隨著高齡人口比例上升，臺灣於2018年進入「高齡社會」，並於2025年起將正式邁入「超高齡社會」。高齡者面臨的不僅是醫療照護，還包括情感與社交需求，療癒性環境（Healing Environment）的概念因此逐漸受到廣泛關注。日間照顧中心作為社區服務的基礎設施，在提升高齡者生活品質中扮演著重要角色。然而，現有的日照場域設計多側重功能性需求，未能充分關注高齡者的心理與情感福祉。爰此，本研究旨在探討如何通過環境設計與服務成效兩大面向，包含共七項療癒性指標，量化其對高齡者身心健康之影響，進而為未來日照場域規劃提供實務建議，推動高齡照護環境之創新與發展。
本研究以臺南市與高雄市共計34家不同類型之日間照顧中心作為研究對象，分析540份有效問卷資料，其中大部分來自2023年既有調查，經原研究者授權使用，部分則由本研究補充施測。透過階層迴歸分析，釐清影響療癒性環境之關鍵指標，並檢視各層模型的增量解釋力，以及潛在中介機制。此外，經統計篩選後將其中20家日照場域採用於多元尺度分析（MDS）計算，繪製場域知覺定位圖，透過視覺化方式呈現場域與各指標間之關聯結構，進一步比較各場域在療癒性表現上的異同，並識別其優勢與待改進之處。
本研究建立之日照場域療癒性指標包括「自然元素」、「空間美學」、「建築空間尺度」、「空間規劃」、「尊重與自主」、「社會支持與互動」和「促進健康與安全」。研究結果顯示，「尊重與自主」、「空間美學」和「社會支持與互動」是對提升日照場域使用者療癒感知最具顯著影響的指標，也是專家學者重視之關鍵項目。其中，「空間美學」和「社會支持與互動」對療癒感知的正向影響較「尊重與自主」強烈，與療癒性環境強調創建高齡者情感福祉空間並減少孤獨感之理念相符，顯示其重要性與實務價值。值得關注的是，儘管「自然元素」未被視為關鍵指標，但其對高齡者情感福祉之提升具有重要潛在作用。
此外，透過知覺定位圖觀察整體日照場域之競合情況，本研究將20家日照場域分為四個競爭群，分別為「支持性人文關懷場域」、「潛力場域」、「新設型高效場域」和「綜合型多面向場域」。其中，「支持性人文關懷場域」為客體績效較佳之競爭群，包含W07、W08、X02、S01和S02，共計5個場域，這些場域在七項療癒性指標上之綜合表現較佳，可作為其他日照場域提升環境療癒性之參考依據。綜合多元尺度分析結果後，本研究亦根據各日照場域之需求，提出個別具體可行之改善策略，各日間照顧中心可依此建議擬定改善方案，以強化其環境之療癒性品質。

As Taiwan approaches a "super-aged society" by 2025, elderly individuals face not only medical but also emotional and social challenges. This underscores the growing importance of healing environments. In this context, day care centers, as vital community infrastructure, are crucial for enhancing quality of life.
This study surveyed 34 day care centers in Tainan and Kaohsiung, collecting 540 valid responses—primarily from a 2023 authorized survey, supplemented by additional questionnaires. Hierarchical regression was used to examine key indicators of perceived healing and to explore mediating mechanisms. In addition, a total of 20 day care centers were analyzed using Multidimensional Scaling (MDS) to visualize their perceptual positioning.
The healing indicators identified in this study include "Natural Elements," "Spatial Aesthetics," "Building Space Scale," "Space Planning," "Respect and Autonomy," "Social Support and Interaction," and "Promotion of Health and Safety." Results show that "Respect and Autonomy," "Spatial Aesthetics," and "Social Support and Interaction" significantly impact healing perception and are key priorities for experts. While "Natural Elements" were not deemed a key indicator, they still contribute to emotional well-being.
Furthermore, based on the perceptual map, this study categorized the 20 centers into four competitive clusters: "Supportive Humanistic Care Facilities," "Potential Facilities," "New High-Efficiency Facilities," and "Comprehensive Multifaceted Facilities." The "Supportive Humanistic Care Facilities" group, including centers W07, W08, X02, S01, and S02, showed superior objective performance. This study also proposed targeted strategies tailored to the specific needs of each center.

Balling, J. D., & Falk, J. H. (1982). Development of visual preference for natural environments. Environment and behavior, 14(1), 5-28.
