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臨床護理人員職業壓力與體適能之相關因素探討

A Study of Related Factors of Occupational Stress and Physical Fitness among Clinical Nurses

摘要


本研究旨在探討臨床護理人員職業壓力與體適能狀態的相關因素。採橫斷式調查,以方便取樣北部某醫學中心的163位女性臨床護理人員為研究對象。研究工具包括:基本資料、健康運動行為、職業壓力指標第二版(OSI-2)以及體適能測量。研究結果發現:(一)職業壓力方面,工作滿意平均49.1±8.8分;心理健康為41.6±10.3分;身體健康為20.9±6.0分;A型行為風格為19.8±3.5分;工作控制感為11.5±2.3分;壓力源感受為155.3±24.7分;壓力因應為43.8±5.9分;(二)體適能檢測結果為BMI平均21.7±3.4,仰臥起坐平均每分鐘23.8±8.5次,坐姿體前彎平均28.4±9.9公分,心肺耐力指數平均55.0±8.8。(三)年齡愈大、工作年資愈深、護理師職級、未擔任行政職務者工作滿意度愈高、心理健康愈佳;年齡愈大和未擔任行政職務者身體健康愈佳;(四)年齡愈輕、工作年資愈淺、契約護士、有擔任行政職務與不需輪三班者BMI較佳、仰臥起坐和坐姿體前彎做得較好;(五)護理人員的職業壓力與體適能的相關性方面,工作控制感與坐姿體前彎方面呈現負相關、壓力源感受與心肺耐力呈現正相關。本研究結果期可提供護理行政主管擬定協助員工正向面對與舒緩職業壓力相關政策之參考,建議未來可增加介入紓壓或體能訓練成效之研究。

並列摘要


This study used a cross-sectional design to examine the related factors of occupational stress and physical fitness among clinical nurses. A convenience sample of 163 clinical nurses was recruited from a medical center in Northern Taiwan. The instruments included: demographic information, exercise behaviors, The Occupational Stress Index II (OSI-2), and physical fitness tests. The results showed: (1) The mean scores of the OSI-2 subscales were 49.1±8.8 (job satisfaction); 41.6±10.3 (mental health); 20.9±6.0 (physical health); 19.8±3.5 (A type behaviors); 11.5±2.3 (job control); 155.3±24.7 (perceived stressors); and 43.8±5.9 (stress coping). (2) The mean scores of the physical fitness tests were 21.7±3.4 (BMI); 23.8±8.5 times per minute (sit-ups); 28.4±9.9 centimeters (sit and reach); and 5.5±8.8 (cardiorespiratory endurance index). (3) Those who were older, with more working experience, were professional nurses, and have a non-administrative role have a better physical health. (4) Those who were younger, with less working experience, were contracted nurses, with an administrative role, and no rotating shift have better BMI, sit-ups, and sit-reach scores. (5) There was a negative relationship between job control and ”sit-reach”, whereas a positive relationship was found between perceived stressors and cardiorespiratory endurance index. The findings of this study can be used as a reference for nursing administrators to help nursing clinicians to reduce occupational stress. Future studies could emphasize on the effectiveness of stress reduction and fitness training interventions.

參考文獻


陳姿伶(2009)‧不同部門護理人員工作壓力 之生理指標研究( 未發表的碩士論文)‧ 台南:長榮大學職業安全與衛生研究所。
李美慧(2008)‧臨床護理人員工作壓力與運 動心理因素之關係探討( 未發表的碩士論 文)‧ 台南:長榮大學護理學研究所。
蔡李玉卿(2009)‧護理人員工作壓力工作滿 足組織承諾與離職傾向之相關性研究( 未 發表的碩士論文)‧ 台南:長榮大學經營 管理研究所。
劉雅惠、劉偉文(2009)‧ 護理人員情緒勞 務、工作壓力與因應行為之相關性研究‧醫護科技期刊,11 (2),98-115。
胡藍文、何雅芳、林碧珠(2012)‧ 臨床護理 人員健康促進生活型態及其相關因素‧ 護理暨健康照護研究,8 (4),257-268。 doi:10.6225/JNHR.08.4.257

被引用紀錄


林雅慧、闕可欣、林育寧(2015)。女性睡眠障礙臨床護理人員之工作壓力、焦慮探討榮總護理32(2),154-165。https://doi.org/10.6142%2fVGHN.32.2.154
廖芳吟(2015)。某醫學中心護理人員體適能概況及伸展操之發展〔碩士論文,中山醫學大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0003-2705201510503900

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