呼吸照護學系學生重症實習不同階段壓力改變與睡眠品質分析－－以南部某科技大學為例

Changes of the Stress and Sleep Quality in Critical Care Unit Clinical Practice among Respiratory Care Students-Taking a Technological University of Southern Taiwan as an Example

呼吸照護學系學生重症實習時需對病人提供專業臨床處置，因此學生面對實習常感受高度壓力。本研究目的為探討呼吸照護系學生於重症單位實習過程中，壓力源與睡眠品質現況及其改變。方法：研究方法以縱貫性研究設計，於2014年以方便取樣方式選取南部某科技大學呼吸照護系（呼照系）學生為研究對象，並以結構式問卷進行基本資料、實習壓力及睡眠品質資料調查。本研究共收集58位學生資料，以重複測量變異數及皮爾森積差相關進行資料分析。結果：整體實習壓力顯示，實習前壓力感受(2.26)顯著高於實習期間(1.79)與實習結束後(1.88)。呼照系學生於重症單位不同實習階段壓力源不同，實習前認為「作業及工作量之壓力」為最重要的壓力來源，實習期間及實習結束後則認為「專業知識與技能之壓力」為最重要的壓力來源。實習不同階段睡眠品質不良比率分別為62.1 %（實習前）、60.3 % （實習期間）與56.9 % （實習結束後）。實習期間及完成實習後，學生實習壓力感受與睡眠品質有顯著相關。結論：不同實習階段呼吸照護學系學生實習壓力感受及睡眠品質有所差異。

Respiratory care students provided professional treatment for patients in critical care unit clinical practice, and students always felt stressful. This study aimed to explore the changes of the stress and sleep quality in critical care unit clinical practice among college respiratory care students. Methods: A longitudinal study of a convenient sample of 58 participants was conducted in 2014. A structured questionnaire was used to collect data on the practicum-related stress and sleep quality. Repeated measures ANOVA, Pearson product moment correlation and LSD post-comparison were used to analyze the data. Results: Results showed that average score of practicum-related stress among participants before clinical practice (2.26) was significantly higher than during (1.79) and after clinical practice (1.88). There was different major practicum-related stressor in three phases: before, during, and after clinical practice. Homework/workload was the major practicum-related stressor before clinical practice. However, insufficient professional knowledge and skills was the major practicum-related stressor both during and after clinical practice. The poor sleep quality was 62.1% (before clinical practice), 60.3% (during clinical practice) and 56.9% (after clinical practice). Practicum-related stress significantly correlated with sleep quality during and after clinical practicum. Conclusions:There was different level of practicum-related stress, stressor and sleep quality in different phases of clinical practice.