解剖學是醫學教育的重要基石，旨在教導正常人體構造以作為學習臨床專業知識的基礎，其中神經解剖學因構造複雜抽象，是多數學生認為困難的一門課程。傳統上，學習解剖學主要借助課本、圖譜、大體和模型。現今電腦科技發達，解剖學數位學習教材如電子書和教學軟體等逐漸普及，但多數數位教材缺乏學習理論支持，且操作介面複雜，內容又極少使用中文，不適我國學生使用。因此，本研究建立了一個以圖像學習為主的神經解剖學數位學習教材，包含「學習」、「複習」和「測驗」三個可互動回饋的模組，介面架構融入學習理論與多元學習風格，容易操作且有中文輔助，並能儲存使用者的學習紀錄。本研究以修神經解剖學的醫學系和物理治療系學生作為實驗對象，施用本數位學習教材。使用前後分別以知識能力前測和後測評估學習成效，並以問卷調查分析學生們對本教材的滿意度，再與實驗考試成績和教材使用行為等交叉分析。研究結果顯示，在學習成效部分，雖說兩系的後測分數都比前測高，但實驗考試成績和對照組相比都沒有顯著統計差異。但在滿意度反應上，兩系學生均對這套數位教材普遍感到滿意，也認為教材中的發音功能與中文註記功能在輔助學習上有幫助，也都表示會推薦這套教材。我的研究結果對未來開發更實用的醫學圖像數位學習教材提供了有價值的參考基礎。

Human Anatomy is a cornerstone of medical education and is essential for studying more advanced medical disciplines. Neuroanatomy is particularly deemed by many students a difficult subject, which requires considerable graphic recognition and self-study. Traditionally, learning Anatomy generally relies on textbooks, atlases, cadavers, and models. Nowadays, however, modern technology substantially facilitates the learning by various computer-aided devices and multimedia. Up to date, many websites are available on the Internet for learning anatomy. Nevertheless, most of those websites are not comprehensive and not created using native language. Therefore, I aimed to establish an e-learning website for Neuroanatomy which consists of a user-friendly interface with Chinese translation for each anatomical term. Using HTML5 and PHP for script coding, this website included "study," "review," and "test" modules, which interconnected with one another. Users could trace their own study records in the database. Participants included students who enrolled in Neuroanatomy from the departments of medicine and physical therapy. The learning effect of this website was assessed by data collected from students' performance on the pre-test, post-test, and course exam. The usability of the website and users' satisfaction were evaluated by questionnaires. The results showed that the website made no significant difference in promoting learning effects. Nevertheless, analyses of questionnaires revealed that the usability and users' satisfaction were generally positive. Most participants would recommend this website to others as well. My research demonstrates that on-line learning is a promising tool for Neuroanatomy or other graphic-based medical courses in the future.

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