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題名：加護單位護理人員對其工作壓力來源之反應及調適
書刊名：長庚護理
作者：胡瑞桃
作者(外文)：Hu, S. T.
出版日期：2000
卷期：11:2=30
頁次：頁20-30
主題關鍵詞：加護單位護理人員；壓力源；壓力反應；壓力調適；Intensive care unit nurses；Work-related stressors；Response to stressors；Coping measures
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(14) 博士論文(2) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:14
  • 共同引用共同引用:20
  • 點閱點閱:66
　　　　　本研究目的在於了解加護病房護理人員的壓力來源、反應及對壓力調適方法，並探討其三者間之相關性及其三者間與加護單位護理人員基本屬性之相關性及差異，此研究是敘述相關性調查法。以北部地區某五所市立醫院內、外科加護病房護理人員為研究對象，共得127份有效問卷，所得資料以電腦SPSS-PC分析。主要研究結果顯示： （1）缺乏正面回饋（精神鼓勵或薪資調整）、輪班及危急狀況為加護單位護理人員主要壓力來源。（2）疲憊、容易心煩及挫折感為加護單位護理人員主要壓力反應。（3）看電視或閱讀書籍、與同事討論問題及尋找問題解決方法為加護單位護理人員主要對壓力之正向調適方法；考慮更換工作、努力工作但對工作喜愛度減少及喝咖啡因（咖啡/茶/飲料）為加護單位護理人員主要對壓力之負向調適方法。（4）壓力大小與壓力反應（r=.64, p<.01）及負向調適方法（r=.40, p<.01）有顯著正相關（5）護理人員壓力大小與護理人員照顧病患比例有顯著正相關（r=.24, p<.05）。（6）護理人員壓力大小與參加有關壓力調適課程之時數（r=-.30, p<.05）、參加死亡和臨終護理課程時數（r=-.38, p<.01）均有顯著負相關。（7）壓力反應與參加壓力處理課程之時數有顯著負相關（r=-.34, p<.05）。（8）不同加護單位別護理人員與壓力反應及負向壓力調適有顯著之差異（p<.05）。此研究結果可提供加護單位護理人員及主管作參考。
　　　　　The purpose of this study was to assess stressors, response to stressors, and coping measures in ICU nurses. A descriptive study was used in the study. The sample consisted of 127 ICU nurses in the northern five municipal hospitals. The SPSS-PC was used to analyze the data. Findings of the study indicated as follows: 1.Lack of reward, shift rotation, and crisis atmosphere were the most perceived stressors in ICU nurses in this study. 2.Fatigue, being easily upset, and frustration were the three most often negative reponse to stressors in ICU nurses. 3. Watching TV/reading, discussing problems with co-workers, and problem solving were the three most frequently used adaptive coping measures. Considering changing jobs, working harder/enjoy less, and caffeine (coffee, tea, and soft drinks) were the most commonly used maladaptive coping measures in this study. 4. The work-related stress was positively related to negative response and maladaptive copying measures. 5. There were statistically significant correlations among staff/patient ratio, hours of stress management, hours of attendance at a death and dying course and work-related stress. 6. The statistically significant negative relationship involved the response to stressors and the number of hours of stress management received. 7. There were statistically significant differences in response to stressors and negative coping measures among different type of ICU nurses.
期刊論文
1.Erlen, J. A.、Sereika, S. M.(1997)。Critical care nurses, ethical decision-making, and stress。Journal of Advanced Nursing，26(5)，953-961。  new window
2.Cronin-Stubbs, D.、Rooks, C. A.(1985)。The Stress, Social Support, and Burnout of Critical Care Nurses: the Results of Research。Heart and Lung，14(1)，31-39。  new window
3.陳明珠(1983)。台中市私立綜合醫院護士對壓力反應之探討。中台醫專學報，2(2)，1-16。  延伸查詢new window
4.陳雪芬(19870600)。某教學醫院護理人員對壓力反應的探討。弘光護專學報，15，41-48。  延伸查詢new window
5.胡慧林(19920600)。臺灣某醫學中心加護單位病患獲社會支持及運用壓力調適策略相關性探討。榮總護理，9(2)，194-206。new window  延伸查詢new window
6.謝淑媛(19901200)。高雄市立醫院護理人員的壓力之探討。護理雜誌，37(4)，45-57。new window  延伸查詢new window
7.Anderson, C. A.、Basteyns, M.(1981)。Stress and the critical care nurse reaffirmed。Journal of Nursing Administration，11(1)，31-34。  new window
8.Bohannan-Reed, K.、Dungan, D.、Huck, B.(1983)。Straying human under stress: Stress reduction and emotional support in the criticalcare setting。Critical Care Nurse，3(3)，26+28+30。  new window
9.Chiriboga, D. A.、Bailey, J.(1986)。Stress and burnout among critical care and medical surgical nurses: A comparative study。Critical Care Quarterly，9(3)，84-92。  new window
10.Clancy, J.、McVicar, A.(1993)。Subjectivity of stress。British Journal of Nursing，2(8)，410-417。  new window
