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研究生:吳孟庭
研究生(外文):Meng-Ting Wu
論文名稱:鄧麗君歌曲對於臺灣健康老年人與失能老年人之情緒效應
論文名稱(外文):Emotional Effects of Teresa Teng’s Songs in Taiwanese Healthy and Disabled Older Adults
指導教授:蔡振家蔡振家引用關係
指導教授(外文):Chen-Gia Tsai
口試委員:陳峙維施以諾曾念生
口試委員(外文):Szu-Wei ChenYi-Nuo ShihNian-Sheng Tzeng
口試日期:2016-06-17
學位類別:碩士
校院名稱:國立臺灣大學
系所名稱:音樂學研究所
學門:藝術學門
學類:音樂學類
論文種類:學術論文
論文出版年:2016
畢業學年度:104
語文別:中文
論文頁數:80
中文關鍵詞:老人學音樂心理學懷舊治療情緒
外文關鍵詞:GerontologyPsychology of musicReminiscence therapyEmotion
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本研究以生理訊號測量及質性訪談來探討音樂對於老年人的情緒效應,音樂刺激材料為鄧麗君演唱的四首著名歌曲:〈但願人長久〉、〈月亮代表我的心〉、〈甜蜜蜜〉、〈我只在乎你〉,期望藉由鄧麗君的溫暖嗓音,帶給老年人正面的心理效果。結果發現,音樂對於健康老年人的血壓、指溫、高頻心跳速率變異未造成顯著影響,但聆聽音樂之後,健康老年人的心跳顯著變慢,另一方面,音樂對於失能老年人的所有生理指標皆未造成顯著影響。訪談結果發現,音樂使多數健康老年人感到愉快與放鬆,造成情緒調節的機制可能包括:人際情感連結、注意力轉移、懷舊、社會比較。本研究的發現,使人更加瞭解音樂活動對於老年人生活品質的效益。

This study examined the emotional effects of music on the elderly using physiological measures and qualitative research methods. The stimuli were four famous songs The Moon Represents my Heart, Sweet Honey, May we all be Blessed with Longevity, I Only Care About You sung by Teresa Teng. We expected that Teng’s warm voice would have positive psychological effects on the elderly. The results show that music had no significant effect on the blood pressure, finger temperature, and high-frequency heart rate variability in the healthy participants. After exposure to music, however, the healthy participants’ heart rate significantly decreased. For the disabled participants, all these physiological measures were not affected by music. In-depth interviews reveal that exposure to music led to pleasant and relaxed emotions in the majority of healthy participants. The mechanisms of emotion regulation may be related to interpersonal connection, distraction, reminiscence, and social comparison. Our findings contribute to advancing knowledge about the beneficial effects of music activity on the quality of life for older adults.

目 錄
第一章 緒論 1
第一節 研究背景與動機 1
第二節 研究目的與假說 3
第二章 文獻回顧 5
第一節 健康老年人與失能老年人之定義 5
第二節 情緒調節與音樂 6
第三節 聆聽者的生理訊號 14
第三章 研究方法 19
第一節 研究問題 19
第二節 研究對象 20
第三節 刺激材料 21
第四節 研究步驟 34
第五節 資料分析 38
一、生理訊號數據處理與統計分析 38
二、訪談資料分析 39
第四章 研究結果 41
第一節 量化研究統計結果 41
第二節 質性訪談分析 46
一、正向情緒 47
二、懷舊 48
三、注意力轉移 49
四、社會比較 49
五、增進人際情感聯結 50
第三節 個案說明 51
第五章 討論 55
第一節 心跳速率與血壓 55
第二節 手指溫度 56
第三節 心率變異與多層次迷走神經 57
第四節 情緒調節 61
第五節 懷舊 62
第六節 研究限制 64
第六章 結論 66
第一節 主要發現及其意義 66
第二節 未來方向 66
附錄 68
附錄一 老人憂鬱短版量表 68
附錄二 巴氏量表 69
附錄三 鄧麗君音樂熟悉度之問卷調查 71
附錄四 半結構式質性訪談問題 72
參考文獻 73


