本研究目的在了解護生休閒、生活壓力與身心健康間的相關,研究採結構式問卷進行調查,以台北護理學院護理系實習學生為研究對象,採分層抽樣方法,抽出研究樣本,利用自填式問卷方法進行資料收集,共獲有效樣本數421人,所得資料以單因子多變項分析、皮爾森積差相關、多元階層迴歸分析等統計方法進行分析,重要結果歸納如下: 一、護理生活壓力 護生最主要的生活壓力來源為前途規劃壓力、課業壓力及實習壓力,其中前途規劃壓力及課業壓力以二技二年級最大,實習壓力則各年級無顯著不同。 二、休閒內在動機 各休閒內在動機分向度中以「自決」及「挑戰」兩者知覺程度最高;其他依序為「承諾」、「能力」。各年級有顯著不同,以二技二年級在此兩向度較差。 三、休閒覺知自由 各休閒覺知自由分向度中以「投入」知覺程度最高;其他依序為「需求」、「勝任感」、「控制感」。在社學人口學變項方面無顯著差異存在。 四、休閒社會支持 休閒社會支持共包括「家人支持」及「友誼關係」兩部分。家人支持知覺程度平均值為4.1;同學(朋友)支持知覺程度 平均值為3.6。因此知覺到家人支持是比同學(朋友)來的高。在社學人口學變項方面無顯著差異存在。 五、身心健康 護生身心健康,得分最少為沒有任何身心健康症狀發生,最多為有11個症狀發生,而等於或低於3者有264人,佔62.9﹪;等於或大於4者有157人,佔37.1﹪。在各年級中以二技二年級健康狀況較差。 六、休閒、生活壓力及身心健康間的相關 生活壓力越大,身心健康越差;而休閒內在動機、休閒覺知自由、休閒家人支持、休閒友誼關係越佳,則身心健康越好。 七、休閒、生活壓力及身心健康間的關係 生活壓力越大,身心健康愈差。休閒內在動機及休閒覺知自由越高,不論壓力是否存在,則休閒內在動機及休閒覺知自由皆可促進健康。而休閒家人支持低者,生活壓力愈大,身心健康則愈差;但休閒家人支持高者,生活壓力越大,則身心健康不會愈差。
The purpose of this study was to investigate leisure buffer and the adverse effects of life stress on health. By using a systematic sampling method,421 of valid samples were collected with a self-administrated guestionnaire. One way Manova, person correlation,Multiple regression analysis were used to analyze the data. The results indicated that '' ( I ) The highest amount of stress was attributed to stress item that can be categorized under the headings of career choice,academic environment and clinical practice. (2) the highest amount of intrinsic leisure motivation under the headings of self-determination, challenge, commitment, and competence. (3) the highest amount of perceived leisure freedom under the headings of involvement ,need, competence, and control. ( 4 ) leisure social support, including perceived family support and friendship. In the stress situation, perceived family support is higher than friendship. ( 5 ) 62.9% of the nursing students are healthy, whereas 37.1% are not. ( 6 ) life stress is connected with negative health,while all the leisure variables will lead to positive health. ( 7 ) life stress was significantly related to health, so student with higher level of stress has lower level of health. perceived leisure freedom and intrinsic leisure motivation contributed significantly (positively) to health regardless of life stress ', health decreased as stress increased for those who have low family support but their health won't be worse if they have high level of leisure family support.