護理人員之健康生活品質研究

Health Quality of Life in the Hospital Nurses

潘惠玟(p'an hui min)

指導教授 ： 劉俊昌

亞洲大學/健康學院/健康管理研究所/碩士(2007年)

摘要

醫療科技的發展，大幅提昇了疾病的治癒率，這讓人類對於生命的看法有了轉變，已經不再僅是追求要如何活得久，更重要的是要如何在這漫長的人生中活得健康、活得快樂，根據行政院衛生署94年資料，護理人員是醫院中最主要的工作人力，而執行臨床業務的護理人員工作很辛苦，除了必須輪值三班外，常須延遲下班時間，除了工時長，休假時間也無法自己決定，可能無法達到身心放鬆的目的，護理人員之臨床工作型態足以影響生活品質之好壞，而其本身生活品質狀況，往往被忽略。本研究旨在探討護理人員社會人口學特性、工作狀況、自覺健康狀態與健康生活品質間之關係。本研究採用「台灣簡明版世界衛生組織生活品質問卷」(WHOQOL-BREF)，包括四大範疇（生理健康範疇、心理範疇、社會關係範疇、環境範疇）共28題為工具，採用橫斷式調查法，問卷發放時間為95年12月12日至96年1月24日，研究對象為中部3家區域教學醫院之護理人員。研究結果發現：年齡大、已婚、子女數多、收入較不重要、平均每月薪資高、護理服務年資長、本醫院服務年資長、服務單位為手術室或麻醉科、服務單位不忙碌、上大小夜班天數少、假日值班天數少、自覺健康狀態良好的護理人員健康生活品質量表得分較高。護理人員自覺健康狀態良好者，其生理健康、心理、社會關係、環境範疇及整體健康生活品質愈好。本研究結果可供醫療機構護理主管進行人員調度及人力規劃的參考。

關鍵字

護理人員、健康、生活品質

並列摘要

The advance of medical technology has significantly improved the cure rate of diseases. Therefore people pursue not only longer but also healthier and happier life. According to the statistics from the Department of Health, Executive Yuan, in 2005. Nurses are the main workforce in medical institutions.
However, clinical nursing is hard work. Clinical nurses have to work three rotating shifts as well as long hours. In addition, they cannot arrange their vacation freely, so the purpose of vacation--“physical and mental relaxation”--is unattainable. Apparently the work pattern of clinical nurses has substantial influence on their quality of life, which, however, is often neglected. The purpose of this study was to explore how the demographic features, work conditions and health consciousness of nurses are related to their quality of life. A questionnaire “WHOQOL-BREF Taiwan version” was adopted for data collection in this study. The questionnaire was divided into four main domains—physical health, psychology, social relationship and environment—with 28 questions designed to run a cross-sectional survey. From December 12 2006 through January 24 2007, the questionnaires were distributed to 3 regional teaching hospitals in central Taiwan. The results showed that, the nurses had higher score when they were older, stayed married, had more children, cared less about income, had higher salary, had longer service in nursing, serve in operating room or anesthesiology department, had less workload, had fewer days of duty on holidays or in the night-time and had good perceived health status. Further, the results showed that the nurses had good perceived health status had better physical health, psychology, social relationship, environment and overall quality of life. The research results can provide reference for the management of medical institutions when personnel allocation and human resource planning are conducted.

並列關鍵字

nurse, health, quality of life

參考文獻

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