糖尿病衛教師工作壓力及工作滿意度之相關研究

A Study on the Job Stress and Job Satisfaction among Hospital Diabates Educators

林婉君(lin wan chün)

指導教授 ： 楊志良

亞洲大學/健康學院/健康管理研究所/碩士(2007年)

摘要

本研究以九十五年度國民健康局糖尿病健康促進機構評鑑合格醫院116 家經扣除診所10 家、衛生所8 家、連江縣1 家及拒絕接受調查醫院12 家，共85 家醫院191 位糖尿病護理衛教師為研究對象，主要探討糖尿病衛教師工作壓力及工作滿意度情形，以結構性問卷調查，共發出問卷191 份，回收問卷163 份，問卷調查回收率為85.3﹪(有效問卷為155 份)。所得的資料採用SPSS 10.0 for Windows 統計軟體進行資料分析，本研究之重要結果如下：
一、糖尿病衛教師整體工作壓力介於「輕微壓力與中等壓力」之間，前五大工作壓力主要分佈於「工作負荷」及「學術研究」兩大構面。
二、糖尿病衛教師整體工作滿意度介於「普通與滿意」之間，在四個工作滿意度構面中以「工作本身」及「人際關係」兩部份得分較高，較不滿意的部分為「對目前薪資所得」及「薪資相對於工作量」等。
三、以整體工作壓力來看，區域醫院之糖尿病衛教師工作壓力大於醫學中心及地區醫院之糖尿病衛教師且具有顯著差異。其它個人背景部分與壓力感受沒有顯著之統計差異，表示糖尿病衛教師不會因個人背景變項之不同，而有明顯不同之工作壓力感受。
四、以整體工作滿意度來看，大學學歷者工作滿意度高於專科學歷者，沒有在職進修者工作滿意度高於有在職進修者，專任之糖尿病衛教師工作滿意度高於有兼任其他業務之糖尿病衛教師。
五、工作壓力與工作滿意度呈現負相關，即工作壓力愈大，工作滿意度愈低。
六、以複迴歸探討糖尿病衛教師的個人背景資料對整體工作壓力的影響，發現其個人背景資料對整體工作壓力大部分均不呈顯著預測性，僅「醫院層級」及「CDE 年資」呈顯著預測力。
七、以複迴歸探討糖尿病衛教師的個人背景資料及整體工作壓力對整體工作滿意度的影響，發現「教育程度」、「案管量」及「整體工作壓力」均呈顯著預測力，其中「整體工作壓力」對整體工作滿意度呈負向關係，「教育程度」與「案管量」對整體工作滿意度則呈正向關係。糖尿病衛教師「整體工作壓力」對「整體工作滿意度」具最高之影響力。。

關鍵字

糖尿病衛教師、工作壓力、工作滿意度

並列摘要

This research intends to get grasp of workload and gratification level of diabetes educators who work for some pre-selected hospitals-those in 2006 been validated by the Bureau of Health Promotion for enhancing health of diabetic victims. Henceforth, 116 hospitals are selected.However, among them, 10 clinics, 8 health centers, one hospital(located in Martsu) as well as 12 hospitals that refuse consultation are precluded from the investigation pool. Therefore, 85 hospitals are under investigation in the end.
Next, The mechanism of this investigation is basically by means of analysis of structure-devised questionnaire sheets that filled out by these educators. In sum, 191 questionaire sheets are delivered, 163 are returned but only 155 of them are deemed effective-that is, with return rate around 85.3%. The data been collected is analyzed through the statistic software SPSS 10.0. The outcome of our investigation reveals some important information:
A. In general, work stress of diabetes educators locate in the range between the levels “mimor” and “mederate” whereas the top 5 sources of work stress come from mainly two perspectives -workload” and “academic research”.
B. Regarding work gratification level, from global viewpoint, the diabetes educators provide the scores between “fair” and “satisfactory”. Among the four gratification indexes been evaluated,“content of work” and “social relationship” attain higher scores. On the other side, “payment” and “salary/workload ratio” get poorer appreciation.
C. As for global work stress, it is found that those educators work for regional hospitals have heavier workload than their counterparts who work in Medicine Centers. This difference can be identified as significant through statistic F-test, since the H0 hypothesis can be well rejected. In contrast, difference of other factors such as “personal background” and “perception of stress” are found non-significant between groups of educators through similar statistic test. It represents that educators with various backgrounds have no considerable correlation with the work stress they aware of.
D. When consider the global gratification level, in general speaking, university-graduated educators give higher marks than those graduated from technical schools, those receive on-job-training programs are more satisfactory than those yet taking any training, whereas full time diabetes educators usually are more comfortable than those been assigned with additional tasks.
E. Work stress and gratification level is found negatively correlative. In other words, increasing work stress usually couples ith decreasing gratification level.
F. Through duplicate regression, it is found that in most scenarios the predictability of “background information” to work stress is not significant through t-test. It is also found that only two aspects-hospital ranking” and “CDE work experience” have significant prediction capacity.
G. The predictability when couples “personal background information”
and “global work stress” to gratification level is also surveyed hrough schemes of duplicate regression. It is found that “education level”,”amount of cases been assigned” and “global work stress” all expose significant prediction capacity. In more detail scope, ”global work stress” is negative correlative with the gratification level. In contrast, “education level” and ”amount of cases been assigned” show positive correlative relationship. Finally, “global work stress” has the most impact on gratification level.

並列關鍵字

Diabetes Educator、Job Stress、Job Satisfaction

參考文獻

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