of landscape benefits from the natural environment. Questionnaire survey were conducted in the Taipei Medical University Wan-Fang Hospital, and participants include doctors, staff, patients and companions (N=144). The statistical analyses used the Pearson correlation to test the relationship between “landscape elements” and “activity needs”, the relationship between “landscape elements” and “landscape benefits”, and the relationship between “activity needs” and “landscape benefits”. Additionally, it also employed a one-way ANOVA to examine the mean difference of variances within each different category users.
Results indicated that there is no significant difference in different categories of users in the dimensions of “landscape elements”, and “activity needs”. Significant positive correlations were found between the “landscape elements” and “landscape benefits”, the “activity needs” and “landscape benefits”, as well as the “landscape elements” and “activity needs”. The multiple regressions revealed that the “landscape elements” and “activity needs” significantly predicted “landscape benefits”. In fact, the “landscape elements” and “activity needs” must be the major considerations of the landscape design check list of a hospital’s healing garden. The check list can be used to satisfy the implication for efficiently planning future hospital’s healing space and to evaluate the healing degree in hospital’s garden environment.

目 錄
謝誌------------------------------------------------------------------ I
中文摘要-------------------------------------------------------------- II
英文摘要-------------------------------------------------------------- III
第一章 緒論
第一節 研究動機------------------------------------------------ 1
第二節 研究目的------------------------------------------------ 3
第三節 研究範圍與限制------------------------------------------ 4
第四節 研究重要性---------------------------------------------- 5
第二章 文獻回顧
第一節 園藝治療相關理論---------------------------------------- 7
第二節 治療性庭園相關理論-------------------------------------- 9
第三節 自然景觀的效益------------------------------------------ 14
第三章 研究方法
第一節 研究變項與架構------------------------------------------ 23
第二節 研究假設------------------------------------------------ 27
第三節 研究設計------------------------------------------------ 27
第四節 測試方法------------------------------------------------ 29
第五節 資料處理方法-------------------------------------------- 31

第四章 分析結果與討論
第一節 受測者特性分析------------------------------------------ 33
第二節 不同使用者類別對景觀元素重要性認知差異性分析------------ 37
第三節 不同使用者類別對行為活動需求性認知差異性分析------------ 40
第四節 不同使用者類別對景觀效益期望性認知差異性分析------------ 43
第五節 景觀元素重要性認知與景觀效益期望性認知相關性------------ 46
第六節 行為活動需求性認知與景觀效益期望性認知相關性------------ 48
第七節 景觀元素重要性認知與行為活動需求性認知相關性------------ 49
第八節 景觀效益期望性認知預測迴歸分析-------------------------- 51
第九節 信度與效度檢測------------------------------------------ 55
第十節 討論---------------------------------------------------- 56
第五章 結論與建議
第一節 結果討論------------------------------------------------ 59

第二節 後續研究建議-------------------------------------------- 61

參考文獻-------------------------------------------------------------- 67
附錄一 正式問卷------------------------------------------------------ 73
附錄二 開放式問項填答整理-------------------------------------------- 77
附錄三 引用文獻原文摘錄---------------------------------------------- 79

