女性輪班護理人員的身心健康調查

Sleep、Health and Family Consequences among Female Shift-Work Nurses

戴書郁(Shu-Yu Tai)

指導教授 ： 吳明蒼

共同指導教授 ： 莊弘毅(Hung-Yi Chuang)

高雄醫學大學/健康科學院/公共衛生學研究所/碩士(2010年)

摘要

研究背景: 在現今社會工作環境的變化，日夜輪班的工作型態在許多職業是必要的，而女性從事輪班工作也越來越多，然而在家庭中女性扮演的角色往往與其輪班的工作型態衝突，因此本研究將探討女性護理人員從事輪班工作引起的睡眠問題、自覺身心健康、工作壓力以及家庭功能等方面進行探討。
研究材料與方法: 本研究以高雄縣市女性護理人員為探討對象，年齡在20-45歲進行橫斷式研究調查，研究上採結構式問卷方式調查方式、工作壓力、睡眠品質、自覺身心健康，探討輪班對工作壓力、睡眠、自覺身心健康以及家庭的關係。
結果:在1467 名年齡20-45 歲的護理人員個案分析，我們發現從事非典型工作者在睡眠品質、身心健康，以及家庭功能三方面比典型工作者來的差，尤其是在需輪值大夜班的女性，在調整其他干擾因子如年齡、年資、是否進修中以及及婚姻和子女後，其睡眠品質及時數、自述身心健康以及家庭功能都明顯的比典型工時婦女差。
結論:本研究發現從事非典型工時且輪值大夜班者有較不良的身心影響，建議也許可以透過合適的排班可以降低非典型工時對其影響的程度。

關鍵字

輪班 ； 護理人員 ； 家庭 ； 健康 ； 睡眠

並列摘要

Aim and objective: The aim of this study was to explore the detrimental effects of working a rotating shift on quality of sleep, mental health and family function.
Background: Shift work is an important source of disturbances in the health and well-being of nurses. However, nursing services must be available on a 24-hour basis, making shift work a necessity. Sleep disorder, mental health and work/family conflict tend to occur among nurses typically working on rotating shifts. Although many studies related to nurses’ sleep quality have been carried out in the West, few have investigated factors linked to nurses’ sleep quality, mental health and family function in Taiwan.
Methods: This is a cross-sectional research design. A purposive sample of 1467 nurses between the ages of 20-45 was recruited from Kaohsiung City Nurses Association and Kaohsiung County Nurses Association using a mail-questionnaire during August 2008 to July 2009. The self-administered questionnaire distributed to participants incorporated the demographic data, the Chinese Health Questionnaire (CHQ), the Chinese version of the Pittsburgh Sleep Quality Index, and the Family Apgar Index.
Results: We found that shift-work seemed to have detrimental effect on sleep quality, health quality and family function. After adjusting for other confounding factors, nurses with night-shift had significantly worse score in evaluating sleep quality, mental and physical health quality and family function compared to day-shift nurses.
Conclusions: We found shift-work, especially night-shift had detrimental effects on nurses’ health and family function but appropriate arrangement of work schedule might reduce such unhealthy influence.

並列關鍵字

nurses ； shift work ； PSQI ； CHQ-12 ； family APGAR

參考文獻

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