表 次

表 三 1: 〈但願人長久〉 23
表 三 2: 〈月亮代表我的心〉 25
表 三 3: 〈甜蜜蜜〉 27
表 三 4: 〈我只在乎你〉 31
表 四 1:健康老年人與失能老年人生理指標之比較 42
表 四 2: 健康老年人組生理指標在聆聽音樂前後之比較 44
表 四 3:健康老年人組聆聽每首樂曲之指溫於歌曲開始及結束時比較 45
表 四 4:失能老年人組生理指標在聆聽音樂前後之比較 45
表 四 5: 失能老年人組聆聽每首樂曲之指溫於歌曲開始及結束時比較 46


圖 次

圖 二 1:情緒環狀模型及音樂特徵。 8
圖 三 1:模型中呈現情緒和社會關係之間的聯結性 20
圖 三 2:研究流程圖 37
圖 四 1:失能老年人的高頻心率變異(自然對數) 43
圖 四 2:健康老年人的高頻心率變異(自然對數) 44
圖 四 3:健康老年人p01、p02、p08聆聽音樂前後的指溫數值 52
圖 四 4:失能老年人d07、d08聆聽音樂前後高頻心率變異的比較 54
圖 五 1:健康老年人聆聽鄧麗君歌曲的心理模型 58
圖 五 2:失能老年人聆聽鄧麗君歌曲的心理模型 59



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徐慧娟、張明正(2004)〈臺灣老人成功老化與活躍老化現況:多層次分析〉,《台灣社會福利學刊》,3卷第2期,頁1-36。
郝溪明(1999)《都市家庭中失能老人與主要照顧者調整生活方式之研究》。東海大學社會工作學系博士班博士論文。
國家發展委員會人力發展處(2014)《中華民國人口推計(103至150年)》,取自http://www.ndc.gov.tw/m1.aspx?sNo=0000124 - .VLfSos8frDc
許芳惠、林麗娟、宋惠娟(2012)〈運用 Watson 關懷理論照顧失能老人及其主要照顧者之護理經驗〉,《慈濟護理雜誌》,11卷第1期,頁119-128。
郭正典、陳高揚(2001)〈不同臥姿對自律神經活性的影響〉,《臨床醫學》,47卷第5期,頁314-321。
郭雅雯(2011)。〈巴氏量表 (Barthel Index) 知多少〉,《彰基院訊》,28卷第11期,頁22-23。
陳佳雯、張妤玥、高旭繁、陸洛(2013)〈老了,就不中用了?台灣高齡者最適老化之歷程探究〉,《本土心理學研究》,40卷,頁87-140。
陳旻逸(2007)《心跳變異率與血氧於睡眠障礙之研究》。國立臺灣大學電機工程學研究所學位論文。
曾慧敏、劉約蘭、盧麗玲(2001)《西爾格德心理學》。臺北:桂冠圖書。
黃子齡、施以諾(2007)〈音樂治療在失智症患者之運用〉,《東港安泰醫護雜誌》,13卷第3期,頁117-122。
黃正平(2006)〈失智症之行為精神症狀〉,《臺灣精神醫學》,20卷第1期,頁3-18。
黃玉珠(2003)〈音樂治療對護理之家住民身心之影響〉,《輔仁醫學期刊》,1卷第1期,頁47-57。
黃玉珠(2005)〈鑼聲若響-談音樂與照護的共鳴〉,《護理雜誌》,52卷第4期,頁16-22。
黃秀梨、張瑛、李明濱、柯文哲、朱樹勳(1996)〈音樂治療對減輕心臟手術後病人加護期間壓力的效果〉,《慈濟醫學雜誌》,8卷第1期,頁47-54。
黃彥鈞、林麗珉(2010)〈射箭比賽中選手心理壓力狀態分析與因應方法〉,《大專體育》,107期,頁63-69。
黃淑鶴、林佳靜、陳明麗、賴允亮(2001)〈探討音樂治療於癌末病患疼痛對生活影響程度改善之成效〉,《榮總護理》,18卷第4期,頁358-368。
楊惠真、鄭讚源、林四海、方志琳、丁增輝(2011)〈不同照顧場所之中風失能老人復健照護利用及其長期照護政策意涵〉,《健康管理學刊》,9卷第1期,頁1-16。
蔡振家(2013)《音樂認知心理學》。臺北:國立國立臺灣大學出版中心。
蔡振家(2015)〈音樂與科學的當代邂逅:從基礎研究到醫療應用〉,《界定跨科際》,臺北:教育部,頁307-342。
蔡純閨(1998)《藥理學》。臺北:合記出版社。
衛生福利部護理及健康照護司〈我國長期照顧十年計畫-101年至104年中程計畫〉,取自http://www.mohw.gov.tw/cht/DONAHC/DM1_P.aspx?f_list_no=581&fod_list_no=1402&doc_no=3411
蘇秋萍(2011)《舒緩音樂對重症患者焦慮及睡眠品質之影響》。慈濟大學護理研究所學位論文。
網路資源:
衛生福利部護理及健康照護司〈我國長期照顧十年計畫-101年至104年中程計畫〉,頁28。取自http://www.mohw.gov.tw/cht/DONAHC/DM1_P.aspx?f_list_no=581&fod_list_no=1402&doc_no=3411
音樂CD:
鄧麗君(2013)《鄧麗君 聲現永恆》。臺中:弘揚視聽有限公司。ISBN:4711871894419。




