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研究生:林美吟
研究生(外文):Mei-yin Lin
論文名稱:護理人員輪班工作對女性性功能之影響-以中部兩家地區教學醫院為例
論文名稱(外文):Effects of Rotating-Shift Work on Female Sexual Functionin Nurse- Two Hospitals Study
指導教授:陳叡瑜陳叡瑜引用關係
學位類別:碩士
校院名稱:臺北醫學大學
系所名稱:公共衛生學研究所
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:2008
畢業學年度:96
語文別:中文
論文頁數:76
中文關鍵詞:護理人員班工作睡眠品質自覺健康狀性性功能
外文關鍵詞:words:Nurseshift worksleep qualityfemale sexual function
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研究目的:觀察中部地區兩家區域教學醫院彰化秀傳及彰濱秀傳女性護理人員,其夜班及輪班工作與睡眠品質、身心健康、性生活頻率及女性性功能的關係,藉此探討夜班及輪班工作對睡眠品質、 自覺健康狀態、女性性功能的影響;並以此探討女性性功能障礙的可能危險因子。
研究方法: 以彰化秀傳及彰濱秀傳從事護理工作的女性護理人員為研究對象,進行不計名問卷調查;問卷內容包含個人基本資料、輪班工作狀況、睡眠品質、自覺健康狀態、性生活調查及女性性功能量表等。問卷資料以 Excel 建檔,利用SPSS統計軟體分析影響研究對象性功能之危險因子。
研究結果:排除糖尿病、曾接受骨盆腔手術、服用精神科藥物、正在懷孕及剛生產完一個月內的護理人員,並篩檢出一個月內有性活動者,共獲得183份有效問卷。其有睡眠障礙者的比例為83.6%,而女性性功能障礙的盛行率為30.05%,其中性欲望障礙為51.9%,性興奮障礙為23.5%,陰道濕潤障礙為42.6%,高潮障礙為16.4%,性滿意障礙為10.9%,性交疼痛障礙為14.75%;有68.85%的護理人員至少有一項以上的性功能障礙,平均每人有1.6項性功能障礙。影響女性性功能的主要危險因子有年齡、性伴侶性功能障礙及BMI。以複迴歸分析調控干擾因子後,性伴侶有性功能障礙,性功能總分便減少4.997分;年齡每增加1歲,性功能總分便減少0.384分;BMI每增加1,性功能總分便減少0.405分。夜班及輪班工作者的睡眠品質、睡眠時數、自覺健康狀態均較另兩組差,並達統計學上意義。開刀房、門診、內科、外科有較低的性功能頻率,而護理師、檢查室、放射科技術人員有較高的性活動頻率。近兩個月的班別不含大夜及近兩個月的班別為花花班者有較差的性功能,並達統計顯著意義。
結論:伴侶性功能障礙、年齡、BMI是護理人員性功能障礙的危險因子。夜班及輪班工作者的確會影響女性的睡眠品質及自覺健康狀態,而較差的睡眠品質及自覺健康狀態亦有較差的女性性功能。近兩個月的班別不含大夜及近兩個月的班別為花花班者有較差的性功能。
Objective: The main purpose of this study is to examine the impact of night-shift task on the female sexual function, such as sexual desire、arousal、lubrication、
orgasm、satisfaction and sexual pain among the female nurses.
Method :The study subjects were female nurses who were 20-49 years old and worked in Changhua and Chang Bing Show-Chwan Memorial Hospital. All the study nurses were asked by questionnaire about their time-shift working status, quality of sleep, health status and sexual function. Data were analyzed by Statistical Package for Social Science (SPSS).
Results: Compared to day-shift nurses, night-shift nurses had a higher risk to have poor sleep quality and self-report health status (p<0.05). The averaged female sexual
function index among the study nurses was 56.42±9.12。There was 68.85% of the study nurses had at least one kind of female sexual dysfunction. The increased age, body mass index, poor sleep quality, and sexual dysfunction of partner were the risk factors of female sexual dysfunction (P<0.05). The odd ratio of sexual dysfunction of partner was 4.997(95% CI=-1.341~-8.654;P=0.008).
Conclusion : Night-shift task can cause female nurses to have poor sleep quality, and self reported health status. The female sexual function was also influence by different work and different shift way. The female sexual function was also influence by age, body mass index, partner sexual function, sleep quality and health status.
中文摘要.................................................I
Abstract. ..............................................II
目錄
第一章 緒論..............................................1
第一節 研究背景及動機. ....................................1
第二節 研究目的...........................................3
第二章 文獻探討.........................................4
第一節 輪班工作(shift work)的定義.......................4
第二節 夜班及輪班工作者的健康問題.........................5
一、睡眠問題..............................................5
二、輪班對健康的影響......................................6
第三節 護理人員輪班工作對身體、心理及家庭功能的影響........8
第四節 夜班及輪班工作對女性生殖健康的影響..................9
一、輪班與月經及荷爾蒙的相關研究..........................9
二、輪班與懷孕的相關研究...................................9
三、育齡婦女總生育率不斷下降.............................10
第五節 女性性功能障礙....................................11
一、 女性性功能障礙的流行病學............................11
二、 女性性功能障礙分類及定義...........................12
三、 女性性功能障礙的原因................................13
四、 女性性功能障礙的危險因子.............................14
五、 女性性功能障礙評估方法..............................15
六、 台灣女性性功能障礙研究現況..........................15
第六節 輪班工作與女性性功能的關係.........................16
第三章 研究材料與方法..17
第一節 研究假說............................17
第二節 研究架構...........................18
第三節 研究設計與樣本. ....................19
第四節 問卷設計........................20
一、睡眠品質指標量表Pittsburgh sleep quality index (PQSI).20
二、自覺健康狀況 (SF36台灣標準版) .......................20
三、女性性功能指數(Female Sexual Function Index) ........22
第五節 資料處理與分析方法.................................23
第四章 研究結果.....................................24
第一節 描述性資.....................................24
一、 研究對象描.............................24
二、 個人健康習慣.........................................25
三、 職位與工作型態..................................27
四、 睡眠狀態分析......................29
五、 自覺身心健康的描述性分析............................31
六、 性功能的描述性統計...................................31
第二節 女性性功能的影響因子分析...........................35
一、性伴侶性功能障礙對女性性功能的影響....................35
二、年齡、BMI之影響.......................................36
三、輪班工作與睡眠品質、自覺健康狀態、性頻率及性功能相關性38
四、睡眠品質及自覺健康狀況與女性性功能的關係..............44
五、女性性功能障礙危險因子複迴歸分析.....................48
第五章 討論..............................................64
第一節 研究結果討論......................................64
第二節 研究限制.................................69
第六章 結論..............................................70
第七章 參考文獻...........................................71
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