參考文獻
1.張俊彥、張蓉真。 (1999)。 校園綠美化對學童之學習效益。科學農業，47 (1)， 頁 61-67。
2.張俊彥。 (2000)。 造園設計中植栽色彩對觀賞者效益之研究。造園學報，7 (1)，頁 45-65。
3.張俊彥、陳炳錕。(2001)。以腦電波探討具恢復力之環境對生心理影響之研究。 興大園藝，26 (2)，頁 49-61。
4.張俊彥、洪佳君。(2003)。景觀空間元素與生心理反應研究。造園學報，9 (2)， 頁 107-120。
5.周孟慈、張俊彥。(2005)。鄉村景觀環境對觀賞者生心理效益之研究。興大園藝。
6.林木泉(譯) (2008)。 園藝治療入門。台北市: 洪葉文化。( Lewis,C.A., 1995)
7.Barnhart, S. K., Perkins, N.H., & Fitzsimonds, J. (1998). Behaviour and outdoor setting preferences at a psychiatric hospital. Journal of Landscape and Urban Planning, 42, 147-156.
8.Brannon, L., & Feist, J. (1997). Health Psychology, 3rd ed. Pacific Grove, CA: Brooks/Cole.
9.Cooper Marcus, C. (1990). The Garden as Metaphor. In M. Francis and R. Hester (Eds.). The Meaning of Gardens. Cambridge, MA: M.I.T. Press.
10.Cooper Marcus C. & Barnes, M. (1995). Gardens in Health Care Facilities: Uses, Therapeutic Benefits, and Design Considerations. Martinez, CA: The Center for Health Design.
11.Cooper Marcus C. & Barnes, M. (1999). Healing Gardens: Therapeutic Benefits and Design Recommendations. New York: John Wiley & Sons, pp. 27-86.
12.Cooper Marcus C. (2007) Healing gardens in hospitals. Design and Health, 1, 1
In: Wagenaar C. The architecture of hospitals. Rotterdam: NAi Publishers, 314-29.
13.Francis, C., & Cooper Marcus, C. (1991). Places People Take Their Problems., In J. Urbina-Sotia, P. Ortega-Andeane, and R. Bechtel (Eds.), Proceedings of the 22nd Annual Conference of the Environmental Design Research Association. Oklahoma City: Environmental Design Research Association, pp. 178-184.
14.Francis, C., & Cooper Marcus, C. (1992). Restorative Places: Environment and Emotional Well-Being. In Proceedings of 24th Environmental Design Research Association Conference. Boulder, CO: EDRA.
15.Grant, C. (1994). The Healing Garden: Incorporation Garden Experience in Hospitals and Other Health Care Facilities. Unpublished thesis for Master of Landscape Architecture Degree. Department of Landscape Architecture, University of Georgia, Athens.
16.Gesler, W. M., & Sarah, C. (1992). Therapeutic Landscapes: Application of Concepts of Therapeutic Landscape to the Design of Hospitals in the UK: The Example of a Mental Health Facility in London. Social Science and Medicine. 34(7), 149-163.
17.Gesler, W. M. (2003). Healing Place. Lanham, MD: Rowman & Littlefield.
18.Gatchel, R. J. (1989). The prevalence of dental fear and avoidance: expanded adult and recent adolescent surveys. Journal of the American Dental Association, 118(5), 591-593.
19.Hartig, T., Mang, M., & Evans, G. (1991). Restorative Effects of Natural Environment Experiences. Journal of Environment and Behavior, 23(1), 3-26.
20.Hartig, T., Book, J., Garvill, J., Olsson, T., & T. Garling. (1996). Environmental Influences on Psychological Restoration. Scandinavian Journal of Psychology, 37, 378-393.
21.Hartig, T., & Cooper Marcus, C. (2006). Essay Healing gardens—places for nature in health care. Medicine and Creativity 368, 36-37.
22.Herzog, T. R., Kaplan, S., & Kaplan, R.(1976). The prediction of preference for familiar urban places. Environment and Behavior. 8, 627–645.
23.Janis, I. L.(1958).Psychoanalytic and Behavioral Studies of Surgical Patients. New York: Wiley.
24.Kaplan, R. (1973). Some Psychological Benefits of Gardening. Journal of Environment and Behavior, 5,145-162.
25.Kaplan, S. (1983). A Model of Person-Environment Compatibility. Journal of Environment and Behavior, 15(3), 311-332.
26.Kaplan, R. and S. Kaplan (1989). The Experience of Nature: A Psychological Perspective. Cambridge, MA: Cambridge University Press.
27.Kaplan, R. (1993). The role of nature in the context of the workplace. Journal of Landscape and Urban Planning, 26(1), 193-201.
28.Kaplan, S. (1995). The restorative benefits of nature: toward an integrative framework Journal of Environment and Psychology, 15, 169-182.
29.Kaplan, R. (2001). The Nature of the View from Home: Psychological Benefits. Journal of Environment and Behavior; 33(4), 507-542.
30.Kaplan, R. (2007). Employees’ reactions to nearby nature at their workplace: The wild and the tame. Journal of Landscape and Urban Planning 82, 17–24.
