| 摘要: | 背景/目的: 護理人員睡眠品質欠佳及痛經議題長期以來備受關注，但是否因而使用芳香精油及療法的研究則不多。所以，本研究目的為分析影響女性護理人員睡眠品質、痛經與使用芳香精油及療法之因子。 研究設計：橫斷式問卷調查。 研究對象及方法：以台灣南部某區域教學醫院女性護理人員為對象，調查社會人口學基本資料、生活型態、健康狀況、睡眠品質、月經相關問題以及其對芳香精油及療法之知識、態度及使用情形等。以描述性統計、費雪精確分析、單變項及多變項羅吉斯迴歸等進行資料分析。 結果：本研究於民國 105 年 1 至 2 月期間，共發出 500 份問卷（有效完成率為 92 %）。受訪者平均年齡 31.2 歲、身高 159.1 公分、體重 56.9公斤、身體質量指數 22.4、教育程度以大學為主（66.8 %）、未婚（68.0 %）、無子女（73.0 %）者多。工作單位以內科病房為主（32.2 %）、超過一半需輪班（55.8 %）、三分之一以上年資超過 10 年。自覺健康情形普通者有 60 %、曾被診斷或自覺有至少一種慢性病者占 43.9 %。睡眠品質欠佳者占 70.8 %，年齡較高及罹患慢性疾病者睡眠品質較差，而自覺健康較好者，睡眠品質則較佳。在痛經方面，學歷高及罹患慢性疾病者，較易有痛經。而痛經者睡眠品質不佳者亦顯著較多。另外，教育程度高者，對瞭解芳香精油及療法較正向，而身體質量指數過輕者較負向。值得注意的是，曾經瞭解芳香精油及療法者，獲得知識及態度的總分較高，而睡眠品質及痛經與獲得芳香精油及療法的知識及態度則沒有正相關。 結論：本研究結果可作為醫療單位重視女性護理人員睡眠品質及痛經問題之依據，也建議相關單位提供女性護理人員認識芳香療法之在職教育。建議女性護理人員多瞭解芳香精油及療法以作為舒緩工作壓力，適時給予使用的患者正確的建議。
Background and Purpose: The sleep quality of nurses and dysmenorrhea has long been topics of concern. However, research regarding whether these issues have led to the use of essential oils and aromatherapy is scarce. Therefore, the aim of the present study was to investigate the factors associated with sleep quality, dysmenorrhea, and the utilization of essential oils and aromatherapy among female nurses in Taiwan. Study design: A cross-sectional survey. Materials and Methods: Female nurses were recruited from a regional teaching hospital in southern Taiwan during January and February, 2016. Information on demography, lifestyle, perceived general health status, sleep quality, menstruation, and the knowledge, attitude, and use of essential oils and aromatherapy were collected. Descriptive statistics, Fisher’s exact test, univariate and multiple logistic regression analyses were used to analyze the data. Results: A total of 500 questionnaires were distributed with a response rate of 92%. The mean age of the respondents was 31.2 years. The educational level of the respondents was mainly university level (66.8%), 68% of them were unmarried, and 73% had no children. Their work units were primarily the internal medicine ward. Over half of them (55.8%) were on shift work schedule and 60% indicated that their perceived health status was average. In addition, 43.9 % reported that they had been diagnosed or perceived to have at least one chronic disease. Of all the respondents, 70.8% indicated that they had poor sleep quality. Older age and the suffering from a chronic disease were associated with poor sleep quality. On the other hand, a good perceived health was associated with good sleep quality. Regarding the findings of dysmenorrhea, a higher educational level and those suffering from a chronic disease were more prone to dysmenorrhea. Those who with dysmenorrhea were significantly more likely to have poor sleep quality. In addition, respondents with a higher education level had a more positive attitude of essential oils and aromatherapy, whereas those with an underweight body mass index showed a more negative attitude toward essential oils and aromatherapy. It should also be noted that those who sought to understand essential oils and aromatherapy, their scores in knowledge and attitudes were higher. However, there were no associations between the scores in knowledge and attitude and sleep quality or dysmenorrhea. Conclusion: The findings from this study could be used to inform medical institutions the importance of sleep quality and dysmenorrhea among the nursing staff. Courses on essential oils and aromatherapy should be provided by hospitals to encourage their proper use as a tool for relieving work-related stress. |
