護理人員照顧潛藏傳染性疾病患者所感受的壓力及其相關因素

Stress Level of Nurses of Caring Patients with Concealed Infectious Disease

本研究目的在探討護理人員對照顧潛藏傳染性疾病患者時所感受的壓力程度及其相關因素。以方便性取樣方式，針對台灣南部地區醫院級以上且願意接受訪談之護理人員進行調查。自2005年3月4日至2005年3月20日，以護理人員照顧潛藏傳染性疾病患者所感受的壓力程度問卷、工作相關變項及人口學特質等問卷收集資料。結果發現，護理人員對照顧潛藏傳染性疾病患者感受到高度的壓力，其感受較大壓力之前三項依序為擔心被針頭扎傷、擔心自己被感染、擔心傳染給家人，感受較小壓力之前三項依序為因感染而受到家人的排擠、被感染時無法得到單位主管關懷及支持、因感染而受到鄰居的排擠。護理人員照顧潛藏傳染性疾病所感受的壓力程度與其職級(P=.0331)、科別 (P=.0164)、教育程度 (P=.0110)呈顯著差異。根據研究結果，護理人員在照顧潛藏傳染性疾病病患確實存在著不等程度的壓力，期望本結果能做臨床護理主管對照顧傳染性疾病護理人員制定安全工作政策之參考。

The study was to explore the stress level of nurses of caring patients with concealed infectious disease. Three hundred and twelve nurses participated in the study. Data were collected by a structured questionnaire during the period between March 4 and 25 in 2005. The results indicated that nurses perceived high level stress of caring patients with concealed infectious disease. The 3 most frequently perceived stress items were worry about needle stick, worry about being infected, and worry about contaminating families. The 3 least frequently perceived stress items were not being able to receive appropriate care if being infected and worry about negative attitude of supervisors or neighbors. Perceived stress differed significantly among educational levels, job positions, and departments. The results of this study provided a reference for hospital managerial level in dealing with nurses’ stress of caring the patients with infectious disease.