女性睡眠障礙臨床護理人員之工作壓力、焦慮探討

Work Stress and Anxiety Among Clinical Female Nurses With Sleep Disturbance

為提供更佳臨床照護品質，臨床護理人員睡眠品質和工作壓力、焦慮感受值得關注。本研究目的探討睡眠障礙護理人員面臨工作諸多因素形成壓力源、內在焦慮感受與其睡眠狀態。本調查研究方法採立意取樣對新北市某區域教學醫院共85 位年資在三個月以上、具睡眠障礙女性臨床護理人員，以結構式問卷包含睡眠狀態、個人屬性、工作壓力及焦慮狀態進行調查。研究結果發現，睡眠障礙護理人員平均31.1 歲，工作年資12.4 年。平均花23.6 分鐘躺床至入眠，平均躺床7.5小時，而實際睡眠時數為5.9 小時，睡眠效率為81.8%。其中有17.1% 睡眠障礙護理人員屬中度焦慮，有4.1% 屬嚴重焦慮。睡眠障礙護理人員總躺床時數越少或睡眠效率愈高，則工作壓力越大，呈正相關。另睡眠效率越高、年資越高、生活壓力越大、健康狀況越差或工作壓力越高則焦慮情況越嚴重。經複迴歸分析發現工作壓力為焦慮的影響因子，其可解釋之變異量15.6%，研究結果可提供未來研究之參考。

Examining the effect of clinical nurses’ sleep characteristics on work stress and anxiety can enhance medical care. This study explored the relationships among work stress, anxiety, and sleep characteristics among nurses with sleep disturbance. A purposive sampling design was applied in this survey research. A total of 85 female nurses with sleep disturbance who worked in regional teaching hospitals in New Taipei City for more than 3 months and scored more than 5 points on the Pittsburgh Sleep Quality Index were recruited for this study. Data were collected using structured questionnaires, which measured sleep status, sleep characteristics, work stress, and anxiety. The results of this research showed that participants suffering from sleep disturbance were on average 31.1 years old and had worked for an average of 12.4 years. On average, their time in bed (TIB), total sleep time, and sleep efficiency (SE) were 7.5 hours, 5.9 hours, and 81.8%, respectively. Moreover, 17.1% of nurses had moderate anxiety, whereas 4.1% suffered from severe anxiety. Higher work stress among the nurses with sleep disturbance was signifi cantly associated with less TIB and higher SE; this was a positive correlation. Moreover, anxiety was signifi cantly associated with higher SE, more years of work experience, higher life pressure, lower health status, and higher work stress. Work stress was the anxiety-related factor that could explain the variation of 15.6%, based on regression analysis. The results provide a reference for future research.