線上團體二胡課程對提升年長者健康的成效探討
蘇郁惠、戚居暘、蕭亦揚、蘇美如
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中文摘要 近年研究顯示，音樂活動，特別是學習樂器，能改善年長者的認知功能、聽覺注意力與肢體能力。隨著數位科技發展，遠距學習為年長者持續學習樂器提供了新的途徑。本研究旨在探討線上團體二胡課程能否增進年長者的心理健康、認知功能及上肢能力。本研究使用準實驗設計，對16名年齡介於50至80歲的健康參與者進行為期18週的二胡遠距教學課程。課程使用同步教室和Skype進行同步線上教學，並使用特定的設備和教材，重點教授二胡技巧與音樂知識。進行的評估包括Mini-Mental State Examination (MMSE)測試認知功能、Brief Symptom Rating Scale-5 (BSRS-5)測量心理壓力，以及測量手部握力的測試。結果顯示，參與者在MMSE測試中維持穩定，並在BSRS-5心理壓力指標上有下降的趨勢，但未達統計顯著性。此外，兩隻手的握力都有顯著提高。本研究顯示遠距二胡課程在社區情境下的可行性，初步結果顯示能維持認知功能並提升手部握力。儘管心理壓力的減少趨勢未達顯著，本研究仍為未來將樂器學習整合於年長者照護服務提供了支持。
關鍵字：遠距教學、握力、同步線上教學、樂器、社區場域
文章建立時間：2025-03-12
引用格式(APA)：
蘇郁惠、戚居暘、蕭亦揚、蘇美如(2025)。 線上團體二胡課程對提升年長者健康的成效探討。
福祉科技與服務管理學刊， 13(1)， 1-14。
The Effectiveness of Online Group Erhu Lessons in Enhancing the Health of Older Adults
Su, Y.-H. , Chi, J.-Y. , Hsiao, Y.-Y. , *Su, M.-J.
English Abstract Previous research shows that musical activities, particularly instrumental music learning, can benefit older adults by improving cognitive functions, auditory attention, and physical abilities. Distance learning through digital technology has emerged as a promising approach for older adults to continue their musical education, with studies suggesting that online music lessons can be successful for this demographic. This study aims to investigate whether real-time distance learning of the erhu, a traditional Chinese instrument, through online group lessons can enhance mental health, cognitive function, and upper limb capabilities in older adults. A quasi-experimental design was used to evaluate an 18-week erhu distance learning program for sixteen healthy participants aged 50-80. The program utilized synchronized classrooms and Skype™ for real-time online teaching sessions, employing specific equipment and curriculum to focus on erhu techniques and music knowledge. Ethical approval was obtained for the study. Assessments included the Mini-Mental State Examination (MMSE) for cognitive function, Brief Symptom Rating Scale-5 (BSRS-5) for mental stress, and functional hand strength measurements using grip force tests. The results showed that participants in an erhu distance learning program maintained stable MMSE scores and exhibited a tendency towards reduced BSRS-5 levels, although the latter was not statistically significant. Additionally, the study revealed statistically significant improvements in grip strength for both hands over time. This study demonstrated the feasibility of conducting remote erhu lessons for older adults in a community setting, with preliminary results indicating maintained cognitive status and improved grip strength in both hands over time. While there was a tendency towards reduced mental stress as measured by BSRS-5, this change was not statistically significant. These findings suggest the potential benefits of integrating musical instrument learning into eldercare services, though future research with more rigorous designs is needed to validate and expand upon these initial results.Keywords：distance learning, grip strength, synchronous online teaching, musical instrument, community setting