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題名:醫療人員在新型冠狀病毒疫情下疲勞情形及工作壓力
書刊名:醫務管理期刊
作者:吳佳敏馮碩文鄭博文鄒順生
作者(外文):Wu, Jia-minFeng, Shuo-wenCheng, Bor-wenTsou, Shung-sheng
出版日期:2023
卷期:24:2
頁次:頁158-184
主題關鍵詞:新型冠狀病毒醫療人員職場疲勞工作壓力深度訪談COVID-19Healthcare workersBurnoutStressIn-depth interviews
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目的:新型冠狀病毒疫情蔓延全球,醫療人員在照護上承受身心壓力,故本研究期
望了解醫療人員在疫情期間的疲勞狀態、情緒困擾與工作壓力。
方法:於中部某區域教學醫院進行橫斷式問卷調查以及質性訪談,問卷資料收集的
研究變項包括人口學變項、職場疲勞量表、以及簡式健康量表,樣本採便利取樣方
法。質性資料收集採深度訪談,以立意抽樣樣本,收集壓力源、因應方式,及針對
疫情應變之建議。
結果:有效問卷 192 份,女性 161 位(占 83.9%),41-50 歲 87 位(占 45.3%),
於 2 0 2 1 年 臺 灣 本 土 疫 情 緩 和 期 , 醫 療 人 員 在 工 作 過 度 投 入 已 達 中 度 疲 勞
(52.7±13.7 分),及輕度情緒困擾(7.5±3.9 分),工作過度投入以 31 至 60 歲
最明顯,每週工作時數超過 56 小時以上者投入程度最高;多變項線性迴歸模式中
發現,每週工作時數亦影響工作過度投入狀況,子女數、睡眠時數對工作疲勞、服
務對象疲勞、情緒困擾皆有影響。質性訪談則於疫情緩和期(2021/4/28-4/29)、
全國疫情第三級警戒期(2021/5/27-6/10),各進行一次深度訪談,受訪者 10 位,
共訪談 20 人次,發現隨著疫情升溫,工作壓力亦明顯增加。
結論:彙整研究結果後,發現個案醫院在全國疫情第三級警戒期,需要適時介入以
降低疲勞及壓力管理,故進行結構面與過程面的滾動式因應,提供安全安心的工作
環境與支持,減緩醫療人員面對疫情的憂心。
Objectives: As the COVID-19 pandemic spreads worldwide, healthcare workers were exposed to
unknown carriers, leading to work under physical and mental stress. Therefore, this study aimed to
investigate the burnout, emotional burnout, and stress of healthcare workers during the pandemic.
Methods: This study aimed to collect surveys and in-depth interviews. A cross-sectional study
was conducted in a teaching hospital in central Taiwan. Demographic variables, an occupational
burnout inventory, and 5-item brief symptom rating scale were included in the questionnaire. The
in-depth interview was conducted to collect qualitative data. Qualitative data analysis was to assure
healthcare workers’ stressors and form suggestions for responding to the pandemic.
Results: There were 192 questionnaires collected and included in data analysis, including 161 fe-
males (83.9%) and 87 of all participants (45.3%) aged 41 to 50. During the remission period of the
pandemic in 2021, the study subjects had moderate burnout (52.7 ± 13.7) and mild emotional burn-
out (7.5 ± 3.9). Participants aged 31 to 60 reported higher levels of over-commitment to work and
work engagement, especially those who worked more than 56 hours a week. In the multiple linear
regression model, it was reported that the number of hours worked per week also impacted work
engagement, while the number of children and sleep duration had impacted work-related burnout,
client-related burnout, and emotional distress. We conducted in-depth interviews with 10 partici-
pants during the remission period (2021/4/28-4/29) and the nationwide Level 3 pandemic alert pe-
riod (2021/5/27-6/10) and found that as the severity of the pandemic arose, staff’s work stress also
increased.
Conclusions: After the research results were summarized, we conducted a rolling strategy in
terms of structure and process to provide a safe and secure working environment and mental sup-
port, which is beneficial for healthcare workers to overcome the worries of the pandemic.
 
 
 
 
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