Berlyne, D. E. (1960). Conflict, arousal, and curiosity. I McGraw-Hill Book Company.
Berlyne, D. E. (1963). Complexity and incongruity variables as determinants of exploratory choice and evaluative ratings. Canadian Journal of Psychology/Revue canadienne de psychologie, 17(3), 274.
Brody, E. (1977). Long-term care of older people: A practical guide. In: Human Science Press.
Brody, S. J., & Masciocchi, C. (1980). Data for long-term care planning by Health Systems Agencies. American Journal of Public Health, 70(11), 1194-1198.
Cambois, E., & Robine, J.-M. (1996). An international comparison of trends in disability-free life expectancy. In Long-term care: Economic issues and policy solutions (pp. 11-23). Springer.
Dellinger, B. (2010). Healing environments. In McCullough C. S. (Ed.), Evidence-based design for healthcare facilities (pp. 45–80). Edwards Brothers.
Dykstra, P. (2007). Aging and social support . In G. Ritzer (Ed.), The Blackwell encyclopedia of sociology (pp. 88-93). Oxford: Blackwell.
Evashwick, C. J.（1988）. The continuum of long term care. In S. J. Williams & P. R. Torrens (Eds.), Introduction to Health Service (pp. 212-254). New York: John Wiley & Sons.
Franco, L. S., Shanahan, D. F., & Fuller, R. A. (2017). A review of the benefits of nature experiences: More than meets the eye. International journal of environmental research and public health, 14(8), 864.
Getz, D. A., Karow, A., & Kielbaso, J. J. (1982). Inner city preferences for trees and urban forestry programs. Arboriculture & Urban Forestry (AUF), 8(10), 258-263.
Guilford, J. P. (1965). Fundamental statistics in psychology and education. New-York: McGraw-Hill.
Hair, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. (2010). Multivariate data analysis (7th ed.). Pearson Education.
Hartig, T., & Evans, G. W. (1993). Psychological foundations of nature experience. In Advances in psychology (Vol. 96, pp. 427-457). Elsevier.
Hartig, T., Korpela, K., Evans, G. W., & Gärling, T. (1997). A measure of restorative quality in environments. Scandinavian housing and planning research, 14(4), 175-194.
Huelat, B. J. (2003). Healing environments: Design for the body, mind and spirit. Medezyn.
Huisman, E. R., Morales, E., Van Hoof, J., & Kort, H. S. (2012). Healing environment: A review of the impact of physical environmental factors on users. Building and environment, 58, 70-80.
Ittelson, W. H. (1973). Environment and cognition. Seminar Press.
Izard, C. E. (1977). Differential emotions theory. Human emotions, 43-66.
Izard, C. E., & Buechler, S. (1980). Aspects of consciousness and personality in terms of differential emotions theory. In Theories of emotion (pp. 165-187). Elsevier.
James, W. (1892). Psychology: Briefer course. Macmillan and Co. https:// doi.org/10.10-37/11630-000
Kahn, R. L. (1979). Aging and social support. In M. W. Riley (Ed.), Aging from birth to death: Interdisciplinary perspectives (pp. 77-91). Westview Press.
Kane, R. A., Kane, R. L., Reinardy, J. R., & Arnold, S. (1987). Long-term care. Principles, programs, and policies. Springer Publishing Company.
Kaplan, R., & Kaplan, S. (1989). The experience of nature: A psychological perspective. Cambridge University Press.
Kaplan, S. (1983). A model of person-environment compatibility. Environment and behavior, 15(3), 311-332.
Kaplan, S. (1987). Aesthetics, affect, and cognition: Environmental preference from an evolutionary perspective. Environment and behavior, 19(1), 3-32.
Kaplan, S. (1995). The restorative benefits of nature: Toward an integrative framework. Journal of environmental psychology, 15(3), 169-182. https://doi.org/10.1016/0272-4944(95)90001-2
Laumann, K., Gärling, T., & Stormark, K. M. (2001). Rating scale measures of restorative components of environments. Journal of environmental psychology, 21(1), 31-44.
Lewis, A., Torrington, J., Barnes, S., Darton, R., Holder, J., McKee, K., Netten, A., & Orrell, A. (2010). EVOLVE: A tool for evaluating the design of older people's housing. Housing, Care and Support, 13. https://doi.org/10.5042/hcs.2010.0709
Malkin, J. (1992). Hospital interior architecture: Creating healing environments for special patient populations. Van Nostrand Reinhold Company.
