在職進修護理人員生活品質與相關因素探討：以某科技大學為例

Quality of Life and Related Factors among Nursing Students Currently Serving in Hospitals: a Study Model in a University

護理人員工作一段時間後，面臨專業知識不敷使用或工作上的窘境而選擇進修，但工作、進修與其他因素間彼此干擾將影響生活品質，本研究指在探討在職進修護理人員的生活品質與相關因素之關係。以某科技大學116位假日班在職進修護理人為為對象（回收率98.3%），採用世界衛生組織台灣簡明版生活品質問卷、簡短壓力知覺量表、健康問卷、因應行為量表為研究工具，生活品質的四大範疇與壓力和健康狀況得分呈明顯的附相關（壓力：生理ｒ=-0.39，p<0.01；心理r=0.49，p<0.01；社會r=-0.37，p<0.01；環境r=-0.38，p<0.01；健康：生理r=-0.51，p<0.01；心理r=-0.54，p<0.01；社會r=-0.36，P<0.01；環境r=-0.45，p<0.01），而進修後護理人員的生活品質有較進修前明顯變差的改變。就因應策略言：問題取向因應行為與生活品質的四大範疇呈顯著正相關（生理r=0.25，p<0.01；心理r=0.20，p<0.01；社會r=0.31，p<0.01；環境r=0.29，p<0.01）、而情緒取項因應行為只與心理層面呈負相關（r=0.19，p<0.01）。最後迴歸分析發現壓力和健康狀況都能預測生活品質好壞（生理p<0.01、心理p<0.01、社會p<0.01、環境p<0.01）。本研究對未來投入在職進修的護理人員之身心準備有所助益，應該盡量在工作、求學與生活間取得協調與互補，運用適當的因應方法，減少負面情緒及過多的體能消耗，保持身心健康才能保有良好的生活品質。

Registered nurses attend continuing education when facing insufficient professional knowledge or awkward working situation after working for a period of time. However, the combination of working, studying and other interactive factors may influence their quality of life. The purpose of the study is to explore quality of life and related factors among nursing students currently serving in hospitals. One-hundred sixteen registered nurses attending the weekend course in a university were recruited. The response rate was 98.3%. Data were collected via an anonymous questionnaire consisting of the Short Form of the World Health Organization Questionnaire on Quality of Life-Taiwan Version (the WHOQOL-BREF Taiwan version), the 10-item Perceived Stress Scale (PSS-10), the 12-item Chinese Health Questionnaire (CHQ-12), the Coping Scale and demographic variables. There were significant negative correlations between PSS-10/CHQ-12 scores and the four domains of the WHOQOL-BREF (P<0.01). Furthermore, the overall quality of life was found significantly lower after attending the course. However, there was a significant positive correlation between the problem-focused coping and physical health, psychological health, social relationship, and environmental domain (p<0.01). Emotion-focused coping was simply negatively related to psychological health. The result of final regression analysis revealed that quality of life can be predicted by stress and health status (p<0.01). This study may help registered nurses who intend to attend the continuing education after working for a period of time in hospitals. Preparation of health status, coordination of working, studying and living, application of appropriate coping strategies are suggested in order to improve quality of life for nursing students with work.