中年婦女職業倦怠與身心健康狀況之研究

A Study of Occupational Burnout on Physical and Psychological Health Conditions of Middle-Aged Women

鄭佩蘭(Pei-Lan Cheng) ； 宋紫晴(Tzu-Ching Sung)

《台灣醫學》 24卷3期 (2020/05) Pp. 247-260

https://doi.org/10.6320/FJM.202005_24(3).0002

摘要

本研究目的乃探討中年婦女不同背景下工作活力、職業倦怠、生命凝聚感、憂鬱狀況之探討，並提出具體且有益身心健康之社會支持。採橫斷式研究及立意抽樣方法，調查對象為299位臺灣地區40至65歲的中年婦女，研究期間為2018年9月至11月份。研究結果顯示，中年婦女生命凝聚感在55歲（含）以上為最低，教育程度較高者自覺健康狀況好、生命凝聚感也較佳，自覺健康狀況不佳者職業倦怠與憂鬱狀況較高；職業倦怠與憂鬱狀況呈正相關，但與工作活力及生命凝聚感呈負相關，生命凝聚感與工作活力呈正相關，但與憂鬱狀況呈負相關，工作活力則與憂鬱狀況呈現負相關，以及提供社會支持及降低職業倦怠策略。未來研究建議可採縱貫型研究，與職場、醫療院所合作更進一步監測中年婦女職業倦怠。

關鍵字

中年婦女 ； 職業倦怠 ； 生命凝聚感 ； 社會支持

並列摘要

This study aimed to investigate the relationship between work vigor, burnout, sense of coherence, depression and provide the applicable options of social support for middle-aged women. We conducted a cross-sectional study with purposive sampling and enrolled 299 middle-aged women aged 40 to 65 in Taiwan from September to November, 2018. The results showed that middle-aged women have the lowest sense of cohesion at or older than age 55, and those with higher educational levels have better self-rated health and sense of coherence. Those with poor self-rated health have higher burnout and depression. Burnout is positively correlated with depression, but reversely correlated with work vigor and sense of coherence. Sense of coherence is positively related to work vigor, but reversely associated with depression. The higher work vigor middle-aged women had, the lower depression they could have. These findings may contribute to social support and burnout-reduced strategies. Longitudinal study design is suggested for future research. The cooperation with workplace and medical institutions to monitor the burnout of middle-aged women is also recommended.

並列關鍵字

middle-aged women ； burnout ； sense of coherence ； social support

參考文獻

葉馨琇：精神病患的生命凝聚感與活動參與(碩士論文)。國立臺灣大學醫學院，臺北市，2007。[Ye SS. Life-gathering and activity participation of mental patients (Master thesis). National Taiwan University School of Medicine, Taipei City, 2007.]

潘寶霞、戎瑾如、吳書儀：中年人健康問題、健康行為自我效能對心理健康狀況之影響。精神衛生護理雜誌 2013;8:12-22。[Pan PH, Rong JR, Wu SI. The Study of Health Problems and Self-Efficacy in Health Behaviors' Influence the Mental Health of Middle-Aged People. The Journal of Psychiatric Mental Health Nursing 2013;8:12-22.]

李金治、陳政友：國立臺灣師範大學四年級學生生活壓力、因應方式、社會支持與其身心健康之相關研究。學校衛生2005;44:1-31。[Lee JZ, Chen CY: Research on life stress, response methods, social support and physical and mental health of fourth-grade students of National Taiwan Normal University. School Hygiene 2005;44:1-31.]

Kalimo R, Pahkin K, Mutanen P, et al. Staying well or burning out at work: work characteristics and personal resources as long-term predictors. Work & Stress 2003;17:109-22.

Freudenberger HJ. Staff burn‐out. Journal of social issues 1974;30:159-65.