Marcus, C. C., & Barnes, M. (1995). Gardens in healthcare facilities: Uses, therapeutic benefits, and design recommendations. Center for Health Design Martinez, CA.
Maslow, A. H. (1943). A theory of human motivation. Psychological Review, 50(4), 370-396. https://doi.org/10.1037/h0054346
Merriam-Webster. (n.d.). Healing. In Merriam-Webster.com dictionary. Retrieved June 9, 2025, from https://www.merriam-webster.com/dictionary/healing
Merriam-Webster. (n.d.). Therapeutic. In Merriam-Webster.com dictionary. Retrieved June 9, 2025, from https://www.merriam-webster.com/dictionary/therapeutic
Mitchell, L. (2012). Breaking new ground: The quest for dementia friendly communities. Housing LIN Viewpoint, 5.
Nisbet, E. K., Zelenski, J. M., & Murphy, S. A. (2011). Happiness is in our nature: Exploring nature relatedness as a contributor to subjective well-being. Journal of happiness studies, 12, 303-322.
Pálsdóttir, A. M. (2014). The role of nature in rehabilitation for individuals with stress-related mental disorders (No. 2014: 45).
Parker, C., Barnes, S., McKee, K., Morgan, K., Torrington, J., & Tregenza, P. (2004). Quality of life and building design in residential and nursing homes for older people. Ageing and Society, 24(6), 941-962. https://doi.org/10.1017/S0144686X04002387
Parsons, R. (1991). The potential influences of environmental perception on human health. Journal of environmental psychology, 11(1), 1-23. https://doi.org/10.1016/S0272-4944(05)80002-7
Pouya, S., & Demirel, Ö. (2015). What is a healing garden?. Akdeniz University Journal of the Faculty of Agriculture, 28(1), 5-10.
Relf, P. D. (2024). People-plant relationship. In Horticulture as therapy (pp. 21-42). CRC Press.
Romeis, J. C., & Coe, R. M. (1991). Quality and cost containment in care of the elderly: health services research perspectives. Springer Pub Co.
Shrestha, N. (2020). Detecting Multicollinearity in Regression Analysis. American Journal of Applied Mathematics and Statistics, 8, 39-42. https://doi.org/10.12691/ajams-8-2-1
Smith, R., & Watkins, N. (2010). Therapeutic environments. Therapeutic Environments Forum, AIA Academy of Architecture for Health.
Ulrich, R. S. (1981). Natural versus urban scenes: Some psychophysiological effects. Environment and behavior, 13(5), 523-556.
Ulrich, R. S. (1983). Aesthetic and affective response to natural environment. In Behavior and the natural environment (pp. 85-125). Springer.
Ulrich, R. S. (1984). View through a window may influence recovery from surgery. science, 224(4647), 420-421.
Ulrich, R. S. (1991). Effects of interior design on wellness: theory and recent scientific research. J Health Care Inter Des, 3, 97-109.
Ulrich, R. S. (2002). Health benefits of gardens in hospitals. In Paper for conference, Plants for People International Exhibition Floriade (Vol. 17, No. 5, p. 2010).
Ulrich, R. S., & Parsons, R. (1992). Influences of passive experiences with plants on individual well-being and health. The role of horticulture in human well-being and social development, 93, 105.
Ulrich, R. S., Zimring, C., Zhu, X., DuBose, J., Seo, H. B., Choi, Y. S., Quan, X., & Joseph, A. (2008). A review of the research literature on evidence-based healthcare design. Herd, 1(3), 61-125. https://doi.org/10.1177/193758670800100306
Vavili, F., & Kyrkou, A. (2010). An overview of healing environments. World hospitals and health services : the official journal of the International Hospital Federation, 46, 27-30.
Weisman, G. D., Lawton, M. P., Sloane, P. D., Calkins, M., & Norris-Baker, L. (1996). The professional environmental assessment protocol. School of Architecture, University of Wisconsin at Milwaukee.
Wohlwill, J. F. (1979). WHAT BELONGS WHERE: RESEARCH ON FITTINGNESS OF MAN-MADE STRUCTURES IN NATURAL SETTINGS. General Technical Report RM., 68, 48.
Wohlwill, J. F., & Harris, G. (1980). Response to congruity or contrast for man‐made features in natural‐recreation settings. Leisure Sciences, 3(4), 349-365.
Woodcock, D. M. (1984). A functionalist approach to landscape preference. Landscape Research, 9(2), 24-27.
