正念減壓課程對緊急醫療救護人員壓力知覺和睡眠品質的影響

The Effects of Mindfulness-based Stress Reduction on Stress and Sleep Qualityin Emergency Medical Personnel

許麗娟(Li-Chuan Hsu) ； 周大禾(Ta-Ho Chou) ； 陳君志(Chun-Chih Chen) ； 曾俊凱(Chun-Kai Tseng) ； 沈德群(Te-Chun Shen) ； 陳秋媛(Chiu-Yuan Chen)

《中西整合醫學雜誌》 23卷2期 (2021/12) Pp. 1-11

摘要

背景：正念減壓是一種以正念冥想為基礎，並結合瑜伽所發展而成的減壓療法，於舒緩身心壓力和改善睡眠障礙具有良好的功效。緊急醫療救護人員屬於高工作壓力族群，本研究將探查正念減壓課程對於緊急醫療救護人員壓力知覺和睡眠品質的影響。材料及方法：本研究採取兩組前後測的類實驗研究設計，以南投縣緊急醫療救護人員為對象，採立意取樣分派至實驗組與對照組，每組各20人。實驗組需額外參與八週的正念減壓課程。研究工具包括壓力知覺量表和匹茲堡睡眠品質量表，統計方法以t檢定和共變數分析來進行成效評估。結果：實驗組的壓力知覺量表分數由平均36.75±6.96降為27.55±7.45分（p＜0.001），對照組的壓力知覺量表分數由平均27.50±6.65反而上升至32.15±7.20分（p＜0.001）。另一方面，實驗組的睡眠品質量表分數由平均10.00±3.54降為6.00±2.81分（p＜0.001），對照組的睡眠品質量表分數則由平均7.80±2.21反而上升至8.05±1.61分（p=0.412）。且經由共變數分析後的結果仍然一致。結論：正念減壓課程可能會改善緊急醫療救護人員的壓力知覺和睡眠品質，然而正念減壓課程的後續實施方式及頻率和療效維持時間尚未可知，這需要之後的研究來進一步證實正念減壓課程的功效。

關鍵字

正念減壓 ； 緊急醫療救護人員 ； 壓力知覺 ； 睡眠品質

並列摘要

Background: Mindfulness-based stress reduction (MBSR) has been proven to be effective in alleviating stress and improving sleep quality in workers under high tension environment. The purpose of this study is to investigate the effects of MBSR on stress and sleep quality in emergency medical personnel. Materials and methods This study was designed with pre-test and post-test of two groups of quasi-experimental design. Forty emergency medical personnel, including emergency physicians, emergency nurses, and emergency medical technicians were recruited in a local hospital of central Taiwan. These 40 participants, via purposive sampling, were assigned into 2 groups. A MBSR program was performed to the experimental group. We adopted Chinese 14-item Perceived Stress Scale (PSS) and Pittsburgh Sleep Quality Index (PSQI) scale for evaluation. We applied t-test and analysis of covariance for statistical analysis. Results: The PSS score of the study group decreased from an average of 36.75 ±6.96 to 27.55 ±7.45 (p ＜0.001), while the PSS score of the control group increased from an average of 27.50 ±6.65 to 32.15 ±7.20 (p ＜0.001). On the other hand, the PSQI score of the study group decreased from an average of 10.00 ±3.54 to 6.00 ±2.81 (p ＜0.001), while the PSQI score of the control group increased from an average of 7.80 ±2.21 to 8.05 ±1.61 (p =0.412). In addition, the results after covariate analysis are still consistent. Conclusion: The MBSR program may improve stress and sleep quality in emergency medical personnel. However, the subsequent implementation and frequency of MBSR and the effective duration are largely unknown. This requires further studies to confirm the efficacy of MBSR.

並列關鍵字

Mindfulness-based stress reduction (MBSR) ； emergency medical personnel ； stress ； sleep quality

參考文獻

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