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

吳淑禎、周璻薇、謝辰昕、劉俊億(2010)。餐飲外場從業人員的社會支持、情緒勞務與工作表現之研究。人類發展與家庭學報。12，1-30。

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。11，98-115。

王明元、甘唐沖、劉文玲(2008)。劍湖山王子飯店及耐斯王子飯店員工情緒勞務負擔與職業倦怠之相關研究。運動與遊憩研究。3，252-73。

林木泉、張柱彬、梁淑娟、張嘉齡、彭渝珍(2008)。情緒勞務對顧客導向行為之影響。醫務管理期刊。9，98-113。

陳仁惠、黃月桂(2005)。不同權屬與評鑑等級醫院之效率評估－DEA法之應用。醫護科技期刊。7，346-62。