目的:新冠肺炎疫情期間,長期照顧機構照顧服務員面臨諸多壓力及擔憂,對照顧服務員的身心健康產生重大的影響。本研究旨在探討新冠肺炎疫情期間,長期照顧機構照顧服務員工作壓力與身心健康之現況及其相關性。方法:採橫斷性研究,以住宿式長期照顧機構照服員為研究對象,問卷內容分別為工作壓力、身心健康與人口學資料。發放250份,回收有效問卷為243份,有效回收率為97.2%。結果:243位照服員年齡以26~40歲居多(43.62%),以女性居多(70.78%),COVID-19疫情期間,多數照顧服務員工作壓力呈現重度壓力(40.33%),防護裝備帶來的不適感是照顧服務員的主要壓力源,其次是照顧住民的負擔,第三是擔心與社會隔絕;身心健康前三高項目分別為「憂鬱與家人互動關係差」、「焦慮與擔憂」、「身體症狀」,研究顯示照服員之工作壓力與身心健康之間有顯著相關。結論:本研究結果可作為未來監測住宿式長期照顧機構照顧服務員工作壓力之參考,並可幫助提供支持和介入措施。建議:長期照顧機構管理者應建構友善的職場環境,制定有效的支持策略,以期增加照顧服務員工作穩定性,並提升照顧品質。
Purpose: During the COVID-19 pandemic, long-term care facility nursing assistants faced various stresses and concerns, significantly affecting their physical and mental health. This study aims to investigate the current status and correlation between work stress and the physical and mental health of nursing assistants in long-term care facilities during the COVID-19 pandemic. Methods: A cross-sectional study was conducted targeting nursing assistants in residential long-term care facilities. The questionnaire included sections on work stress, physical and mental health, and demographic information. 250 questionnaires were distributed, with 243 valid responses obtained, resulting in an effective response rate of 97.2%. Results: Among the 243 nursing assistants, the majority were aged 26-40 (43.62%), and predominantly female (70.78%). During the COVID-19 pandemic, most nursing assistants experienced severe work stress (40.33%). The main sources of stress were discomfort from protective equipment, followed by the burden of caring for residents, and concerns about social isolation. The top three aspects of physical and mental health were "Depression and poor family interactions," "Anxiety and worries," and "Physical symptoms." The study revealed a significant correlation between work stress and the physical and mental health of nursing assistants. Conclusions: The findings of this study can serve as a reference for monitoring the work stress of nursing assistants in residential long-term care facilities in the future, and can help provide support and intervention measures. It is recommended that managers of long-term care facilities create a supportive work environment and implement effective support strategies to increase nursing assistants job stability and enhance the quality of care.