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    題名: 輪班護理人員工作壓力之研究;The study of work strain on nurses of shift work
    作者: 顏嘉民;Chia-Ming Yen
    貢獻者: 中國醫藥大學:中西醫結合研究所碩士班
    關鍵詞: 輪班;心率變異度;脈診;shift work;heart rate variability;HRV;pulse
    日期: 2009-06-30
    上傳時間: 2009-08-06 11:02:41 (UTC+8)
    摘要: 護理工作是一種輪班的工作,不斷改變工作時間,不僅破壞生物規律,也使得護理人員晝夜節律紊亂。脈診向來是中醫學的重要診斷方法之一,是中醫診斷疾病、預後病情、綜合判斷機體狀態的一種獨特方法。心率變異度(HRV)在很多的研究當中被廣泛的使用。尤其它是一種簡易且非侵入性的方法可以用來觀察自律神經的反應。因此本實驗透過HRV與脈診儀將實驗數據加以量化,確定輪班的護理工作對於護理人員自主神經變化是否可以與脈象的變化上面有相符合的情形與改善的方法。預計有三十三位護理人員接受身體評估以及在第一天已及第五天上班前後,利用心律大師分別進行HRV與脈診的檢測。由本研究結果推斷HRV與年齡有關;與工作單位、壓力來源、大夜班天數、測量時間無相關性。

    Background:
    The nursing is a kind of shift work , the operating time changes unceasingly. That not only destroys the biological rule, but also disturbs the day-night rhythm. Diagnosis by feeling the pulse is a kind of important method for Chinese medicine. It is also a kind of unique method for diagnosis, prognosis, and judgment the condition of the patient. There is very widely use of HRV in a lot of research. In actually, it is a kind of simply, non-invasive tool for the observation of the activity of autonomic nerve. We will quantify the Empirical datum, which was collected from HRV and the instrument that can be diagnosed the differential of pulse. To find out the correlation between the change of autonomic nerve and the pulse in shift nurses. We also can afford the measure improving the working conditions.
    Material and methods:
    33 nurses were enrolled this study. They were separated into 3 groups which depends on the care unit (OR, ICU, WARD) they were belonged. The ANS watch was adopted for measuring HRV and pulse diagnosis at the day-shift, before and after the 1st day of night-shift, before and after the 5th day of night-shift.
    Result:
    There is no significant difference in pulse diagnosis in 3 groups. We find some parameters of HRV were predominately related to age. And the parameters of HRV are independent of work unit, work strains, the duration of night-shift, the time of measuring.
    顯示於類別:[中西醫結合研究所] 博碩士論文

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