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1. 吳麗芬(2001)〈懷舊治療與人生回顧〉,《護理雜誌》,48卷第1期,頁83-88。
2. 呂碧鴻、陳秀蓉、高美英(2006)〈醫學生知覺壓力與心理健康之關係〉,《醫學教育》,10卷第1期,頁25-33。
3. 李選、劉麗芳、陳淑齡(1999)〈音樂治療在國內護理專業領域之臨床應用〉,《護理雜誌》,46卷第1期,頁25-30。
4. 林惠娟、陳淑齡(2007)〈以焦點團體來探討長期照護機構老人對團體音樂療法的體驗〉,《護理雜誌》,54卷第2期,頁38-46。
5. 侯慧明、楊淑慧(2014)〈聆聽音樂對住院老人憂鬱及生理指標之成效〉,《榮總護理》,31卷第3期,頁295-305。
6. 施以諾、黃曼聰(2002)〈精神科日間留院的音樂治療〉,《中華團體心理治療》,8卷第1期,頁3-8。
7. 郭正典、陳高揚(2001)〈不同臥姿對自律神經活性的影響〉,《臨床醫學》,47卷第5期,頁314-321。
8. 陳佳雯、張妤玥、高旭繁、陸洛(2013)〈老了,就不中用了?台灣高齡者最適老化之歷程探究〉,《本土心理學研究》,40卷,頁87-140。
9. 黃子齡、施以諾(2007)〈音樂治療在失智症患者之運用〉,《東港安泰醫護雜誌》,13卷第3期,頁117-122。
10. 黃正平(2006)〈失智症之行為精神症狀〉,《臺灣精神醫學》,20卷第1期,頁3-18。
11. 黃玉珠(2003)〈音樂治療對護理之家住民身心之影響〉,《輔仁醫學期刊》,1卷第1期,頁47-57。
12. 黃玉珠(2005)〈鑼聲若響-談音樂與照護的共鳴〉,《護理雜誌》,52卷第4期,頁16-22。
13. 黃秀梨、張瑛、李明濱、柯文哲、朱樹勳(1996)〈音樂治療對減輕心臟手術後病人加護期間壓力的效果〉,《慈濟醫學雜誌》,8卷第1期,頁47-54。
14. 黃彥鈞、林麗珉(2010)〈射箭比賽中選手心理壓力狀態分析與因應方法〉,《大專體育》,107期,頁63-69。
15. 黃淑鶴、林佳靜、陳明麗、賴允亮(2001)〈探討音樂治療於癌末病患疼痛對生活影響程度改善之成效〉,《榮總護理》,18卷第4期,頁358-368。
 
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