探討3D VR芳香療法2.0虛實結合課程對機構老人身心健康之成效

背景：機構老人因行動不便、生活空間受限、社會行為退化，影響身心健康狀態，而近年來3DVR及芳香療法在醫療照護及舒緩身心功能的成效已愈來愈越受到肯定與認同。本研究即以3DVR與芳香療法的虛實結合課程，讓長者從虛實互動學習中，舒緩身心壓力，提升生活品質。方法：本研究採立意取樣，研究對象為北部地區2家機構60位老人，區分實驗組與對照組，分別以憂鬱、壓力、身心症狀、焦慮等問卷蒐集介入前、後身心健康狀態的變化情形，再以SPSS-23.0進行成效分析，以瞭解本研究虛實結合課程介入前、後的差異。結果：研究表明性別、年齡及教育程度並不會影響機構老人參與虛實結合課程之學習動機。而經廣義估計方程式(GEE)分析結果，憂鬱狀態、壓力狀態、身心症狀狀態、焦慮狀態等身心健康狀態均有顯著的改善。而腦波檢測結果，則發現本研究對專注力的提升亦有影響，但仍需後續研究加以驗證。結論：本研究在3DVR芳香療法2.0虛實結合課程實施後，能改善老人身心健康狀態並強化學習動機。未來繼續以創新科技的虛實結合模組，連結健康促進的要素，做更深更廣的課程開發與推展，以符應社會人口高齡化的需求，達到持續照顧老人身心健康的目標。

關鍵字

3DVR ；芳香療法；機構老人；身心健康；學習動機

並列摘要

Background：The effectiveness of 3DVR and hands-on aromatherapy in relieving physical and mental functions has become more and more popular in recent years. In this study, we used 3DVR and aromatherapy to combine the virtual and hands-on program for older adults to explore the impacts on their physical and mental health. Methods: Recruitment of particpants was conducted by intentional sampling, and the total of participants were 60 older adults from two long-term care facilities in northern Taiwan. The study adopted a quasi-experimental design. The changes in outcome variables before and after the intervention were collected by questionnaires on depression, stress, physical and mental symptoms, and anxiety. Results：Gender, age, and education level of participants were not significant between experimental and control group. The results of the generalized estimation equation analyses showed significant improvements on depression, stress, physical and mental symptoms, and anxiety. The results of the brain wave examination showed that the study also revealsed an effect on concentration. Future study could explore the effect in more details. Conclusion：After the intervention of the 3DVR Aromatherapy 2.0 virtual and hands-on program, the findings significantly improved the physical and mental health of the older adults and strengthen their motivation to learn. In the future, it is promising to promote the combination of 3DVR and hands-on program by applying information technology to improve older adults’ physical and mental health. Future study could expand a similar program to meet the needs of an aging population and achieve the goal of continuous care for the physical and mental health of older adults.