護理人員對肝移植術後護理工作壓力源之反應及調適

Stressors and Responses and Coping by Nurses Caring for Post Liver Transplant Patients

本研究目的：為瞭解護理人員對肝臟移植術後護理工作的壓力源、反應及對壓力調適方法，並探討其三者間之相關性及與護理人員的基本屬性、移植認知程度之相關性及差異。此研究採方便取樣方式，共有41位護理人員參與本研究。研究結果發現：「病情因素」、「自我期許」為主要的壓力源，年資與「自我期許」、「工作負荷」有差異性。整體壓力反應介於「輕度」至「中度」間，並與壓力源呈顯著正相關；且一般病房之護理人員壓力反應較顯著。「與同事討論」及「尋找解決問題」為護理人員之正向調適方法；而「減少對工作之熱忱」及「考慮更換工作」為其負向調適方法。肝臟移植知識程度的高低對「自我期許」之壓力源有顯著差異。此研究結果可提供臨床護理人員及主管作參考。The purpose of this study was to understand the sources of nurses work stresses, responses, and coping in caring post liver transplant patients. Forty-one female register nurses ( RNs ) were recruited to participate in this study. Patients condition and self expectation were the major stressors. There was significant correlation between working experience and self expectation/work load.The overall level of stress was mild to moderate. The sources of stress with the response showed a significant positive correlation. The stress response of ordinary ward nurses is more pronounced. To discuss and solve the problems with co-workers is regarded as positive adaptive measures, conversely the desire to change jobs and the feeling of over loading work as negative adaptive measures in this study. The knowledge of liver transplantation has a significant impact on self expectation. This study implies that nurse leaders and administrators need to develop strategies to help nurses deal with work stress.