團體音樂治療活動融入老人護理課程－大學生對老人的態度與服務意願之影響

The effects of integrate group music therapy activities into gerontological nursing course on students' attitudes and willingness to work with older adults

10.6647/CN.23.02.10

林惠娟(Hui-Chuan Lin)；林屏沂(Ping-Yi Lin)

團體音樂活動 ； 老人護理教育 ； 老人態度 ； 服務老人意願 ； group music therapy activities ； geriatric nursing course ； attitudes toward older adults ； willingness to work with older adults

彰化護理

23卷2期（2016 / 06 / 01）

28 - 36

繁體中文

護理學生普遍存在對老人的負向態度，如何教導學生面對人口老化所需的照華人力及照章品質考驗著所有護理教育工作者。本研究自由自在調查中部某科技大學護理系大二學生，在經過創新的護理教育，以團體音樂活動融入老人護理教育課程之前、後，學生對老人態度與服務意願有無改變，以用做為未來老人護理教育課程安排之參考。採取立意取樣、單組前、後測之介入的研究設計，共計40位學生，在經過學期，約18週，完成以音樂活動介入高齡者休閒運動設計與應用的老人護理選修課程，並以老人態度與服務老人意顧問卷進行前、後測比較。結果顯示：以團體音樂活動融入老人護理教育課程將增加學生服務老人意願。而學生對老人態度在課程介入之前後雖未有達到統計意義，但學生對老人的態度與服務老人意願則呈現正相關。

Nursing students generally have a negative attitude toward older adults. Preparing nurses to meet the care needs of an expanding aging population is a challenge for nursing educators. The purpose of the current study was to explore whether incorporating music therapy into a practical geriatric nursing course at a nursing home cultivates positive attitudes toward older adults, raises students ' willingness to work with older adults , and increases their interest in specializing in gerontological nursing after graduation. Forty second-year nursing students in a 4-year baccalaureate program from central Taiwan were enrolled. Students in the elective gerontological nursing course met 2 hours per week for 18 weeks and learned how to design health-promoting activities for older adults. The attitudes toward older adults and willingness to work with older adults were measured at beginning of the course and 18 weeks after the course completed. Results suggested music can be integrated into a gerontological nursing course to enhance students' motivation to learn, empathize, and approach older adults.

