COVID-19疫情下精神專科醫療人員的心理健康及壓力之相關研究──以東部某精神專科醫院為

A Study of Mental Health and Stress of Psychiatric Healthcare Workers During the COVID-19 Pandemic-an Example of Psychiatric Hospital of Eastern Taiwan

目的：精神科醫療人員長期承受高壓工作，COVID-19疫情更增加防護裝備不適與感染焦慮。本研究探討疫情期間精神醫療人員之心理健康現況與壓力來源，並分析兩者之關聯。評估精神醫療人員於疫情期間之心理健康狀況，並探討其壓力感受之差異情形。方法：採橫斷式問卷調查，有效樣本84份。使用「成人心理健康量表」評估心理健康狀況，以及「照顧傳染病壓力量表」測量照護壓力，進行統計分析。結果：不同職類心理健康狀況無顯著差異（p>0.05），整體46.4％具心理困擾。心理健康狀況不同者在壓力總分上有顯著差異（F=6.019，p=0.016），心理困擾組壓力（M=45.67）顯著高於健康組（M=41.51）。相關分析證實壓力與心理健康呈顯著負相關（r=-0.26，p=0.016）。全體受試者以「擔心親友被傳染」壓力最高，分量表則以「防護裝備不適」最顯著。研究亦發現不同職類在壓力源感受上具多樣性，分別於感染控制、照護負荷與行政限制呈現不同分布。結論：精神醫療人員心理健康與壓力密切相關，建議醫療機構應重視高壓力負荷對心理健康之負面影響，並依據不同專業之工作特性提供差異化支持策略。

Objectives. Psychiatric staff face chronic high pressure, exacerbated during COVID-19 by infection anxiety and equipment discomfort. This study explores their mental health and stressors, examining the association between these factors. To assess mental health and stress levels among psychiatric staff and analyze their correlations.
Methods. A cross-sectional survey (n=84) was conducted. The Adult Mental Health Scale and a contagious disease-related stress scale were used to assess mental health status and care-related stress, respectively.
Results. No significant differences in mental health existed across professions (p> 0.05); 46.4% showed psychological distress. Significant differences in stress scores were found based on mental health status (F=6.019, p=0.016), with the distressed group reporting higher stress (M=45.67) than the healthy group (M=41.51). Correlation analysis confirmed a significant negative relationship between stress and mental health (r=-0.26, p=0.016). While ''fear of infecting family'' was the primary stressor, diverse stress profiles were observed across professions regarding infection control and care burdens.
Conclusion. Mental health is strongly linked to stress. Institutions should prioritize the impact of high stress and provide differentiated support strategies based on role-specific work characteristics.