影響台灣急診科醫師使用輔助療法之相關因子

Factors Associated with the Use of Complementary Medicine in Emergency Department Physicians in Taiwan

許添貴(Tien-Kuei Hsu) ； 辜美安(Malcolm Koo) ； 葉月嬌(Yueh-Chiao Yeh)

《台灣醫學》 18卷2期 (2014/03) Pp. 153-162

https://doi.org/10.6320/FJM.2014.18(2).03

摘要

過去研究顯示歐美醫師對輔助療法的認知及使用多持正面的態度，但台灣地區的醫師尤其是急診科醫師使用輔助療法以及其相關因子的研究則較為缺乏。因此，本研究針對出席2011年台灣急診醫學會會員大會暨學術研討會的急診科醫師，探討急診科醫師使用輔助療法的情況以及影響其使用的相關因子。研究採橫斷式問卷調查，問卷包括基本資料、生活型態、自覺健康狀況及使用輔助療法情形等。受訪對象共198人，平均年齡為41.4歲，其中男性占179人（90.4%），過去一個月內有154人（77.8%）曾使用過輔助療法。單變項羅吉斯迴歸分析發現與子女同住、有宗教信仰和飲用提神飲料與使用輔助療法呈顯著關聯。多變項羅吉斯迴歸分析則顯示輪班制度、與子女同住及飲用提神飲料為使用輔助療法的獨立因子。急診科醫師最常使用的三種輔助療法為聽音樂（50.8%）、按摩或推拿（36.7%）及食用健康食品（29.6%）。性別、婚姻狀況和與子女同住為影響聽音樂的因子；自覺健康狀況則與使用按摩或推拿相關。而婚姻狀況、宗教信仰與自覺健康狀態與使用健康食品有關。綜合本研究結果發現台灣急診科醫師普遍接受輔助療法，尤其是聽音樂、按摩或推拿及使用健康食品。未來研究可評估醫療單位在工作間播放音樂或在休息處提供按摩器材是否對舒緩急診科醫師身心壓力有所幫助。

關鍵字

急診醫師 ； 輪班制度 ； 睡眠品質 ； 輔助療法

並列摘要

Previous studies showed that complementary medicine was viewed positively by European and North American physicians. However, few studies have reported the factors associated with the use of complementary medicine in emergency department physicians in Taiwan. Therefore, the present study aimed to investigate the use of complementary medicine among emergency department physicians who attended the 2011 annual meeting of the Taiwan Society of Emergency Medicine. A cross-sectional survey was used. Information on participants' basic characteristics, lifestyle, perceived health status, and use of complementary medicine was ascertained by questionnaires. Of the 198 participants (mean age 41.4 years), 179 were males (90.4%) and 154 (77.8%) had used complementary medicine in the past month. Univariate logistic regression analysis showed that living with child(ren), having religious beliefs, and the use of energy drinks were significantly associated with the use of complementary medicine. Multivariate logistic regression analysis revealed that shift work, living with child(ren), and the use of energy drinks were significant and independent factors associated with the use of complementary medicine. Listening to music (50.8%), massage/tuina (36.7%) and consumption of health foods (29.6%) were the top three complementary medicine modalities used by emergency department physicians. Gender, marital status, and living with child(ren) were associated with listening to music. Perceived health status was associated with massage/tuina. Marital status, religious beliefs, and perceived health status were associated with the use of health foods. Overall, the present study revealed that complementary medicine, in particular, listening to music, massage/tuina, and consumption of health foods, was well accepted by emergency department physicians in Taiwan. Future studies may evaluate whether providing music in the working areas or providing massage facilities in resting areas can help reduce the stress levels of emergency department physicians.

並列關鍵字

emergency physician ； shift-work system ； sleep quality ； complementary medicine

參考文獻

吳政誠、林瑜雯、陳禹等：醫院醫師職場危害 暴露現況之調查研究。中華職業醫學雜誌 2012;19:125-34。[Wu JC, Lin YW, Chen PY et al: The occupational exposure profiles for physicians in Taiwan. Chinese J Occup Med 2012;19:125-34.]

Niu SF, Chung MH, Chen CH, et al: The effect of shift rotation on employee cortisol profile, sleep quality, fatigue, and attention level: a systematic review. J Nurs Res 2011;19:68-81.

台灣急診醫學會：100 年度急診專科醫師執業 登記狀況調查結果。[Taiwan Society of Emergency Medicine: 2011 Annual Report.] Available at: http://www.sem.org.tw/ tsem/?doActionValueID=600&menuID=1179069 063&doAction=detail, Accessed June 2013.

Wrenn K, Lorenzen B, Jones I, et al: Factors affecting stress in emergency medicine residents while working in the ED. Am J Emerg Med 2010;28:897-902.

蔡依倫：急診醫師疲勞相關因素探討及其對離 職意願之影響。碩士論文，台北市，臺灣大學， 2009 。[Tsai YL: On Emergency Physician Burnout and Its Impaction on Turnouver Intention [Thesis]. Taipei, Taiwan, National Taiwan University, 2009:88p]