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請使用永久網址來引用或連結此文件: https://dyhuir.dyhu.edu.tw/ir/handle/987654321/1199

題名: 傳統整復推拿應用默會感知之探索研究
其他題名: A Study Related to Exploring the Role Effects of Tacit Knowledge on Traditional Chinese Massage (TCM)
作者: 蔡安陸
貢獻者: 吳麗玉
關鍵詞: 默會感知;傳統整復推拿;主動運動與被動運動;tacit knowledge;traditional Chinese massage;active movement and passive movement
日期: 2018
上傳時間: 2018-04-25T03:04:19Z
出版者: 經國管理暨健康學院;健康產業管理研究所
摘要: 手技者傳統整復推拿的默會感知經驗,以質性研究探討並闡明構成元素和本質,轉化成為可敘說之技術和知識,透過科學的系統化紀錄,使傳統技術得以保存並能夠吸引新世代傳承,並且報導完整受試者傳統整復推拿的文化經驗。
研究計畫通過IRB審核後,立意抽樣10位受試者,共計30次個案實作中,採用參與觀察、半結構訪談、錄音、影、觀察筆記和填寫數字疼痛評估量表(NRS)搜集資料;資料分析以改寫、詮釋編輯、編碼和歸納,並來回現場反思檢視整理資料與經驗,得到技藝和文化經驗系統化的文字記錄;接著一年時間以其他個案實作反思檢視系統化文字記錄與經驗,符合「飽和」、「真實」與「本質」要求。
研究結果發現:受試者傳統整復推拿的文化經驗內涵,包括:(1)影響身體筋骨健康的因素,計15項,歸納成四個次主題:與生俱來、生活型態、外在環境刺激與筋骨結構型態異常;(2)身體筋骨退化感知經驗,有三個次主題:心路歷程、互動歷程與滿意感知。手技者傳統整復推拿的默會感知經驗內涵,包括:(1)受試者身體筋骨退化現象,有五個次主題,即:筋的物理性質認知、筋骨的物理性變化、機械式物理性可回逆、生理功能調節認知與疼痛的認識;(2)代代相傳手技經驗,有三個次主題:焦點目的、經驗傳承和技術創新;(3)主動運動的體驗,有三個次主題:強筋骨必求於本、和平相處與量身打造。
並提出量身打造受試者的「規律、適當、有效率、複合式的主動與被動運動計畫」之處方準則以及建立默會感知知識系統的研究與學習方法架構,可供相關領域有興趣學習者使用。10位受試者傳統整復推拿的文化經驗驗證手技者的默會感知經驗有流傳的意義價值。建議未來研究方向,以個案系統化結果,繼續建構安全且科學化的系統理論;重新釐清民間及政令中之傳統整復推拿角色定位差異;擴展本案例至不同領域中來應用。
Traditional Chinese massage is one of the most special culture in Taiwan. The technique and culture of traditional Chinese massage had pass down since ancient china, it is now a way how modern Taiwanese get rid of stress and uncomfortableness. Traditional Chinese massage is a process which the technician helps the participant to relax by using several techniques including physical gestures or passive exercises. The entire process requires precise skills and knowledge of the technician, this relies on his or her long-term experience and learning. Although the culture had been inherited for centuries, the lack of systematic record leads to the loss of culture and knowledge. Here I am demonstrating a new way to record the process of this culture by using a systematic method. This qualitative research is based on the Tacit Knowledge theory published by Michael Polanyi at 1958. The systematic recording system will be able to help to save the traditional Chinese message culture, and help building up a scientific analysis of current Taiwan traditional Chinese massage.
Ten participants chosen by using purposing sampling method were recruited in this research for setting up the recording system, further analysis and organization was done by the technician. The participants each joins a 30-minute traditional Chinese massage for each week, the record last for 3 weeks. Participant observation, semi-structured interview, video recording and numeric rating scale of pain assessment scale was used to save the environmental information. After the recording, the author reviewed the results and analyzed all participant description into 15 categories which can be organized into 4 main themes. The main themes include genetic issues, life habits, environmental stimulation and body structure abnormalities. All categories were set based on the experiences and knowledge of the technician. This research demonstrates a systematic method to record traditional Chinese massage in Taiwan, which indicates a system or model to help pass down the technique and experience.
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