1. 林貴滿,袁素娟,郭憲文(2005)。護生於教育介入後，對老人態度及老人行為意向改善成效之探討。弘光學報，47，25-35。
   連結：
2. 隗振琪,王潔媛(2010)。大學高齡教育對「老年」意象轉變之研究。明新學報，36(2)，189-201。
   連結：
3. 劉欣宜(2015)。專科學生的老化知識以及對高齡吉態度之研究─以苗栗地區某護專為例。學校衛生，66，67-90。
   連結：
4. Baker, S.(2012).Classroom karaoke: A social and economic transition strategy to enhance the first-year experience of youth studies students.Youth Studies Australia,31(1),25-34.
5. Baumbusch, J.,Dahlke, S.,Phinney, A.(2012).Nursing students'knowledge and beliefs about care of older adults in a shifting context of nursing education.Journal Of Advanced Nursing,68(11),2550-2558.
6. Beling, J.(2004).Impact of seivice learning on physical therapist students' knowledge of and attitudes toward older adults and on their clitical thinking ability.Journal of Physical Therapy Educaioe,18(1),13-21.
7. Chen, S.,Walsh, S.M.(2009).Effect of a creative-bonding intervention on Taiwanese nursing students' self-transcendence and attitudes toward elders.Research in Nursing & Health,32(2),204-216.
8. Chen, S.L.,Lin, H.C.,Jane, S.W.(2009).Perceptions of group music therapy among elderly nursing home residents in Taiwan.Complementary Therapies in Medicine,17(4),190-195.
9. Courtney, M,Tong, S.,Walsh, A.(2000).Acute-care nurses' attitudes towards older patients: Literature reⅵew.International journal of nursing practice,6(2),62-69.
10. Fajemilehin, B.R.(2004).Attitudes of students in health professions toward caring for older people: Needed curricular revisions in Nigeria.Educational Gerontology,30(5),383-390.
11. Happell, B.(2002).Nursing home employment for nursing students: Valuable experience or a harsh detergent?.Journal of Advanced Nursing,39(6),529-536.
12. Happell, B.,Brooker, J.(2001).Who will look after my grandmother? Attitudes of student nurses toward the care of older adults.Journal of Gerontological Nursing,27(12),12-17.
13. Hayes, L.J.,Orchard, C.A.,McGillis Hall, L,Nincic, V.,Brien-Pallas, L.,Andrews, G.(2006).Career intentions of nursing students and new aduates: A reⅵew of nursing literature.International Journal of Nursing Education Scholarship,3(1),1-15.
14. Lin, H. L.,Hsieh, C. E.,Chen, S. L.,Lin, P.Y .(2016).Music Therapy Training for Undergraduate Nursing Students : A Modality to Foster Interest in Gerontological Nursing.Journal of Gerontological Nursing,42(6),25-31.
15. Lovell, M.(2006).Caring for the elderly: changing perceptions and attitudes.Journal of Vascular Nursing,24(1),22-26.
16. McLafferty, I.,Morrison, F.(2004).Attitudes towards hospitalized older adults.Journal of Advanced Nursing,47(4),446-453.
17. Ministly of Health and Welfare (2014). Registered Medical Personnel in Hospitals, Clinics and Other Medical Care Institutions [Data file red code book].Retrieved from http://www.mohw.gov.tw/EN/Ministry/Statistic.aspx?f_list_n=474&fod_list_no=5655 474&fod_list_no
18. Rippon, I.,Kneale, D.,deOliveira, C.,Demakakos, P.,Steptoe, A.(2014).Perceived age discrimination in older adults.Age Ageing,43(3),379-386.
19. Rogao, F.,Wyllie, A.(2003).Engaging undergraduate nursing students in the care of elderly residents in Australian nursing homes.Nurse Education in Practice,3(2),95-103.
20. Runkawatt, V.,Gustafsson, C.,Engström, G.(2013).Different cultures but similar positive attitudes: A comparison between Thai and Swedish nursing students' attitudes toward older people.Educational Gerontology,39(2),92-102.
21. Schiller Schigelone, A.R.(2003).How can we ignore the why? A theoretical approach to health care professionals' attitudes toward older adults.Journal of Gerontological Social Work,40(3),31-50.
22. Schwartz, L.K.,Simmons, J.P.(2001).Contact quality and attitudes toward the elderly.Educational Gerontology,27(2),127-137.
23. Shefner, S.J.(1995).Do clinical experiences affect nursing students' attitudes toward the elderly.Journal of Nursing Education,34(7),312-316.
24. Stevens, J.A.(2011).Student nurses' career preferences for working with older people: A replicated longitudinal survey.International Journal of Nursing Studies,48(8),944-951.
25. Wang, C. C.,Liao, W. C.,Kao, M. C.,Chen, Y. J.,Lee, M.C.,Lee, M. F.,Yen, C. H.(2009).Taiwanese medical and nursing student interest levels in and attitudes towards geriatrics.Academy of Medicine. Singapore,38(3),230-236.
26. Westmorelaad, G. R.,Counsell, S. R.,Sennour, Y.,Schubert, C. C.,Frank. K. I.,Wu, J.,Inui, T. S.(2009).Improving medical student attitudes toward older patients through a "council of elders" and reflective writing experience.Journal of the American Geriatrics Society,57(2),315-320.
27. 內政部統計處(2015). 104年第3週內政統計通、一報1103年底入口結構分析，。取自http://www.mol.gov.tw/stat/news_content.aspx?sn=9148
28. 行政院經濟建設委員會(2010).2010年至2060年台灣人口推計.行政院經濟建設委員會.
29. 何靜玉(2009)。臺南市，長榮大學護理系。
30. 吳友欽(2011)。技職體系學生老化知識與對老人態度之研究─以高職生及科技大學學生為例。正修通識教育學報，8，21-52。
31. 吳幸如,黃創華(2007).音樂治療十四講.台北:心理出版社.
32. 李芳璃,謝佳容(2013)。某醫學大學學生對於老人態度與老人照顧需求之認知及其相關因素之研究。新臺北護理期刊，15(1)，11-26。
33. 林秝竹(2013)。嘉義市，國立中正大學高齡者教育研究所。
34. 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，14(2)，38-46。
35. 施以諾,駱天惠(2008)。加賀谷式音樂療法在健康照護之運用。臺灣職能治療研究與實務雜誌，4(1)，27-33。
36. 徐靖惠(2012)。臺中市，亞洲大學社會工作學系碩士班。
37. 陳秀娟(2006)。新竹，玄奘大學社會福利學系碩士班。
38. 陸洛,高旭繁(2009)。臺灣民眾對老人的態度：量表發展與信效度初探。教育與心理研究，32(1)，147-171。
39. 劉慧津(2001)。臺中市，中山醫學院醫學研究所。
40. 衛生署(2011). 2010年國民長期照護需要調查。
41. 謝廣全,楊國德(2009)。技職校院學生老化知識、對老人態度與服務老人意願關係之研究。弘光人文社會學報，11，49-84。
42. 鍾春櫻(1997)。護專學生對老人態度、行為意向和影響因素之研究。大仁學報，15，75-92。

1. 劉明,黃慧娟,徐美華(2021)。澳門大學生對長者知識及態度的相關性研究。健康促進與衛生教育學報，54，39-68。
2. (2021)。年齡歧視與大學生代間學習的探討。社區發展季刊，176，339-350。
3. (2024)。長照機構護理人員職場疲勞對老人態度、照顧意願及其相關因素之探討。彰化護理，31(1)，16-33。