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研究生:沈秀娟
研究生(外文):Hsiu-Chuan Shen
論文名稱:精神醫療機構護理人員工作壓力之探討
論文名稱(外文):Job Stress in Nursing Staff in Psychiatric Institutions
指導教授:郭育良郭育良引用關係蔡朋枝蔡朋枝引用關係
指導教授(外文):Yueliang Leon GuoPerng-Jy Tsai
學位類別:碩士
校院名稱:國立成功大學
系所名稱:環境醫學研究所
學門:醫藥衛生學門
學類:公共衛生學類
論文種類:學術論文
論文出版年:2002
畢業學年度:90
語文別:中文
論文頁數:72
中文關鍵詞:肌肉骨骼症狀護理人員工作壓力工作滿意度
外文關鍵詞:nursing personnelmusculoskeletal symptomsjob satisfactionjob stress
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精神療養機構是個充滿挑戰性的職場,病人常處於不易掌控的狀態,而護理人員常被要求保持良好的工作態度與熱忱,面對種種的工作壓力所引發的壓力症狀,可能影響醫療品質與身心的健康,若能探討壓力的來源,建立良好的的紓解管道,應可以降低精神療養護理人員的工作壓力。本研究目的主要為探討精神醫療機構護理人員的工作壓力的來源與自覺心理壓力、工作滿意度、自覺健康狀況及肌肉骨骼不適的相關性。
邀請行政院衛生署五家精神醫療機構2001年十月至十二月現任護理人員參於研究,以問卷作為資料蒐集的工具,進行橫斷法(Cross – sectional study)的研究。問卷內容包括個人基本資料、對工作之感受、工作環境與安全及健康狀況等四部份,其中對工作之感受是參考中文版之工作內容問卷(Job Content Questionnaire, JCQ)來評估,參考IQOLA SF-36(International Quality of Life Assessment Short From -36)台灣的版本來測量身心健康狀態。問卷回收後使用SAS及JMP統計軟體進行分析。
本研究共發出573份問卷,回收544份(94.9%)。結果顯示17.2%的護理人員在過去一個月內,時常或幾乎總是覺得工作帶給很大的壓力,有7.1%認為過去一年中其肌肉骨骼的不適與工作相關,並且有44.7%的護理人員在過去六個月中,遭遇攻擊或騷擾事件。
研究分析結果發現:年齡<30歲、鰥寡及離婚或分居、心理負荷量高及>60%感受暴力或攻擊威脅的時間的護理人員較會引起自我感受壓力;已婚、工作控制度高、心理負荷量低、工作場所社會支持度高及0% - 20%感受暴力或攻擊威脅的時間的護理人員對工作滿意度度較佳;沒有遭遇針扎事件及自我感受壓力低的護理人員自覺一般健康情形較佳;工作控制度高、沒有遭遇針扎事件及自我感受壓力低自覺心理健康情形較佳;至於引起肌肉骨骼不適之因子則為白天班以外的班別及自我感受壓力高。
Psychiatric service is especially a challenging task to nurses. The nurses are asked to have good attitude, patience, and passion, because a significant proportion of patients are unpredictable and unstable. It is important to determine the source of psychological stress in nursing staff in psychiatric institutions. The purpose of this study is to invest the associations among risk factors of work, self-reported stress, job satisfaction, self-reported health status and the symptoms of musculoskeletal discomfort.
A cross-sectional study using structured Questionnaires was conducted with nurses from five psychiatric hospitals of department of health, Executive Yuan, from Oct to Dec. 2001. There were four parts within the questionnaire: (1) basic personal data, (2) feeling about the work, (3) working environment and safety, (4) personal health status. The stress questionnaire was based on JCQ (Job Content Questionnaire).The general health status will be evaluated based on IQOLA SF-36(International Quality of Life Assessment Short From -36), Taiwan version. Data were analyzed by computerized SAS and JMP systems.
A total of 573 questionnaires were disseminated to nurses and 544 (94.94%) completed the questionnaire satisfactorily. Work-related stress in past one month was reported in 17.21%. 7.14% claimed to have musculoskeletal discomfort in the past year. Assault episode was reported in 44.70% of nurses in last 6 months.
The results shows: (1) Hight self-reported stress is associated with age<30, widowed/divorced/seperated marital ststus, high mental demand, and >60% time feeling to be attacked. (2) Hight work satisfaction is associated with married group, high work control, low mental demand, high soccial support, and the 0-20% time feeling to be attacked. (3) Better self-report health status is associated with no needle injury and low self-reported stress. (4) Better self-report mental health is associated with high work control, no needle injury experience, and low self-report stress. (5) Hight musculoskeletal discomfort is associated with night/evening shift and high self-report stress.
中文摘要............................................................................................... I
英文摘要.............................................................................................. III
誌謝....................................................................................................... V
目錄...................................................................................................... VI
圖目錄............................................................................................... VIII
表目錄.................................................................................................. IX
第一章 緒論..................................................................................... 1
第一節 研究背景....................................................................... 1
第二節 研究目的....................................................................... 4
第三節 研究架構....................................................................... 4
第四節 研究進行步驟............................................................... 4
第二章 文獻探討............................................................................. 6
第一節 研究變項的定義........................................................... 6
第二節 相關的研究................................................................... 7
第三章 研究方法............................................................................ 15
第一節 研究對象....................................................................... 15
第二節 研究工具....................................................................... 16
第三節 信度與效度................................................................... 18
第四節 資料分析方法............................................................... 21
第四章 研究結果............................................................................ 23
第一節 研究對象基本資料..................................................... 23
第二節 描述型統計................................................................. 24
第三節 分析型統計.................................................................. 27
第五章 討論..................................................................................... 30
第一節 研究對象之特性.......................................................... 30
第二節 研究結果討論............................................................. 30
第三節 研究限制..................................................................... 33
第六章 結論與建議 ........................................................................ 34
第一節 結論.............................................................................. 34
第二節 建議.............................................................................. 36
參考文獻 ............................................................................................. 39
附錄一 精神醫療機構護理人員之工作狀況與健康評估問卷......... 67
附錄二 「精神醫療機構護理人員之工作狀況與健康評估問卷工作特質
量表」之內容及各分量表分數之計算公式................................. 72
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3. 3. 吳金柱, 第一七0一期,論所得稅法第六十六條之九未分配盈餘之計算(上), 中國稅務旬刊,PP.8-14
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13. 19. 何添義,第一七三一期,談兩稅合一與未分配盈餘,中國稅務旬刊,PP.11-17
14. 21. 凌忠嫄,一九九七年二十九卷, 兩稅合一制度之國際比較,財稅研究,PP.8-23
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