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題名:Job Strain and Health-related Quality of Life of Hospital Employees: Case of a Medical Center in Tai-Chung
書刊名:臺灣公共衛生雜誌
作者:林雅雯張雅雯蔡佳珍
作者(外文):Lin, Yea-wenChang, Ya-wenTsai, Chia-chen
出版日期:2004
卷期:23:2
頁次:頁108-120
主題關鍵詞:工作壓力健康相關生活品質醫院員工Job stressHealth-related quality of lifeHospital employee
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:8
  • 點閱點閱:45
     目標:本研究目的旨在探討某醫學中心員工之工作壓力與健康相關生活品質。方法:採橫斷式調查研究並利用自填式問卷調查法蒐集相關資料,以中文版工作特質量表及臺灣版世界衛生組織生活品質問卷分別測量工作壓力與健康相關生活品質。研究母群為臺中某醫學中心之員工,採分層抽樣方法選取樣本500人進行問卷施測。結果:有關工作壓力部分,將近10%的員工屬於高壓力族群。而整體健康相關生活品質量表之得分為51.56,各分量表之得分為以生理健康範疇最高,環境範疇最低。將工作壓力與健康相關生活品質進行相關分析,結果顯示各分量表間大多數有顯著相關,且發現高壓力群之心理層面生活品質較低壓力群為差。再分析健康相關生活品質之預測因子,發現工作控制度、社會支持度、工作年資,以及職務之虛擬變項中護理人員與醫師等變項的影響達顯著水準,可以解釋48.2%的變異量。結論:衛生主管機關及醫務管理者應重視醫院員工之壓力問題,並提出有效的壓力管理策略,以預防壓力對醫院員工身心健康的傷害,並增進其身心健康與福祉。
     Objectives: The purpose of this study was to explore job strain and health related quality of life (HRQOL) for hospital employees in a medical center. Methods: A cross-sectional survey by self-administered questionnaires using the Chinese Version of the Job Content Questionnaire (C-JCQ) and the World Health Organization Quality of Life (WHOQOL) Taiwan version to measure job strain and HRQOL, respectively. Using stratified random sampling procedure, the survey data was collected from 500 employees working in a medical center located in Tai-Chung. Results: Slightly less than 10% of the employees in the sample had high-strain jobs. The overall score of HRQOL was 51.56, among four subscales, these employees scored highest on the physical health subscale and lowest on the environment subscale. The C-JCQ subscales and WHOQOL subscales were found to have a significantly highly correlation, and the high strain group was as likely to report a lack of quality of life on the psychological scale than the low strain group. In examining the predictors of HRQOL, it was found seniority, job control, work-related social support, physician dummy variable, and nurse dummy variable explained 48.2% of the variance in HRQOL. Conclusions: the findings in this study can help management executives and cabinet policy-makers to pinpoint the problem of job strain. They should build effective stress management strategies to avoid the stress hazards affect on the mental and physical health of employees, and to thereby improve employees' health and well-being.
