中國醫藥大學機構典藏 China Medical University Repository, Taiwan:Item 310903500/821
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    題名: ICU護理人員的自覺工作壓力與健康相關生活品質之探討;The association of self-perceived job strain with health-related quality of life for ICU nurse
    作者: 施佳君;Chia-Chun Shin
    貢獻者: 醫務管理學研究所碩士班
    關鍵詞: ICU護理人員;自覺工作壓力;健康相關生活品質;ICU nurses;WHOQOL-BREF;ERI
    日期: 2007-07-02
    上傳時間: 2009-08-12 16:22:29 (UTC+8)
    摘要: 本研究主要目的是探討ICU護理人員之自覺工作壓力與健康相關生活品質之相關因素，採橫斷式研究設計，研究對象是收集北中南部十二家不同醫院層級之ICU護理人員，有效問卷為447份，回收率為82.36%。研究工具採自填式結構問卷，內容包括：ICU護理人員個人屬性、健康情形、工作狀況、西格瑞斯特（Siegrist）發展的自覺工作壓力量表（ERI）及姚開屏教授轉譯之健康相關生活品質量表(WHOQOL-BREF)，統計軟體以SAS 8.02版進行資料分析。
    研究結果主要發現：
    1. ICU護理人員總體生活品質平均為48.284± 7.145。就生活品質四個範疇而言，得分最高的是社會範疇生活品質為12.642 分，依序感到滿意的是生理、心理範疇的生活品質；而得分最低的是環境範疇的生活品質為11.490 分。
    2. 工作壓力對健康生活品質是具顯著相關影響，以付出回饋狀態及內在付出對總體生活品質之解釋力(Adj 值)，在未考慮其他變項(第二階層)下，即有22.13%的迴歸解釋力(Adj R Square )。
    3. 健康相關生活品質之複迴歸中，於本研究發現，顯著的預測因子包括「低付出低回饋組」、「高付出低回饋」、「內在付出」、「教育程度-碩士以上」、「收入-三萬以上至五萬」、「總體自覺健康狀況」、「生活-很不快樂」、「生活-不太快樂」、「生活-還算快樂」、「醫院層級-地區醫院」、「綜合兩科或兩科以上ICU」、「受雇狀態-約聘人員」、「職稱-護理師」、「職稱-護士」因子，其中以健康狀況(「總體自覺健康狀況」與「生活快樂程度」)對健康相關生活品質的解釋力最高，運用生活快樂程度與總體自覺健康之預測力比較：「生活-快樂」比「生活-很不快樂」在總體生活品質增加0.55，此結果比「總體自覺健康狀況」在3至15分範圍，每增加一單位，在總體生活品質增加0.289之預測力強。
    本研究結果不僅可提供醫療機構瞭解ICU護理人員之工作壓力狀況及健康相關生活品質的情形與相關性，對於具有工作壓力的ICU護理人員族群之特性，皆可作為護理管理部門改善護理人員工作壓力措施之參考依據，以維護ICU護理人員之健康相關生活品質。

    The purpose of the study was to examine the relationship of self- perceived job strain and the health-related quality of life of nurses working in hospitals’ Intensive Care Units (ICUs).
    The research used a cross-sectional design and subjects consisted of 447 female nurses working in ICU of 12 different hospitals graded from northern, central to southern area of Taiwan. The response rate was 82.36%.
    A self-administered questionnaire was used to collect data. The questionnaire had been passed to the ICU nurses who consented to fill in the questionnaire, which included the socio-demographic characteristics, health status, work status, the Effort-Reward Imbalanced (ERI) scale, and the quality of life scale (WHOQOL-BREF). The data was analyzed by using SAS 8.02 for Windows.
    The main findings of this study were as follows：
    1. The mean score of overall quality of life of ICU nurses was 48.284±7.145 by testing with the Taiwanese WHOQOL-BREF. Within each domain, the highest score (12.642) was found in the social health quality of life, then was the physical domain, the psychological domain quality of life, the environment domain quality of life got the lowest score (11.490).
    2. The association of self- perceived job strain by ERI model with the health-related quality of life by WHOQOL-BREF was statically significant. Two major variables, Effort-Reward status and over commitment, were found to explain 22.13% (Adj R Square) for the quality of life of nurses working in ICUs.
    3. Regression mode, which WHOQOL is considered as the.independent variable has found several significant influence factors. These factors are low effort－low reward, high effort－low reward, overcommitted, education (postgraduate), salary(30000-50000 dollars), self-rated health status, happiness(extremely unhappiness), happiness(unhappiness), happiness (manageable), hospitals grade(local hospitals), serving for more then one department, employment(part-time), job title (professional nurse), and job title (nurse). The most two significant influence factors for health-related quality of life are self- rated health status and happiness. In addition, the capability of prediction for happiness factor (0.55) is higher than that of self-rated health status (0.289).

    The relationship between job strain and quality of life was evident in this research. The results of the study could have some contributions to managers of healthcare institutions, in the way of understanding more about the characteristics of job strain group in ICU nurses, the influencing factors of job strain and quality of life, and enhance the quality of life of ICU nurses.
    顯示於類別:[醫務管理學系暨碩士班] 博碩士論文

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