放鬆音樂聆聽對護理學生焦慮的前驅研究
宋惠娟1* 梁秀庭2 李文禮3 吳育儒4
1 慈濟技術學院護理系副教授（*通訊作者）
2 音樂心靈推廣協會執行長
3 慈濟技術學院放射技術系講師
摘 要
本前趨研究採單組前後測之研究設計評值聆聽放鬆音樂對護理學生焦慮相關生理
及心理指標的影響。以立意取樣方式收案符合條件的護理系學生，29 位完成研究，每位
受試者個別於一安靜的房間，採半坐臥或躺臥放鬆的姿勢，以耳機聆聽25 分鐘的放鬆
音樂，此音樂是由台灣某唱片公司製作發行之低頻慢板樂器演奏音樂。受試者在前後測
以情境焦慮量表評估其主觀的焦慮程度，並以陰陽儀監測受試者聆聽音樂前後及過程中
的心跳及心率變異之變化。本研究結果顯示護理學生有低度近中等程度的焦慮，聆聽放
鬆音樂後能有效地降低其主觀焦慮程度（p<.001）及心跳（p<.001），並增加心率變異之
高頻功率（p=.03），即提高副交感神經的活性，本研究結果顯示音樂聆聽可有效地降低
護理學生的主觀焦慮程度及客觀生理指標，協助學生處於生理及心理的放鬆狀態。
關鍵字：護理學生、音樂聆聽、焦慮、心率變異
A pilot study of relaxing music listening on anxiety in
nursing students
Huei-Chuan Sung1* Hsiu-Ting Liang2 Wen-Li Lee3 Yu-Zu Wu4
1Department of Nursing, Tzu Chi College of Technology, Hualien, Taiwan
(*correspondence author)
2Taipei Inner Connection Music Association, Taipei, Taiwan
3Department of Radiological Technology, Tzu Chi College of Technology, Hualien, Taiwan
4Department of Physical Therapy, Tzu Chi College of Technology, Hualien, Taiwan
Abstract
This pilot study used a one-group pre-test and post-test design to evaluate the effect of
relaxing music listening on physiological and psychological indicators related to anxiety in
nursing students. A purposive sample of 29 nursing students completed the study. Each
participant listened to 25-minute low-frequency, slow-rhythm relaxing music produced by a
Taiwanese music company via headphone with a semi-sitting or lying position in a quiet room.
Each participant was assessed for their subjective anxiety using State-Trait Anxiety
Inventory-State (STAI-State) and for their heart rate and heart rate variability using Ying-Yang
Instrument at pre-test and post-test. The results found that nursing students had low to
medium levels of anxiety. Listening to relaxing music significantly reduced subjective state
anxiety level (p<.001), heart rate (p<.001), and high frequency of heart rate variability (p=.03),
which indicated that the parasympathetic nervous system was activated and participants were
in a relaxing state. The results of this study suggest that listening of relaxing music may
reduce subjective anxiety level and alter physiological indicators in nursing students, which
imply that these students are in a relaxing state physiologically and psychologically.
Keywords：nursing student, music listening, anxiety, heart rate variability