新冠疫情下護理師靈性、正念與自我悲憫之相關性研究

A Study of the Relationships among Spirituality, Mindfulness, and Self-Compassion in Nurses during the Coronavirus Epidemic

研究目的：COVID-19疫情衝擊醫療系統，擔任第一線照護工作的護理師身心狀態值得被關注。因此，本研究目的為探討在COVID-19疫情下護理師靈性（靈性健康、宗教信仰、宗教活動）、正念與自我悲憫之相關性。研究方法：採橫斷式相關性研究設計，邀請北部某醫學中心級210名護理師以自填式問卷方式收集資料。研究結果：護理師的自我悲憫屬中等程度，負面經驗過度認同是得分最低的自我悲憫次量表。家庭功能、靈性健康、宗教信念、正念與自我悲憫有關，經回歸分析結果發現，靈性健康與正念為影響護理師自我悲憫得分的重要預測因子。研究結論：靈性健康提供生命的意義性與價值感以及專注於當下的正念，可以提高護理師的自我悲憫。建議未來研究可融合靈性概念與正念，規劃護理師自我悲憫提升方案並驗證其實施成效。

Purpose: The COVID-19 epidemic impacted Taiwan’s medical system. Nurses are front-line care workers so their physical and mental state is of particular importance. The purpose of this study was to explore the relationships between the 3 aspects of spirituality (spiritual health, religious beliefs, and religious activities) and mindfulness and self-compassion in nurses during the COVID-19 pandemic. Methods: We adopted a cross-sectional correlation study design. A total of 210 nurses (mean age 32.3, 94% female) from a medical center in northern Taiwan completed self-administered questionnaires. Results: The nurses’ scored moderately in self-compassion, with the lowest score going to the subscale measuring over-identification with negative experiences. Spiritual health, religious beliefs, mindfulness, and self-compassion were all related significantly. The regression analysis showed that spiritual health and mindfulness were significant predictors of the nurses’ self-compassion. Conclusions: Spiritual health (which provides a sense of meaning and worth in life) and mindfulness (focus on the present moment) corresponded to enhanced self-compassion in nurses during the pandemic. We propose that in the future it would be beneficial to integrate spiritual concepts and mindfulness into the design and assessment of self-compassion enhancement programs for nurses.