加護病房護理人員睡眠品質、靈性健康及其相關因素之探討

Exploring Sleep Quality, Spiritual Health, and Related Factors in Nurses in the Intensive Care Unit

蔡佩臻(Pei-Chen TSAI) ； 林瑞香(Jui-Hsiang LIN) ； 徐秀琹(Hsiu-Chin HSU)

《護理雜誌》 66卷4期 (2019/08) Pp. 49-59

https://doi.org/10.6224/JN.201908_66(4).07

摘要

背景：加護病房護理人員每日照護與生死衝擊的病患及身處緊張高壓的工作環境下，可能影響其靈性健康及睡眠品質。目的：探討加護病房護理人員睡眠品質、靈性健康及其影響因素。方法：採橫斷面相關性研究設計，以分層比例隨機抽樣法，共招募北部某醫學中心加護病房170名護理人員。以「受訪者基本屬性調查表」、「匹茲堡睡眠品質量表」及「靈性健康量表－簡版」進行資料的收集。結果：加護病房護理人員睡眠品質平均7.07分，睡眠品質不良者佔62.9%。靈性健康之次量表「與人締結」與睡眠品質總分呈顯著負相關，得分愈高者睡眠品質愈好。加護病房護理人員睡眠品質的預測因子為「與人締結」、「有慢性病」及「生理期不適」。結論／實務應用：建議選擇溫和而不受時間、空間限制的運動，不僅可預防慢性疾病，還可減緩痛經問題；再者，將靈性健康相關教育訓練納入全人教育課程中，增強靈性狀態，進而改善睡眠品質。

關鍵字

加護病房 ； 睡眠品質 ； 靈性健康

並列摘要

Background: Nurses in intensive care units (ICUs) care for critically ill and dying patients. The stressful nature of the work performed by these nurses may affect their spiritual health and sleep quality. Purpose: The purpose of this correlational study was to explore the sleep quality, spiritual health, and related factors in a sample of ICU nurses. Methods: A cross-sectional correlational design with stratified random sampling was applied. A total of 170 clinical nurses were recruited from the ICUs of a medical center in northern Taiwan. A demographic characteristics questionnaire, the spiritual health scale-short form, and the Pittsburgh Sleep Quality Index (PSQI) were used for data collection. Results: The average PSQI score was 7.07, with 62.9% of the participants reporting poor sleep quality. A significantly negative correlation was identified between the spiritual-health-scale item ＂connections to others＂ and the PSQI. ＂Connections to others＂, ＂chronic diseases＂, and ＂menstrual cycle discomfort＂ were the important predictive factors of sleep quality in the ICU nurses in this study. Conclusions/Implications for practice: The findings of this study support nurses engaging in regular exercise that is both low-intensity and not subject to time or space restrictions in order to help prevent chronic diseases and relieve dysmenorrhea. Furthermore, education and training related to spiritual health should be incorporated into the whole-person education curriculum in order to enhance spiritual status and improve sleep quality.

並列關鍵字

intensive care unit ； sleep quality ； spiritual health

參考文獻

吳秀芳、蕭雅竹（2009）．護理人員靈性健康與靈性照護能力之相關性研究．護理暨健康照護研究，5（1），68–78。[Wu, H. F., & Hsiao, Y. C. (2009). A study of the correlation between the spiritual health status and spiritual care abilities of nurses. Journal of Nursing and Healthcare Research, 5(1), 68–78.] https://doi.org/10.6225/JNHR.5.1.68

蕭雅竹、黃松元（2005）．靈性健康量表之建構及信、效度考驗－以護理學生為題．實證護理，1（3），218–227。[Hsiao, Y. C., & Huang, S. Y. (2005). Constructing and evaluating the reliability and validity of a scale to assess spiritual health: A nursing student sample. Journal of Evidence-Based Nursing, 1(3), 218–227.] https://doi.org/10.6225/JEBN.1.3.218

陳濘宏（2005）．阻塞型睡眠呼吸中止症．台灣醫學，9（3），361–366。[Chen, N. H. (2005). Obstructive sleep apnea. Formosan Journal of Medicine, 9(3), 361–366.] https://doi.org/10.6320/FJM.2005.9(3).09

李宇宙（2000）．身心疾病之睡眠障礙．台灣醫學，4（6），673–680。[Lee, Y. J. (2000). Sleep disorders associated with physical and mental illness. Formosan Journal of Medicine, 4(6), 673–680.] https://doi.org/10.6320/FJM.2000.4(6).08

郭淑珍、陳怡君（2010）．失眠與工作壓力：深度訪談使用安眠藥物的女性護理人員．台灣公共衛生雜誌，29（2），131–144。[Kuo, S. C., & Chen, Y. C. (2010). Insomnia and work stress: In-depth interviews with hypnotic-taking female nursing staff. Taiwan Journal of Public Health, 29(2), 131–144.] https://doi.org/10.6288/TJPH2010-29-02-05