運用芳香按摩改善內外科病房護理人員焦慮及睡眠品質之     
成效

焦慮及睡眠品質不佳是護理人員常見的問題，本研究目的旨在探討運用芳香按摩改善護理人員焦慮及睡眠品質之成效。採縱貫性實驗性研究，針對南部某區域教學醫院內外科病房之護理人員，將符合收案條件之個案隨機分配為接受芳香按摩（含純樂器音樂聆聽）之實驗組（n=25），及只接受純樂器音樂聆聽之對照組（n=25）兩組，準備及執行時間每次為一小時，每週一次，為期四週。分別以貝氏焦慮量表及匹茲堡睡眠品質量表，來進行前、後測的資料收集，統計方式包含百分比、平均值、標準差、成對t檢定、共變數分析、重複量數的變異數分析及皮爾森相關分析。研究成果顯示受試者皆為女性，平均年齡30.64（±4.19）歲，平均工作年資為8.22（±4.38）年，42％（n=21）的護理人員有輕度焦慮，30％（n=15）有中度焦慮情形，且所有受試者皆有睡眠品質不佳（PSQI大於5分）情形，經過介入措施後結果顯示，接受芳香按摩的實驗組焦慮及睡眠品質不佳改善情形較對照組有顯著差異。故結論發現芳香按摩能有效改善焦慮及睡眠品質不佳的情形。建議可將芳香按摩應用於改善護理人員焦慮及睡眠品質不佳的現況，提升護理人員的生活品質，進而提供病患安全有品質的照護。

關鍵字

芳香按摩；護理人員；焦慮；睡眠品質

並列摘要

Anxiety and the poor sleep quality are common problems among nurses. This study was to investigate the effects of the aromatherapy body massage on the anxiety reduction and the sleep quality improvement among nurses. The experimental longitudinal study was conducted and staff nurses working in medical surgical wards were recruited from one regional teaching hospital in southern Taiwan. Twenty-five subjects, who were randomly assigned to the experimental group received aromatherapy, while twenty-five subjects in the control group only listened to the music. The “Beck Anxiety Inventory” and the “Pittsburgh Sleep Quality Index” were used for the data collection. The collected were analyzed by descriptive ststistic, The paired t-test, ANCOVA, repeat measure ANOVA, and Pearson product- moment correlation. The result showed that these nurses with an average age of 30.64（±4.19）years have 8.22（±4.38）years of working experience. Overall, all the subjects experienced mild（42％） or moderate（30％） anxiety and all reported poor sleep quality. After receiving the aromatherapy body massage, there was a statistical significance（p＜.001）improvement on the anxiety and the sleep quality between the nurses in the experimental group and those in the control group. It is concluded that aromatherapy body massage could relieve the anxiety and improve the sleep quality of nurses. It is recommended that the aromatherapy body massage can be applied to resolve the anxiety and sleeping problems of nurses. It can enhance the quality of life of nurses to deliver high- quality patient care .