輪班護理人員睡眠品質與身心健康對職業疲勞之影響性分析

The Effect of Sleep Quality on the Physical and Mental Health and Occupational Burnout of Shift Nurses

詹明珊(Ming-Shan Jan) ； 邱艷芬(Yann-Fan Chao)

《醫務管理期刊》 21卷1期 (2020/03) Pp. 27-42

https://doi.org/10.6174/JHM.202003_21(1).27

摘要

目的：本研究的目的在探討輪班護理人員之睡眠品質、身心健康與職業疲勞之相關因素及其預測因子。方法：為橫斷式調查研究，採便利取樣，收案某醫學中心之輪班護理人員90人，包含基本人口學資料、匹茲堡睡眠品質指標（CPSQI）、愛普沃斯嗜睡量表（ESS）、華人健康量表（CHQ-12）、職業疲勞量表（OBI）問卷作為探討之工具。結果：發現CHQ-12及ESS越差，與工作疲勞、個人疲勞均呈顯著相關。ESS 9.5分及CHQ-12 2.5分，有效顯示嚴重的個人疲勞問題；ESS 6.5分及CHQ-12 1.5分有效顯示有較嚴重的工作疲勞問題。若控制CHQI-12之後，ESS比PSQI對職業疲勞的相關性較高。以逐步迴歸分析CHQI-12與ESS約可解釋個人疲勞總變異量的49%。結論：ESS可為醫院簡易有效之評估職業疲勞工具，辨識嚴重職業疲勞輪班護理人員，及早進行改善措施。

關鍵字

護理人員 ； 睡眠品質 ； 身心健康 ； 職業疲勞

並列摘要

Objectives: The purpose of this study was to explore the correlation between sleep quality, physical and mental health, and occupational burnout of shift nurses. Methods: For the cross-sectional investigation and research, stratified sampling was conducted, and data from a total of 90 shift nurses in a Taipei medical center were collected. The period of acceptance was from January to April of 2019, and the conditions for receiving the case were more than one year of service and the evening shift. This study used basic demographic data, the Chinese version of the Pittsburgh Sleep Quality Index (CPSQI), Epworth sleepiness Scale-Taiwan form (ESS-T), the Chinese Health Questionnaire-12 (CHQ-12), and the Chinese version of the Occupational Burnout Inventory (OBI) questionnaire as a tool for assessment. Results: Poor sleep quality and health status were significantly related with the occupational burnout part and personal burnout. Through ROC analysis, an ESS of 9.5 and CHQ-12 of 2.5 could effectively predict severe personal burnout, and an ESS of 6.5 and CHQ-12 of 1.5 could effectively predict severe occupational burnout. If CHQI-12 is controlled, ESS has a higher correlation with occupational burnout than PSQI. A stepwise regression analysis of CHQI-12 and ESS can account for 49% of the total variation in personal burnout. Conclusions: ESS might serve as a simple and effective tool to identify shift nurses with severe work burnout problem. It is expected that effective interventions of promoting sleep quality can be delivered to solve the work burnout problem.

並列關鍵字

nursing staff ； sleep quality ； physical and mental health ； occupational burnout

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