Zajonc, R. B. (1980). Feeling and thinking: Preferences need no inferences. American psychologist, 35(2), 151.
Zube, E. H., Pitt, D. G., & Anderson, T. W. (1975). Perception and prediction of scenic resource values of the Northeast: Values, perceptions and resources. In Landscape assessment: Values, perceptions and resources (pp. 151-167). Dowden, Hutchinson and Ross.
王順治、張志源（2020）。我國從高齡社會邁向超高齡社會之療癒性環境研究藍圖。 國土及公共治理季刊，8(1)，92-97。
行政院衛生福利部（2016）。長期照顧十年計畫2.0報告。衛生福利部。
吳玉琴、李光廷、陳柏宗、游如玉、簡月娥（2014）。日間照顧經營與管理指南。 中華民國老人福利推動聯盟。
吳明隆（2007）。 SPSS 操作與應用: 問卷統計分析實務。五南圖書出版股份有限公司。
吳珮青、湯志民（2019）。校園建築空間美學的研究與規劃。中等教育，70(2)，11-31。https://doi.org/10.6249/SE.201906_70(2).0012
吳淑瓊、江東亮（1995）。臺灣地區長期照護的問題與對策。中華公共衛生雜誌，14(3)，246-255。https://doi.org/10.6288/CJPH1995-14-03-05
吳燦中（2011）。室內設計趨勢─療癒身心的環境。設計論壇，中華民國室內設計協會（CSID）。
吳燦中（2013）。生活‧設計與健康療癒環境。桃園市：中原大學設計學院創新整合設計研究中心。
李淑貞、張力山、蘇聖文（2013）。老人日間照顧中心規劃設計基準之研究。內政部建築研究所。
林嘉慧（2020）。用空間的專業實踐「空間照顧人」－長照建築空間規劃原則與應用案例。營建知訊(452)，23-30。
林震岩（2007）。多變量分析: SPSS的操作與應用。智勝文化事業有限公司。
張乃修（2022）。高齡者既有住宅空間改善需求研究。內政部建築研究所。
張春興（2006）。張氏心理學辭典（重訂一版）。臺灣東華。
莊秀美（2008）。“單位照顧”（unit care）模式的環境建構與實踐理念之探討。臺大社會工作學刊，(16)，87-127。https://doi.org/10.6171/ntuswr2008.16.03
陳柏宗（2014）。日間照顧中心在臺灣推展之初探，「臺灣老年學論壇」論文，第22期5月。
陳柏宗（2016）。由日間照顧中心到多元照顧中心的設置與發展。社區發展季刊(153)， 119-127。
陳柏宗、蘇玲玉、王雅婷、林義濱（2020）。療癒性環境應用於高齡者居家室內空間之研究。建築學報，(112_S)，21-36。
陳柏宗、蘇玲玉、王雅婷、邱靜如（2020）。活化閒置空間為高齡者日間照顧據點之研究－以閒置校舍為例。建築學報，(112_S)，1-20。
陳震宇、胡榮哲、王至謙、謝秉佑（2020）。銀髮友善住宅設計原則之研究。內政部建築研究所。
陳靜怡、陳惠美、黃郁琇、石佳蓉（2022）。健康療癒環境規劃。新北市: 國立空中大學。
曾思瑜（2010）。環境重新安置對日間照顧中心高齡者使用行爲影響之研究－以某機構附設「混合收托型」日間照顧中心爲例。建築學報，(74)，45-66。
曾思瑜、李梅英、陳柏宗（2017）。高齡者社區照顧環境規劃—在地老化與社區連結。華幸。
曾思瑜、游智雅（2016）。有關老人日間照顧中心空間構成與設備特徵之研究－以台中市九家日照中心為例。建築學報，(98)，15-29。
鄭文輝、鄭清霞（2008）。長期照顧保險制度之規劃。研考雙月刊，32(6)，3-11。https://doi.org/10.6978/YKSYK.200812.0003
盧美秀、陳靜敏（2018）。長期照顧：跨專業綜論（三版）。臺北：華杏。
簡慧娟（2015）。社區整體照顧—多元照顧中心（小規模多機能）服務。長庚科技學刊，(23)，15-22。https://doi.org/10.6192/CGUST.2015.12.23.2
關華山、張玫萍、蕭雅菁、賴靜儀、劉雅婷（2017）。療癒性環境應用於高齡社會之評估研究。內政部建築研究所委託研究報告。台北市：內政部建築研究所。