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題名：影響護理之家照護人員工作疲勞與健康之相關因素分析
書刊名：臺灣老人保健學刊
作者：鄭安雯／林藍萍 引用關係／許佩蓉／徐尚為 引用關係／羅慶徽／林金定 引用關係
作者(外文)：Cheng, An-wen／Lin, Lan-ping／Hsu, Pei-jumg／Hsu, Shang-wei／Loh, Ching-hui／Lin, Jin-ding
出版日期：2012
卷期：8:1
頁次：頁72-91
主題關鍵詞：護理之家；老人；失能；工作疲勞；健康相關因素；Nursing home；Working burnout；Perceptive health status
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:50
  • 點閱點閱:89
長照機構是為老人失能照護機構重要的資源，其中又以「護理之家」以收容需技術性護理之老人及中、重度以上失能者為主。照護人員更是直接影響機構的服務品質，對提升護理之家個案的照護與健康是相當重要的，唯有妥善處理其因工作疲勞所引起的問題，才能落實且提高病患照護品質之目的。本研究主要目的乃在探討護理之家員工職場疲勞與自覺健康狀況之分佈與相關因素。本研究以自擬結構式問卷為主要工具，工作疲勞應用「哥本哈根疲勞量表」與「付出－回饋失衡模型」所發展之職場疲勞量表，內容包括「個人疲勞」、「工作疲勞」、「服務對象疲勞」與「工作過度投入」四個面向，自覺健康狀況使用「Short Form-36量表」以探討員工生理及心理健康。調查對象為全台99床（含）以下護理之家的員工，共計發放問卷680份，回收494份，回收率73%。本研究運用複迴歸模型，控制個人、機構特性及疲勞變項後，在「生理面向」中，50歲以上族群得分顯著低於30歲以下者（β=-4.7, p＜0.01），每週工時41-48小時者得分顯著低於每週工時40小時以下者（β=-1.8, p＜0.05），個人疲勞愈高者得分顯著較低（β=-0.2, p＜0.001）；在「心理面向」中，學歷較高員工得分顯著高於學歷較低員工，已婚者得分顯著高於未婚者（β=1.8, p＜0.01），個人疲勞及工作疲勞愈高者得分顯著較低。本研究指出職場疲勞與自覺健康狀況的相關因素，可作為護理之家健康介入政策之參考。
Background: Nursing home is the part of an institution of disabled elderly care. In Taiwan, most residents are those who need technical care and moderate to severe disabled. The staffs play an important role on elevating the residents health and care quality. The only way to elevate the care quality is to treat well of the burden of staff in nursing home. Objectives: This study was designed to investigate the distribution and correlates of staff' burnout and perceptive health status. Methods: We used a structured questionnaire as the study tool. Working burnout status was using from the Chinese version of Copenhagen Burnout Inventory (CBI) and Siegrist's Effort-Reward Imbalance Questionnaire, which includes 4 subscales (personal burnout, work-related burnout, client-related burnout, and over-commitment to work). Perceived health status was using from the ”Short Form-36 scale” to explore the physical and mental health of staff. Staffs in nursing homes with or below 99 beds in Taiwan were the targets of this study. The total number of mail questionnaire was 680, and 494 completed the survey (completion rate of 73%). Results: We used multiple regression analyses by controlling for demographic, facilities, and burnout variables. In the ”Physical Component”, the score of the staff aged over 50 significantly is lower than that of aged lower 30 (β =- 4.7, p ＜0.01), the score of the staff who work 41-48 hours a week is significantly lower than that of working less than 40 hours (β =- 1.8, p ＜0.05), the score of staff with higher personal burnout is significantly lower (β =- 0.2, p ＜0.001). In the ”Mental Component”, the scores of the staff with better educated is significantly higher than that of less educated, the scores of the staff who married is significantly higher than that of unmarried (β = 1.8, p ＜0.01), the score of staff with higher personal burnout and work-related burnout is significantly lower. Conclusion: This study identified the correlates of staff’ burnout and perceptive health status and can be used as reference for health promotion strategies in nursing home.
