失眠與工作壓力：深度訪談使用安眠藥物的女性護理人員

郭淑珍; 陳怡君

doi:10.6288/TJPH2010-29-02-05

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P131 - 144

Health & Medical Care > Health Promotion & Hygiene
Health & Medical Care > Social Medicine

DOI： 10.6288/TJPH

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失眠與工作壓力：深度訪談使用安眠藥物的女性護理人員

Insomnia and Work Stress: In-depth Interviews with hypnotic-taking Female Nursing Staff

郭淑珍(Shu-Chen Kuo) ；陳怡君(Yi-Chun Chen)

台灣公共衛生雜誌； 29卷2期 (2010 / 04 / 01) ， P131 - 144

繁體中文 DOI： 10.6288/TJPH2010-29-02-05

失眠；工作壓力；安眠藥物；護理人員； insomnia ； work stress ； hypnotics ； nursing staff

Abstract │ Reference (62) │ Times Cited (12) │ Altmetrics

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Parallel Abstract 〈TOP〉

Objectives: This study explored the social context of work stress in the narratives of hypnotic-taking nurses about their experiences with insomnia. Methods: Introduced by a friend who works as a nurse, the researcher interviewed 25 female nursing staff with insomnia and hypnotic medication, with their consent. Results: Participants cited stress in work as the primary causal agent in their development of insomnia. The major working conditions causing insomnia included exhausting shift work, distressing cognitive labor and neglected emotion labor. Apart from stress at work, 5 participants mentioned stress in domestic care as another factor affecting their sleep. Interviewees took hypnotics irregularly when insomnia disturbed their performance at work. They learned about hypnotic medication through multiple channels and took dosage according to their needs. Conclusions: The shortage of nursing workforce, resulting from cost control and profit orientation in hospital management, was the key stress factor at work for the interviewees. Intensive work made the nursing staff unable to get enough rest and induced sleep disorders. Although the Labor Standards Act is supposed to be applied to nursing staff, most hospitals do not fully comply with it. The government should enforce inspection of labor conditions so that the working conditions of nursing staff can be improved. The sleep behaviors of 5 interviewees were affected by their social roles, gender expectations, and stressful domestic care. This study showed that sleep patterns of nursing staff are shaped by social context and culture. Furthermore, the interviewees took hypnotics to maintain their daily performance at work. Hypnotic medication was not only a consideration based on profession opinion but also a response to the social context.

Reference ( 62 ) 〈TOP〉

吳宗祐、鄭伯壎(2006)。工作投入、調節他人情緒能力與情緒勞動之交互作用對情緒耗竭的預測效果。中華心理學刊，48，69-87。
連結：
洪瑜嬬、林佩蓁、潘純媚、陳秋蓉、何啟功、吳明蒼(2006)。護理人員的輪班工作與睡眠品質、身心健康及家庭功能之間的相關性。勞工安全衛生研究季刊，15，17-30。
連結：
范國棟、陳美霞(2009)。台灣醫院護理人力增長的初步分析。台灣衛誌，28，26-34。
連結：
甯應斌(1999)。威而剛論述的分析－現代用藥與身體管理。台灣社會研究季刊，33，225-252。
連結：
葉婉榆、鄭雅文、陳美如、邱文祥(2008)。職場疲勞狀況與工作過度投入之相關因素：以台北市３６家職場受僱員工為例。台灣衛誌，27，463-477。
連結：

Times Cited ( 12 ) 〈TOP〉

Altmetrics

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