目的
本研究主要目的為醫療工作者體驗芳香療法與壓力以及健康狀況之探討，並運用聯合分析法探討醫療工作者對精油屬性之偏好；近年來芳香療法是熱門且有效的紓壓方式之一，芳香療法主要是藉由天然植物精油，透過不同方式施於人體，使個體身、心、靈達到平衡與和諧；並分析醫療工作者對於紓壓而體驗芳香療法之產品－植物精油的偏好，現今行銷模式中－聯合分析法，常被運用在產品屬性水準的組合，在精油產品不同屬性組合下，醫療工作者所選擇之偏好，可提供未來醫院在創造友善的職場環境可考量之因素。

方法
本研究是類實驗設計法（quasi-experimental design）於臺北市某區域醫院召募60位自願受試者，以單方精油波旁天竺葵嗅吸介入，評估工具包含：臺灣版EQ-5D-5L、壓力指數測量表、自我評估症狀改善之情形量表、芳香療法之偏好、聯合分析法－精油屬性水準之偏好。

結果
本研究結果顯示受試醫療工作者芳香療法介入使其健康指數以及壓力指數皆有改善；全體受試醫療工作者對精油產品偏好以柑橘類為優先選項、價格以1000-1999元接受度最高、以紓緩放鬆為主要作用、以鼻嗅吸以及產品是否為有機認證不是受試者購買精油產品之考量；其全體受試醫療工作者最佳產品組合之願付價格為3,434.02元；另在基本資料統計變項之年齡、學歷、工作身分別、婚姻狀況、居住地中最重視精油屬性為「種類｣，最不重視精油屬性為「吸收途徑｣；因此未來醫院提供醫療工作者紓壓場方式：芳香療法－精油嗅吸，應將「精油種類｣列入參考之依據。

結論
本研究結果可提供醫院管理者進行進行員工紓壓方式及健康促進活動安排之重要依據，藉以增進員工生理、心理健康，提升工作效能與滿意度，進而提高醫療服務品質。

Purpose
The main purpose of this study is to discuss the aromatherapy, stress and health status of medical workers, and to use joint analysis to explore the preference of medical workers for essential oil properties. In recent years, aromatherapy has become one of the more popular and effective methods of rolling or aromatic remedies. Therapy is mainly applied to the human body through natural plant essential oils in different ways, so that the body, mind and heart can be balanced and harmonious. Analysis of medical worker preference for aromatherapy product experience, specifically on plant essential oils, is now marketed. The model-joint analysis method is often applied to the combination of product attribute levels. Under the different attribute combinations of essential oil products, the preferences chosen by medical workers can provide factors that future hospitals can consider in creating a friendly workplace environment.
Method
In this study, 60 volunteers were recruited from a hospital in Taipei City by a quasi-experimental design. The unilateral essential oil bovine geranium was used for olfactory intervention. The evaluation tool included: Taiwan version EQ-5D- 5L, stress index measurement table, self-assessment symptom improvement scale, aromatherapy preference, joint analysis method - preference of essential oil attribute level.
Result
The results of this study showed that the aromatherapy intervention on medical practitioners improved their health index and stress index. All tested medical workers preferred citrus as their preferred option for essential oil products, and the highest allowable price was 1000-1999 Yuan. With relaxation as the main role, nasal sniffing and whether the product is organically certified is not the main subject of the purchase of essential oil products. The price of the best product portfolio among all tested medical workers is 3,434.02 Yuan. The age, education, work body, marital status, and the most important attribute each participant regarded for the essentials are listed under “category”, with the most prominent one being the “absorption route”. Therefore, the hospital will provide medical workers with pressure field methods in the future. Aromatherapy - essential oils, the "essential oil types" should be included in the reference.
In conclusion, our study can provide an important basis for hospital administrators to carry out employee pressure-relief and health promotion activities so as to improve the physical and mental health of employees, improve work efficiency and satisfaction, and improve the quality of medical services.

目 錄
誌謝………………………………………………………………… i
中文摘要…………………………………………………………… ii
英文摘要…………………………………………………………… iv
目錄………………………………………………………………… vi
圖目錄……………………………………………………………… viii
表目錄……………………………………………………………… ix

第一章 緒論 1
第一節 醫療工作者壓力現況 1
第二節 研究目的 4
第三節 研究重要性 5
第四節 名詞解釋 6
第二章 文獻回顧 8
第一節 醫療工作者的壓力 8
第二節 芳香療法 13
第三節 芳香療法實證 17
第四節 聯合分析法 28
第三章 研究方法 34
第一節 研究流程與架構 35
第二節 研究對象 38
第三節 研究工具 39
第四節 研究步驟 52
第五節 統計與分析方法 54
第四章 研究結果與討論 55
第一節 描述性統計結果 56
第二節 推論性統計結果 63
第三節 聯合分析結果 69
第四節 研究討論 92
第五章 結論與建議 96
第一節 結論 96
第二節 建議 98
參考文獻 100
英文文獻 100
中文文獻 106
附錄 109
附錄一 初稿問卷內容 109
附錄二 正式問卷內容 122
附錄三 人體研究倫理審查計劃執行許可書 135

圖目錄

圖 2-1 醫護人員職業壓力來源 9
圖 2-2 嗅覺的原理 14
圖 2-3 下視丘和腦下垂體 14
圖 3-1 研究流程圖 36
圖 3-2 研究架構圖 37
圖 3-3 聯合分析步驟流程圖 48
圖 3-4 實驗環境 53


表目錄

表 2-1芳香療法運用之文獻-焦慮 18
表 2-2芳香療法運用之文獻-睡眠品質及疲勞 21
表 2-3芳香療法運用之文獻-其他 24
表 2-4聯合分析法之分析步驟 29
表 3-1健康狀態值的加權值 41
表 3-2計算健康狀態效用值加權範例 42
表 3-3壓力指數量表 43
表 3-4精油屬性排序 45
表 3-5精油的屬性與水準 47
表 3-6精油產品11組受測體排序方案 49
表 3-7精油產品10組受測體NO.1和NO.2擇一方案 50
表 3-8 研究問卷內容關聯效度審定名單 51
表 3-9實驗介入流程 52
表 4-1醫療工作者基本資料分析表 57
表 4-2醫療工作者健康情形資料分析表 59
表 4-3芳香療法後，自我評估症狀改善分析表 61
表 4-4芳香療法偏好之情形 62
表 4-5 EQ-5D分析 63
表 4-6醫療工作者壓力指數分析表 67
表 4-7 精油產品整體屬性水準效用值及重要性值權重 70
表 4-8 精油產品整體最佳組合 71
表 4-9 精油產品屬性水準組合之偏好 72
表 4-10 不同年齡層醫療工作者之聯合分析結果 74
表 4-11 不同年齡層精油最佳組合 75
表 4-12 不同學歷醫療工作者之聯合分析結果 77
表 4-13 不同學歷精油最佳組合 78
表 4-14 不同工作身份別醫療工作者之聯合分析結果 81
表 4-15 不同工作身份別精油最佳組合 84
表 4-16 不同婚姻狀況受試者之聯合分析結果 86
表 4-17 不同婚姻狀況精油最佳組合 87
表 4-18 不同居住地受試者之聯合分析結果 89
表 4-19 不同居住地精油最佳組合 90

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