期刊論文
1.林茂榮、姚開屏、黃景祥、王榮德(19990800)。臺灣版世界衛生組織生活品質問卷量尺語詞的選擇。中華公共衛生雜誌,18(4),262-270。new window  延伸查詢new window
2.Theorell, T.、Kaeasek, R. A.(1996)。Current Issues Relating to Psychosocial Job Strain and Cardiovascular Disease Research。Journal of Occupational Health Psychology,1,9-26。  new window
3.Calnan, M.、Wainwright, D.、Almond, S.(2000)。Job Strain, Effort-Reward Imbalance and Mental Distress: A Study of Occupations in General Medical Practice。Work Stress,14,297-311。  new window
4.Karasek, R. A.、Theorell, T.、Schwartz, J. E.、Schnall, P. L.、Pieper, C. F.、Michela, J. L.(1988)。Job Characteristics in Relation to the Prevalence of Myocardial Infarction in the US Health Examination Survey (HES) and the Health and Nutrition Examination Survey (HANES)。American Journal of Public Health,78(8),910-918。  new window
5.Lu, L.(1999)。Work motivation, job stress and employees' well-being。Journal of Applied Management Studies,8(1),61-73。  new window
6.Cheng, Yawen、Luh, Wei-ming、Guo, Yue-liang(2003)。Reliability and validity of the Chinese version of the job content questionnaire (C-JCQ) in Taiwanese workers。International Journal of Behavioral Medicine,10(1),15-30。  new window
7.Karasek, Robert A. Jr.(1979)。Job demands, job decision latitude, and mental strain: Implications for job redesign。Administrative Science Quarterly,24(2),285-308。  new window
8.Karasek, Robert、Brisson, Chantal、Kawakami, N.、Houtman, I.、Bongers, P.、Amick, B.(1998)。The Job Content Questionnaire (JCQ): an instrument for internationally comparative assessments of psychosocial job characteristics。Journal of Occupational Health Psychology,3(4),322-355。  new window
9.Hurrell, J. J., Jr.、Nelson, D. L.、Simmons, B. L.(1998)。Measuring Job Stressors and Strains: Where We Have Been, Where We Are, and Where We Need to Go。Journal of Occupational Health Psychology,3,368-389。  new window
10.Sargent, L. D.、Terry, D. J.(2000)。The Moderating Role of Social Support in Karasek's Job Strain Model。Work Stress,14,245-261。  new window
11.O'Connor, D. B.、O'Connor, R. C.、White, B.、Bundred, P. E.(2000)。The Effect of Job Strain on British General Practitioners' Mental Health。J MentalHealth,9,637-645。  new window
12.Schnall, P. L.、Peiper, C.、Schwartz, J. E.(1990)。The Relationship between 'Job Strain,' Workplace Diastolic Blood Pressure, and Left Ventricular Mass Index. Results of a Case-Control Study。JAMA: The Journal of the American Medical Association,263,1929-1935。  new window
13.Albright, C. L.、Winkleby, M. A.、Ragland, D. R.(1992)。Job Strain and Prevalence of Hypertension in a Biracial Population or Urban Bus Drivers。American Journal of Public Health,82,984-989。  new window
14.Lerner, D. J.、Levine, S.、Malspeis, S.、D'Agostino, R. B.、Lerner, D.、D'Agostino, R.(1994)。Job Strain and Health-Related Quality of Life in a National Sample。American Journal of Public Health,84,1580-1585。  new window
15.Sousa, K. H.、Holzemer, W. L.、Henry, S. B.、Slaughter, R.(1999)。Dimensions of Health-Related Quality of Life in Person Living with HIV Disease。J Adv Nurs,29,178-187。  new window
16.McHorney, C. A.(1999)。Health Status Assessment Methods for Adults: Past Accomplishments and Future Challenges。Annual Rev Public Health,20,309-335。  new window
17.Callaghan, P.(1998)。Social Support and Local of Control as Correlates of UK Nurses' Health-Related Behaviors。J Adv Nurs,28,1127-1133。  new window
會議論文
1.Cahill, J.、Landsbergis, P. A.、Schnall, P. L.(1995)。Reducing Occupational Stress: An Introductory Guide for Managers, Supervisors and Union Members。Washington, DC。  new window
圖書
1.United States Department of Health and Human Services(2000)。Healthy People 2010: Understanding and Improving Health。Washington, DC:US Government Printing Office。  new window
2.Centers for Disease Control and Prevention(2000)。Measuring healthy days: Population assessment of health-related quality of life。Atlanta, GA:Centers for Disease Control and Prevention。  new window
3.Karasek, R. A.、Theorell, T.(1990)。Healthy Work: Stress, Productivity and the Reconstruction of Working Life。New York, NY:Basic Books。  new window
4.World Health Organization(1996)。WHOQOL-BREF: Introduction, administration, scoring and generic version of the assessment-Field trial version。Geneva:World Health Organization。  new window
其他
1.(2002)。Stress: It Is Deadly?,沒有紀錄。  延伸查詢new window
2.Karasek, R. A.,Schwartz, J.,Pieper, C.(1983)。Validation of a Survey Instrument for Job-Related Cardiovascular Illness,沒有紀錄。  new window
3.(2003)。Response Rates, Bias & Validity,沒有紀錄。  延伸查詢new window
4.Burton, J.(2002)。The Leadership Factor: Management Practices can Make Employees Sick,沒有紀錄。  new window
 
 
 
 
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