31.Lewis, C. A., (1976).Green Nature/Human Nature: The Meaning of Plants in our Lives. Urbana, IL: University of Illinois Press.
32.Lewis, C. A., (1976). The evolution of horticultural therapy and rehabilitation through horticulture, Lecture and Publication series, 2(5).
33.Lewis, C. A., (1979). Healing in the urban environment: a person/plant viewpoint. Journal of American Planning Association, 45, 330-338.
34.Landis, B. J. (1997). Healing and the Human Spirit: in Reflections on Healing: A Central Nursing Construct, edited by Phyllis Bcck Kritek. New York: NLN Press. 72-80.
35.Laumann, K., G.arling, T., & Stormark, K. M. (2001). Rating scale measures of restorative components of environments. Journal of Environmental Psychology, 21, 31-44.
36.Laumann, K., G.arling, T., & Stormark, K. M. (2003).Selective attention and heart rate responses to natural and urban environments. Journal of Environmental Psychology, 23, 125–134.
37.McHarg, I. (1969). Design with Nature. Garden City, New York. The Natural History Press.
38.McNeil, J. K., LeBlanc, E. M., & Joyner, M. (1991). The Effect of Exercise on Depressive Symptoms in the Moderately Depressed Elderly. Psychology and Aging, 6, 487-488.
39.Olszowy, D.R. (1978). Horticulture for the disabled and disadvantaged. Charles C. Thomas Publisher, Springfield, IL.
40.Parsons, R. (1991). The potential influences of environmental perception on human health. Journal of Environmental Psychology, 11, 1-23.
41.Rioux, L. (2005). The well-being of aging people living in their own homes. Journal of Environmental Psychology, 25(2), 231-243.
42.Russell, H. (1997). The effect of interior planting on stress. University of Surrey.
43.Shermana, S.A., Varnib, J.W., Ulrich, R.S., & Malcarne, V.L. (2005) Post-occupancy evaluation of healing gardens in a pediatric cancer center. Journal of Landscape and Urban Planning, 73, 167–18.
44.Tennessen & Cimprich (1996). View to nature: effects on attention. Journal of Environmental Psychology, 16, 77-85.
45.Ulrich, R.S. (1979). Visual Landscapes and Psychological Well-Being. Journal of Landscape Research, 4, 17-23.
46.Ulrich, R.S. (1981). Nature Versus Urban Scenes: Some Psychological Effects. Journal of Environment and Behavior, 13(5), 523-556.
47.Ulrich, R.S. (1983). Aesthetic and affective response to natural environment. Journal of Behavior and the natural environment. Plenum, New York, 85-125.
48.Ulrich, R.S. (1984). View through a Window May Influence Recovery from Surgery. Science, 224, 420-421.
49.Ulrich, R.S. (1986). "Human Responses to Vegetation and Landscapes." Landscape and Urban Planning, 13, pp. 2944.
50.Ulrich, R.S., Simons, R.E., Losito, B.D., Fiorito, E., Miles, M.A., & Michael, Z. (1991). "Stress Recovery during Exposure to Natural and Urban Environments." Journal of Environmental Psychology, 11, 201-30.
51.Ulrich, R.S. and Parsons, R. (1992). Influences of passive experiences with plants on individual well-being and health. In: Relf, D. ed. The role of horticulture in human well-being and social development: a national symposium, 19-21 April 1990, Arlington, Virginia. Timber Press, Portland, 93-105.
52.Ulrich, R.S., Zimring, C., Quan, X., & Joseph, A. (2004). The role of the physical environment in the hospital of the 21st century. Princeton, NJ: Robert Wood Johnson Foundation.
53.Watson, D.P., & Burlingame, A.W. (1960). Therapy through horticulture. Macmaillan, New York.
54.Whitehouse, S., Varni, J.W., Seid, M., Cooper Marcus, C., Ensberg, M.J., Jacobs, J.R., et al. (2001). Evaluating a children’s hospital garden environment: Utilization and consumer satisfaction. Journal of Environmental Psychology , 21, 301-314.
55.Williams, Allison, ed. (1999). Therapeutic Landscapes: The Dynamic between Place and Wellness, Lanham, Md.: University Press of America.
56.Watson, D. P., & Burlingame, A. W. (1960). Therapy through Horticulture. New York: Macmillan.
57.Wortman, C. B. (1984). Social Support and the Cancer Patient. Cancer, 53, 2339-2362