以認知——行為理論為基礎之減壓課程對區域醫院護理人員之效果

The Effects of Relaxation Course Based on a Cognitive Behavioral Model on Nurses Working at Regional Hospitals

蔡欣玲(Sing-Ling Tsai) ； 陳展航(Chin-Hong Chan) ； 陳美碧(Mei-Bih Chen)

《護理研究》 5卷6期 (1997/12) Pp. 535-545

https://doi.org/10.7081/NR.199712.0535

摘要

本研究目的有二，其一為製作護理人員減壓錄影及錄音帶；其二為瞭解區域醫院護理人員減壓課程采面對面教學與錄影帶教學，對本國區域醫院護理人員之短期效果。研究設計采前後測及對照組之類實驗性研究，實驗一組與實驗二組之授課為采面對面與錄影帶兩種教學方式教授之減壓課程，兩組在第一週、第二週及第五週各有九十分鐘的課程，控制組則在同一時段授與理論分析課程。依變數為中國人健康量表Chinese Health Questionnarie(CHQ)、護理人員壓力量表Nurese Stress Checklist(NSC)及減壓字彙量表Relaxation Word List(RW)。研究結果顯示，區域醫院護理人員之工作壓力與年齡、學歷呈負相關，工作單位氣氛越差者，其工作壓力亦越大。而無論是面對面教學或錄影教學其第五週之護理人員壓力量表得分與減壓字彙量表得分，皆與對照組有顯著不同，呈現護理人員減壓課程之效果。因此，建議錄影帶教授護理人員減壓課程，可推廣到各區域醫院，并進一步將護理人員減壓課程內容建立於網際網路上，擴展護理人員學習的機會。

關鍵字

區域醫院 ； 減壓訓練 ； 教學方法

並列摘要

There were two aims for this study. Producing the relaxation training video and audio tape was the first aim. Measuring the effects of the relaxation training on the regional hospital nurses by face-to-face and video-tape teaching method was the second aim. Pre-post test control design was selected for this study. Treatments one and two had the content of relaxation training by using face-to-face and video-tape teaching methods. Both groups had three ninety minute sessions in weeks one, two, and five. The control group received three ninety minute sessions of theory analysis. Dependent variables were Chinese Health Questionnaire (CHQ), Nurse Stress Checklist (NSC) and Relaxation Word List (RW). The results showed that the NSC mean score of nurses working at regional hospitals was positively related to nurses' age and education. Nurses who felt their work atmosphere were bad, had high scores of NSC. The NSC scores of nurses working in intensive care units were not significantly different from nurses working in general wards. Whether the teaching method was face-to-face or video tape, the treatment effects evaluated by NSC and RW were significantly different from the nurses in the control group at the fifth week. Both the face-to-face and video tape teaching method showed treatment effects. Thus, it is recommended that the video tape teaching of relaxation training be implemented in regional hospitals. Further, for promoting this program, the training program could be made available on the internet.

並列關鍵字

regional hospital ； relaxation training ； teaching method