醫護人員疲勞狀況相關因素暨影響之研究

摘要研究目的醫護人員因為工作時數過長、工作壓力增加導致身體狀況不佳，產生疲勞現象，因此本研究想探討醫師及護理人員的疲勞情形與醫療品質的關聯性，並瞭解其相關影響因素。研究方法採用鄭雅文等人(2008)研發的「中文版職場疲勞量表」和人口學變項對個案醫院之醫護人員為研究對象進行問卷調查，統計方法採用描述性統計分析、獨立樣本T檢定、單因子變異數分析、線性迴歸方法進行資料統計分析。有效回收問卷691份，樣本回收率92%。研究結果醫師個人疲勞分數為54.78分、工作疲勞48.44分、服務對象疲勞37.14分、工作過度投入54.42分、總疲勞48.41分。護理人員個人疲勞分數為58.87分、工作疲勞54.97分、服務對象疲勞44.19分、工作過度投入49.87分、總疲勞51.67分。性別、較年輕、職稱、服務的科別、每週工作時數越長、連續最久工時發生頻率多、每日睡眠時間短，與醫護人員疲勞有相關。觀察到醫師疲勞可能與病患死亡率有關，護理人員疲勞可能與病患感染率有關。研究建議可以針對高疲勞程度的族群，深入瞭解其疲勞的原因給予協助，藉此提早防範院內人員疲勞的情形，確保完善的醫療品質，提升員工的生活品質。

關鍵字

醫師；護理人員；疲勞；職場疲勞量表

並列摘要

Abstract Purpose Long work hours and increasing work-related stress of healthcare professionals can result in poor health condition and lead to burnout. Therefore, this study aims to explore the correlation between the quality of healthcare and the scale of burnout in physicians and nurses, and understand the relevant impact factors. Methods A survey adopting the “Occupational Burnout Scale in Chinese” developed by Yawen Chang et al. (2008) and demographic variables was distributed to healthcare professionals in study hospitals. Statistical analyses including descriptive statistical analysis, independent t-test, one-way analysis of variance, and linear regression was performed on the data. A total of 691 valid surveys were collected, and the survey response rate was 92%. Results Physicians recorded a personal burnout score of 54.78, work-related burnout score of 48.44, client-related burnout score of 37.14, over-commitment score of 54.42, and total burnout score of 48.41. Nurses recorded a personal burnout score of 58.87, work-related burnout score of 54.97, client-related burnout score of 44.19, over-commitment score of 49.87, and total burnout score of 51.67. Factors such as gender, younger age, job title, service division, longer weekly work hours, frequent occurrences of maximum work hours, and short daily sleep duration influenced the burnout degree of healthcare professionals. It was observed that physician burnout may be related to patient mortality and nurse burnout may be related to the prevalence of patient infection. III Recommendations It is recommended to determine the cause of burnout in those experiencing high degree of burnout and provide assistance in order to prevent burnout among the hospital staff, which in turn ensures the quality of healthcare as well as the staff’s quality of life. Keywords：physician, nurse, burnout, occupational burnout inventory