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研究生:陳雪娥
研究生(外文):Hsuehe Chen
論文名稱:「嚴重急性呼吸道症候群」疫情突發對醫療工作人員的影響---以工作價值觀、組織承諾及創傷後壓力症候群等構面探討
論文名稱(外文):The Influence of SARS Epidemic of Health-Care Workers---The effective dimensions are Work values, Organizational commitment and Posttraumatic stress disorder.
指導教授:葉淑娟葉淑娟引用關係
指導教授(外文):Shu-Chuan Jennifer Yeh, PhD, RN
學位類別:碩士
校院名稱:國立中山大學
系所名稱:人力資源管理研究所
學門:商業及管理學門
學類:其他商業及管理學類
論文種類:學術論文
論文出版年:2004
畢業學年度:92
語文別:中文
論文頁數:78
中文關鍵詞:嚴重急性呼吸道症候群工作價值觀創傷後壓力症候群組織承諾
外文關鍵詞:PTSDOrganizational CommitmentSARSwork values
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我國於2003年發生SARS流行疫情截至同年七月五日止,歷時近四個月,我國共計發生346例確定病例,37例死亡證明書直接死因為SARS。統計疫情期間醫療人員感染SARS之確定病例共計68例,佔19.7%。期間因病因不明,有六家醫療院所相繼發生院內感染、封院等事件。此間,台灣一度成為國際上SARS蔓延最為迅速的地區。不論一般民眾、病患及其家屬、醫護人員等莫不感受SARS所帶的空前威脅。
在疫情期間,醫療工作人員面臨陌生性、不確定性、凶險多變、強傳染性、高死亡率工作危境,對第一線的醫療工作人員的影響為何?本研究將以工作價值觀、組織承諾、創傷後壓力症候群等構面進行研究;以全國地區教學等級以上醫院,各部門、各等級醫療工作人員為研究樣本,於民國92年10月20日至93年1月20日進行分層抽樣。並依醫學中心、區域醫院及地區教學醫院等三層,發放問卷,有效樣本282份,有效回收率31.33%,醫師42人、護理人員130人、醫技及行政人員110人。本研究以單因子變異數分析、獨立樣本T檢定對工作人員特性、醫院組織特性的差異,進行瞭解。進一步以相關分析與迴歸分析研究其間的關聯程度。
研究發現,在面對SARS疫情時,醫療從業人員:
一、工作價值觀的變化,依職務別護理人員得分最高、次為其他職務、醫師最低;職位別「社會地位」、「活動偏好」及「工作投入」,以高、中階主管較高於專業人員與基層工作者;「薪資態度」構面上基層工作者得分最高,高階主管最低;評鑑等級上,「活動偏好」及「工作態度」區域醫院得分最高、醫學中心最低。
二、組織承諾的變化,在職位上,高階主管組織承諾最高,基層工作者最低;評鑑等級上區域醫院組織承諾最高,醫學中心最低;婚姻狀況則是未婚者優於已婚者。
三、創傷後壓力症候群,評鑑等級上,醫學中心最高;在權屬別部份,以私人醫院得分最高,宗教醫院最低。
四、員工認為醫院善盡保護之責,其組織承諾較高,對其創傷後壓力症候群較低。
In the year of 2003, the SARS epidemic was spreading in our country, lasting for almost 4 months. Until July 5,2003, there were 346 confirmed victims. Among them,37 died directly of SARS, which is shown in their death certificates.

Numbers of medical workers infected were 68,19.7%. During the SARS epidemic.6 hospitals were reported transmissions inside their wards and were closed. In the duration, Taiwan was once the most significant spread region of the disease in the world. General public, patients and their family members, and health-care workers were all unprecedented threatened.

During the epidemic, health-care workers faced unfamiliar, insecure, critical menace strong contagious and of high mortality circumstances. What did this affect first line health-care workers? This research was done in three dimensions , work value, Organizational Commitment and Post Traumatic Stress Disorder, sampling every grade of health-care workers in teaching hospitals and above national wide between Dec. 20, 2003 and Jan. 20, 2004. The design of questionnaire was based on level of hospitals, divided into medical centers, regional hospitals and local teaching hospitals. 282 of the questionnaires were returned and valid, including 42 doctors, 130 nurses, and 110 hospital staffs, representing a response rate of 31.33%.

One way ANOVA and Independent T test were conducted in the research to analyze characteristics of workers and differences between hospital organizations. Correlation analysis and regression analysis were used to find their relationships.

The research has shown that while facing SARS epidemic, health-care workers :
1.with the change of work values, nurses scored highest ,then others, and doctors lowest; with positional type social status, activity preference and job involvement, high and middle level administrator got better grade than professional and basic level worker; with attitude toward earning, basic level worker acquired highest scores and high level administrator lowest; with activity preference及pride in work, regional hospital obtained the highest score while the medical center got the lowest.
2.with the transition of Organizational Commitment, in terms of position, high level administrator is highest, while basic level worker is lowest; in respect of referee, regional hospital graded highest while medical center lowest; in view of marital status, people who are unmarried are better than those who are married.
3.with the,PTSD, considering referee of hospital, medical centers are highest; in terms of ownership,private hospital is highest and religional hospital is lowest.
4.workers who considered that the hospitals took proper protections have better Organizational Commitment and their PTSD are lower.
第壹章 緒論…………………………………………………… 1
第一節 研究背景及研究動機………………………………… 1
第二節 研究目的……………………………………………… 2
第貳章 文獻探討……………………………………………… 3
第一節 「嚴重急性呼吸道症候群」疫情…………………… 3
第二節 工作價值觀…………………………………………… 7
第三節 組織承諾……………………………………………… 14
第四節 創傷後壓力反應……………………………………… 19
第五節 SARS疫情與醫療工作者之工作價值觀、組織承諾、創傷壓力症候群間的影響…………………………………………………23
第參章 研究方法………………………………………………25
第一節 研究架構………………………………………………25
第二節 研究假設………………………………………………26
第三節 研究方法………………………………………………29
第四節 研究變項及操作性定義………………………………32
第五節 分析方法………………………………………………34
第肆章 研究結果………………………………………………36
第一節 回收樣本基本資料之分佈情形………………………36
第二節 因素分析與信度分析…………………………………39
第三節 差異性分析……………………………………………44
第四節 相關分析………………………………………………47
第五節 迴歸分析………………………………………………48
第伍章 討論……………………………………………………60
第一節 研究結果之討論………………………………………60
第二節 結論及建議……………………………………………64
第三節 研究限制及未來研究之建議…………………………64
參考文獻
中文部分 ………………………………………………………66
英文部分 ………………………………………………………68
附 錄 一 研究問卷……………………………………………73
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