台灣天主教醫院護理人員情緒勞務及心理健康之關係

The Relationship between Emotional Labor and Mental Health among Nurses in Catholic Hospitals in Taiwan

李卿雲(Ching-Youn Lee) ； 謝碧晴(Pi-Ching Hsieh) ； 蘇慧芳(Hui-Fang Su)

《台灣公共衛生雜誌》 32卷2期 (2013/04) Pp. 140-154

https://doi.org/10.6288/TJPH2013-32-02-05

摘要

目標：探討台灣天主教醫院護理人員情緒勞務和心理健康之間的關係。方法：橫斷式、相關性研究，研究對象為6家天主教醫院。以林尚平之情緒勞務量表與世界衛生組織發展的心理健康自評問卷Self Reporting Questionnaire 20（SRQ-20），於2010年7月1日到2010年10月30日蒐集資料。結果：共有653位護理人員進入研究，其中有效問卷624份（95.56%）。以SPSS 18.0之描述性、變異數分析、相關及迴歸等統計檢測後發現：（1）護理人員情緒勞務負擔程度偏高（M±SD=5.41±1.19）；心理健康狀況不理想（M±SD=2.81±1.05），SRQ-20 50.4分；（2）情緒勞務的基 本情緒表達、表層情緒控制及心理健康會因教育程度、職務與科別之不同而呈現統計上顯著差異；（3）年齡、年資與基本情緒表達、表層情緒控制及心理健康呈顯著高度正相關；年齡與深層情緒偽裝呈顯著低度正相關；（4）基本情緒表達、表層情緒控制、互動程度、深層情緒偽裝與心理健康呈顯著高度正相關；（5）情緒勞務可解釋心理健康狀況21%變異量。結論：護理人員情緒勞務負擔程度偏高、心理健康狀況不理想。所以，醫療產業對此應加以重視。

關鍵字

天主教醫院 ； 護理人員 ； 情緒勞務 ； 心理健康

並列摘要

Objectives: The present study evaluated the relationship between emotional labor and mental health among nurses in Catholic hospitals in Taiwan. Methods: Based on a cross-sectional and correctional study design, the researcher invited nurses from six Catholic hospitals to participate between July 1 and October 30, 2010. Instruments were the Emotional Labor Scale developed by Shang Ping Lin and the Self Reporting Questionnaire 20 (SRQ-20) developed by the World Health Organization. Results: A total of 653 subjects were invited to participate, and 624 completed questionnaires were returned for an effective response rate of 95.56%. By using descriptive statistics, ANOVA, correlation, and regression analysis in SPSS 18.0, we found that: (1) Subjects had a relative higher degree of emotional labor (M ± SD = 5.41± 1.19) and poorer mental health status (M ± SD = 2.81 ±1.05) as measured by the SRQ-20; of 50.4; (2) There were significant differences in rules for emotional display, superficial acting, and mental health among different groups based on educational level, position, and working department; (3) Age and service seniority had a highly positive correlation with rules for emotional display, superficial acting, and mental health, whereas age was positively associated with deep acting; (4) Rules for emotional display rule, superficial acting, frequency and duration of interaction, and deep acting were highly correlated with mental health; (5) Emotional labor accounted for 21% of the variance in mental health. Conclusions: Nursing staff bear a high level of emotional labor with unsatisfactory mental health status. Administrators should pay close attention to these issues.

並列關鍵字

Catholic hospitals ； nursing staff ； emotional labor ； mental health

參考文獻

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