臨床護理人員之休閒及心理健康關係探討

The Relationship between Leisure and Mental Health in Clinical Nursing Staffs

邢慧芬(Hui‐Fen Hsing) ； 曾煥棠(Haunn‐Tarng Tseng) ； 李美玉(Mei‐Yu Lee)

《護理暨健康照護研究》 11卷2期 (2015/06) Pp. 89-98

https://doi.org/10.6225/JNHR.11.2.89

摘要

背　景：工作壓力對護理人員心理健康造成潛在威脅，參與休閒則有助於壓力調節，可有效提昇個人心理健康。目　的：本研究目的在於瞭解臨床護理人員的心理健康狀態、休閒參與及休閒阻礙的分佈及其相關，並進一步探討影響護理人員心理健康的解釋因子。方　法：本研究為橫斷式問卷調查設計，以北部某醫學中心護理人員為研究對象，採分層隨機取樣，進行基本人口學及工作特質資料的收集與心理健康、休閒參與及休閒阻礙的調查。調查期間自2012年8月至10月，共收集285份問卷，有效回收率為89.06%。結　果：受試護理人員之焦慮和失眠程度偏高，心理健康狀態屬於中等程度，年輕、資淺、精神科、輪三班者心理健康較差。休閒參與對於心理健康具正向影響，休閒阻礙則為負向影響，休閒參與及休閒阻礙可解釋心理健康狀況26%的變異量。結　論：護理人員的心理健康狀態欠佳，行政管理者應對此問題加以重視，實務上應鼓勵護理人員參與運動型及社交型休閒活動並更積極的營造醫院健康促進文化。

關鍵字

休閒參與 ； 休閒阻礙 ； 心理健康

並列摘要

Background: Work stress is an increasingly significant threat to the mental health of nursing staffs. Participation in leisure activities has been shown to help individuals cope with stress and enhance mental health. Purpose: This study investigates the current mental‐health and leisure‐participation statuses of clinical nurses, the constraints faced by these nurses in participating in leisure activities, and the relationship among the sevariables in order to explore the significant predictors of mental health. Methods: A stratified random sampling was used to distribute a cross‐sectional questionnaire survey at a medical center in Taipei. The questionnaire included: a demographic inventory and a job content, mental health, leisure participation, and constraint inventory. Valid data were collected from 285 participants between August and October 2012. The effective response rate was 89.06%. Results: Participants had relatively high degrees of anxiety and insomnia and relatively poor mental health statuses. Poorer mental health status was associated with younger age, less service seniority, work as a psychiatric nurse, and work as a shift work nurse. Participation in leisure activities related positively with mental health, while leisure constraints related negatively with mental health. Participation in leisure activities and leisure constraints accounted for 26% of the total variance in mental health status. Conclusions: Greater attention should be paid to the mental health status of hospital nursing staffs. To improve the mental health status of nurses, administrators may encourage staff participation in physical activities and social leisure activities and fostera culture of health promotion within hospitals.

並列關鍵字

leisure participation ； leisure constraints ； mental health

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