期刊論文
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3.Tokuda, Y.、Hayano, K.、Ozaki, M.、Bito, S.、Yanai, H.、Koizumi, S.(2009)。The interrelationships between working conditions, job satisfaction, burnout and mental health among hospital physicians in Japan: a path analysis。Industrial Health，47(2)，166-172。  new window
4.Ahola, K.、Honkonen, T.、Isometsa, E.、Kalimo, R.、Nykyri, E.、Aromaa, A.、Lonnqvist, J.(2005)。The relationship between job-related burnout and depressive disorders--results from the Finnish Health 2000 Study。Journal of Affective Disorders，88(1)，55-62。  new window
5.Nirel, N.、Shirom, A.、Ismail, S.(2004)。The relationship between job overload, burnout and job satisfaction, and the number of jobs of Israeli consultants。Harefuah，143(11)，779-784。  new window
6.Van Horn, J. E.、Schaufeli, W. B.、Greenglass, E. R.、Burke, R. J.(1997)。A Canadian-Dutch comparison of teachers' burnout。Psychological Reports，81(2)，371-382。  new window
7.Nakanishi, N.、Yoshida, H.、Nagano, K.、Kawashimo, H.、Nakamura, K.、Tatara, K.(2001)。Long working hours and risk for hypertension in Japanese male white collar workers。J Epidemiol Community Health，55，316-322。  new window
8.Hayashi, T.、Kobayashi, Y.、Yamaoka, K.、Yano, Eiji(1996)。Effect of overtime work on 24-hour ambulatory blood pressure。J Occup Environ Med，38(10)，1007-1011。  new window
9.Liu, Y.、Tanaka, H.(2002)。Overtime work, insufficient sleep, and risk of non-fatal acute myocardial infarction in Japanese men。Occupational and Environmental Medicine，59，447-451。  new window
10.Rogers, Ann E.、Hwang, Wei-Ting、Scott, Linda D.、Aiken, Linda H.、Dinges, David F.(2004)。The working hours of hospital staff nurses and patient safety。Health Affairs，23(4)，202-212。  new window
11.陳晶瑩(20030500)。老年人之長期照護。臺灣醫學，7(3)，404-413。  延伸查詢new window
12.許志成、羅勻佐、徐瑱淳、許雅婷、羅慶徽(20070600)。臺灣老人人口分佈與自覺健康之地區性差異。臺灣家庭醫學雜誌，17(2)，59-72。  延伸查詢new window
13.McHorney, C. A.、Ware, J. E.、Raczek, A. E.(1993)。The MOS 36-Item Short-Form Health Survey (SF-36); II, Psychometric and clinical tests of validity in measuring physical and mental health constructs。Medical Care，31(3)，247-263。  new window
14.石曜堂、洪永泰、張新儀、劉仁沛、林惠生、張明正、張鳳琴、熊昭、吳聖良(20031200)。「國民健康訪問調查」之調查設計、內容、執行方式與樣本人口特性。臺灣公共衛生雜誌，22(6)，419-430。new window  延伸查詢new window
15.何慧菁、張淑惠、曹瑞雲、張梅芳、陳永煌、楊燦(20101000)。醫院員工工作壓力與身心健康之相關研究。中華職業醫學雜誌，17(4)，239-252。  延伸查詢new window
16.Lee, R. T.、Ashforth, B. E.(1996)。A Meta-analytic Examination of Correlates of the Three Dimension of Job Burnout。Journal of Applied Psychology，81(2)，123-133。  new window
17.陸洛、李惠美、謝天渝(20050900)。牙醫師職業壓力與身心健康及職業倦怠之關係：以高雄市牙醫師為例。應用心理研究，27，59-80。new window  延伸查詢new window
18.Kuo, H. T.、Yin, T. J.、Li, I. C.(2008)。Relationship between organizational empowerment and job satisfaction perceived by nursing assistants at long-term care facilities。Journal of Clinical Nursing，17(22)，3059-3066。  new window
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20.Bishop, C. E.、Squillace, M. R.、Meagher, J.、Anderson, W. L.、Wiener, J. M.(2009)。Nursing home work practices and nursing assistants’ job satisfaction。Gerontologist，49(5)，611-622。  new window
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研究報告
1.陳秋蓉、鄭雅文、胡佩怡(2005)。國內勞工工作相關過勞與心理社會因子之認知調查 (計畫編號：IOSH92-M101)。臺北。  延伸查詢new window
2.吳淑瓊、呂寶靜、盧瑞芬、國立臺灣大學公共衛生學研究所［執行］(1998)。配合我國社會福利制度之長期照護政策研究。  延伸查詢new window
學位論文
1.韋家茜(2008)。職業客運駕駛工作壓力與疲勞之相關探討(碩士論文)。國防醫學院。  延伸查詢new window
2.楊昭清(2008)。審計人員過勞之研究(碩士論文)。雲林科技大學。  延伸查詢new window
3.林青慧(2003)。臺灣簡短36(SF-36)健康量表工具信效度及常模之建立(碩士論文)。中國醫藥學院。  延伸查詢new window
4.賀萍蘭(2005)。護理之家外籍照顧服務員之工作壓力、因應方式與其身心健康之探討。國立台北護理學院，台北市。  延伸查詢new window
其他
1.行政院經建會(2006)。中華民國2012 年至2060 年人口推計。  延伸查詢new window
2.行政院衛生署(2006)。我國長期照護十年計畫核定本。  延伸查詢new window
 
 
 
 
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