臺灣博碩士論文加值系統

本研究主要是在初探客製化之雙耳拍差音樂對中高齡女性居家照顧服務員在其各種無形壓力下，而導致的自律神經失調所造成的睡眠困擾，是否能經由心率變異（HRV, Heart Rate Variability）儀器測試中看出其確切前後數據上的音樂療癒效果。研究經過測試後發現雙耳拍差（Binaural Beats）中的Theta 與Delta波在緩解焦慮及壓力與縮短入睡及改善睡眠質量上有一定的效果，且與樂曲一起使用效果更佳。本研究讓受測者同時聽喜歡的歌曲加上不同的Alpha、Beta、Theta與Delta之雙耳拍差音頻組合，來做聽前與聽後的HRV測試數據收集與分析。研究結果顯示雙耳拍差音頻加上受測者喜歡的音樂，在壓力指數與心跳方面都有下降，在SDNN、 rmSSD、pNN50、TP、LF、HF指數都有不錯的提升。且壓力指數、心跳、SDNN、rmSSD、TP在成對t檢定中都達顯著差異（p<0.05）以上。因此雙耳拍差音樂是一種接受度高，且能夠降低壓力指數、提升自律神經總體活性、活化副交感神經及促進交感與副交感神經平衡，進而達到助眠及改善睡眠品質的有效方式之一。值得今後做更深入且長期的實驗與應用。

This study is mainly to explore whether customized binaural beats music can affect the sleep disturbance caused by autonomic nervous system disorders caused by various invisible pressures on middle-aged and elderly female home caregiver through heart rate variability（HRV）instrument test to see the healing effect of music on the exact before and after data. After research and testing, it was found that the Theta and Delta waves in binaural beats（BB）have a certain effect in relieving anxiety and stress, shortening falling asleep, and improving sleep quality, and the effect is better when used together with music. This study allows subjects to listen to their favorite songs and different binaural beats difference audio combinations of Alpha, Beta, Theta and Delta at the same time to collect and analyze HRV test data before and after listening. The results showed that binaural beats difference audio combined with the subject's favorite music has reduced the stress index and heartbeat, and has improved well in the SDNN, rmSSD, pNN50, TP, LF, and HF indices. And the pressure index, heartbeat, SDNN, rmSSD, and TP all reached significant differences （p<0.05）in the paired t test. Therefore, binaural beats music is a highly acceptable method that can reduce stress index, increase the overall activity of the sympathetic nervous system, activate parasympathetic nervous system, and promote the balance between sympathetic and parasympathetic nerves, thereby aiding sleep and improving sleep quality. It is worthy of more in-depth and long-term experiments and applications in the future.

誌謝 I
摘要 II
ABSTRACT III
目錄 IV
圖目錄 VI
表目錄 VIII
第一章 緒論 1
第一節 研究背景 1
第二節 研究動機 2
第三節 研究目的 2
第四節 名詞定義 3
第二章 文獻探討 6
第一節 音樂療癒 6
第二節 雙耳拍差 8
第三節 自律神經系統 12
第四節 心率變異性 13
第三章 研究方法與步驟 18
第一節 研究流程 18
第二節 研究方法 19
第三節 研究步驟 20
第四章 研究結果 20
第一節 研究工具 20
第二節 基本資料與基本數據分析 21
第三節 HRV參數平均值分析 27
第四節 HRV參數各年齡層平均值分析 41
第五節 列舉3位前後測數據差異較大者 47
第五章 結論與建議 50
第一節 結論 50
第二節 建議 51
參考文獻 52
附錄 57

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