輪班護士體質證候影響因素分析

To analyze the factors of constitutions of shift nurses

目的：分析並探討影響輪班護士體質證候的因素。方法：本研究採問卷調查法，使用結構式問卷收集並分析高雄長庚紀念醫院白班及夜班護士輪班情形與體質證候之關係。結果：夜班與肝氣鬱結或肝火上炎體質證候間具有明顯正相關（P < 0.001, OR = 1.823）&（P < 0.001,OR = 2.021）。肝氣鬱結體質證候與年齡（P = 0.005, OR = 0.731），工作年資（P = 0.008, OR =0.652），白班天數（P = 0.002, OR = 0.588）呈現負相關關係。另外，肝火上炎體質證候與工作年資（P = 0.038, OR = 0.832）和白班天數（P = 0.001, OR = 0.615）則是呈現負相關關係。結論：護士在長期輪值夜班的情況下，容易出現肝火上炎或是肝氣鬱結的體質證候。研究結果提示護理人員工作時間宜三班輪值，不宜長期輪值夜班，以免影響身心健康。Objective: To analyze the factors of the constitusions in shift-worker nurses . Method: It was a questionnaire survey and collected the distribution of constitution in shift-worker nurses at Kaohsiung Chang Gung Memorial Hospital by structured questionnaires. Results: This study revealed that the severity of Liver-qi stagnated syndrome(LQSS) and Liver-fire ascending syndrome (LFAS) in shiftworking nurses had a significantly positive correlation with night-shift working (P < 0.001 , OR = 1.823) & (P < 0.001, OR = 2.021). Besides, LQSS had a significantly negative correlation with dayshift working (P = 0.002, OR = 0.588), age (P = 0.005, OR = 0.731), and working years (P = 0.008, OR = 0.652); The other LFAS had a significantly negative correlation with day-shift working (P = 0.001, OR = 0.615) and working years (P = 0.038, OR = 0.832). Conclusions: Shift-worker nurses appeared to have their constitutional type change and got LFAS and LQSS more easily under long term night-shift working. The working time of nursing staff should be rotating eight-hour-shift work, and it should not be in night shift work for a long time to avoid affecting physical and mental health.