11.Donovan, M. I.(1981)。Stress at work: Cancer nurses report。Oncology Nursing Forum，8(2)，22-25。  new window
12.Ehrenfeld, M.、Bar-Tal, Y.(1995)。Identifying the coping behaviors used by nurses In intensive care。Nursing Standard，9(32)，27-30。  new window
13.Feinstein, D.、Ramatowski, C.、Reagan, L.(1995)。Staff support。Critical Care Nursing of North American，7(3)，535-540。  new window
14.Gribbins, R.(1982)。Stress and coping in the ICU staff nurse: Practical implications for change。Critical Care Medicine，10(12)，865-867。  new window
15.Harris, H.(1984)。Stressors and stress in critical care。Critical Care Nurse，4(1)，84-97。  new window
16.Heuer, L.、Bengiamin, M.、Downey, V. W.、Imler, N. J.(1996)。Neonatal intensive care nurse stressors: An American study。British Journal of Nursing，5(18)，1126-1130。  new window
17.Lewis, D. J.、Robinson, J. A.(1986)。Assessment of coping strategies of ICU nursing in response to stress。Critical Care Nurse，6(6)，38-43。  new window
18.Lewis, D. J.、Robinson, J. A.(1992)。ICU nurses, coping measures: Response to workrelated stressors。Critical Care Nurse，12(2)，18-22。  new window
19.Lewis, D. L.、McLin, P. A.(1990)。Stress management: A program designed to facilitate coping。The Journal of Continuing Education in Nursing，21(5)，212-215。  new window
20.Oskins, S. L.(1979)。Identification of situational stressors and coping method by intensive care nurses。Heart & Lung，8(5)，953-960。  new window
21.McAbee, R.(1994)。Job stress and coping strategies among nurses: Results of a self report survey。Official Journal of the American Association of Occupational Health Nurses (AAOHN)，42(10)，483-487。  new window
22.Lindsey, A. M.、Dodd, M. J.、Chen, S. G.(1985)。Social support network of Taiwanese cancer patients。International Journal of Nursing Studies，22(2)，149-164。  new window
23.Lewis, S. L.、Bonner, P. R.、Campbell, M. A.、Cooper, C. C.、Willard, A.(1993)。Personality, stress, coping, and sense of coherence among nephrology nurses in dialysis setting。American Nephrology Nurses' Association，21(6)，325-335。  new window
24.Robinson, J. A.、Lewis, D. J.(1990)。Coping with ICU work-related stressors: A study。Critical Care Nurse，10(5)，80-88。  new window
25.Smith, S. M.(1993)。Applying research to practice on a nursing unit。Pediatric Nursing，19(5)，511-514。  new window
26.李選(19920600)。某綜合醫院新進護理人員專業規劃與諮商對改善工作壓力與離職率成效之探討。護理雜誌，39(2)，115-126。new window  延伸查詢new window
27.江佩蓉、吳瓊惠、畢蕙玲、吳淑惠、黃瑞美、邱豔芬(19870800)。加護中心護理人員的壓力調適。榮總護理，4(3)，292-299。new window  延伸查詢new window
28.李選(19900900)。主見訓練對改善某醫學中心臨床護理人員於壓力感、疲潰度與主見度上之成效。護理雜誌，37(3)，61-75。new window  延伸查詢new window
會議論文
1.吳振龍、鄧文蕙、嚴毋遇、施嘉惠、吳文豪(1993)。提昇臺北市立醫院加護單位護理人力素質計畫。衛生計畫研習會。台北。  延伸查詢new window
圖書
1.Everiy, G. S. M.、Sobelman, S. A.(1987)。Assessment of the human stress response。New York：Ams Press。  new window
2.McCance, K. L.、Huether, S. E.(1990)。Pathophysiology: The biologic basis for disease in adults and children。St. Louis：Mosby。  new window
3.Reinberg, A.、Vieux, N.、Andlauer, P.(1981)。Night and shift work: A mutidisciplinary approach。London：Pergamon。  new window
4.Selye, H.(1979)。Cancer, stress, and death。New York：Plenum Medical Book Company。  new window
5.Selye, H.(1974)。Stress without distress。Philadephia, PA：J.B. Lippincott。  new window
6.Selye, Hans(1956)。The Stress of Life。McGraw Hill Book Co.。  new window
圖書論文
1.Cassmeyer, V. L.、Long, B. C.、Wykle, M.(1993)。Stressors, stress, and stress management。Medical surgical nursing: Nursing process approach。St. Louis：Mosby。  new window
2.Riley, D. M.、Furedy, J. J.(1985)。Psychological and physiological systems: Modes of operation and interaction。Stress: Psychological and physiological interactions。Washington：Hemisphere Publishing Corporation。  new window
 
 
 
 
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