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    题名: 正念減壓對緊急醫療救護人員身心壓力與睡眠品質之影響
    其它题名: The Effects of Mindfulness-Based-Stress-Reduction Intervention on Physical and Mental Stress and Sleep Quality in Emergency Medical Personnel
    作者: 許麗娟
    HSU, LI-CHUAN
    貢獻者: 自然生物科技學系自然療癒碩士班
    陳秋媛
    CHEN, CHIU-YUAN
    关键词: 正念減壓;緊急醫療救護人員;壓力知覺;睡眠品質
    Mindfulness-based stress reduction, MBSR;Emergency Medical Personnel;Perceived Stress;Sleep quality
    日期: 2018
    上传时间: 2018-12-20 14:25:22 (UTC+8)
    摘要: 　　背景及目的：正念減壓(Mindfulness-Based Stress Reduction, MBSR)是一種以正念冥想 (Mindfulness Meditation) 為基礎，並結合瑜伽所發展而成的減壓放鬆治療法，由美國麻州大學醫學院的卡巴金博士 (Dr. Kabat-Zinn) 於 1979 年所創導，近年來應用於減緩臨床患者的疼痛、睡眠障礙、壓力反應等，有良好的成效。研究也證實正念減壓能緩解高壓力族群的身心壓力與焦慮，改善睡眠品質、慢性疲勞並提升專注力。緊急醫療救護人員屬高壓力族群，本研究的目的在於探討正念減壓介入對於緊急醫療救護人員的身心壓力與睡眠品質之影響。材料及方法：本研究採兩組前後測之類實驗研究設計，收案時間為民國106年6月9日至民國106年7月28日，以中部某縣市緊急醫療救護人員為收案研究對象，包括急診醫師、急診室護理師、消防救護技術員等緊急醫療救護人員共40人，採立意取樣分派為實驗組與對照組，每組各20位，實驗組由專業正念老師帶領每週一次，每次2.5小時的正念減壓課程，連續八週。研究工具包括『匹茲堡睡眠品質量表』、『壓力知覺量表』、『工作滿意度量表』及『華人健康問卷』，資料以SPSS18.0 for Windows、Excel 進行分析。使用成對樣本t檢定及單因子共變數分析（one way ANCOVA）檢定以評估介入之成效。結果與結論：八週減壓介入後，實驗組睡眠品質和壓力知覺之前後測達顯著差異(p<0.05)；對照組之睡眠品質和壓力知覺之前後測則無顯著差異(p>0.05)，以共變數分析控制前測分數，實驗組與控制組兩組後測之睡眠品質與壓力知覺差異皆達顯著水準(p<0.01)，顯示實驗組優於對照組。正念減壓能改善緊急醫療救護人員之身心壓力及睡眠品質，本研究結果可作為臨床應用及相關研究之參考。
    　　Background and purpose: Mindfulness-based stress reduction (MBSR) has been proven to be effective in alleviating physical and mental stress, improving sleep quality and chronic fatigue, and enhancing concentration ability in workers under high stress environment. It also has positive impact on reducing burnout, anxiety and mood disorders. Many studies have signified that emergency medical personnel have high stress and low level of satisfaction to sleep and life quality. Therefore, the purpose of this study is to explore the effects of MBSR intervention on the impact of emergency medical personnel about stress and sleep qualityMaterials and methods: This study was designed with pre-test and post-test of two groups of Quasi-Experimental Design. Forty emergency medical technicians, including Emergency Medicals, Emergency Room nurses and Emergency Medical technicians of fire control were recruited in a hospital that in the middle of Taiwan during June 9th to July 28th, 2018. There totally 40 samples, via purposive sampling, each group includes 20 subjects. A 2.5-hour MBSR program was performed for experimental group once a week and lasted for 8 weeks. We also adopted Pittsburgh Sleep Quality Index (PSQI) scale, Chinese14-item Perceived Stress Scale (PSS), Job Satisfaction scale and Chinese Health Questionnaire (CHQ) as research tools. We coded the data and analyzed with SPSS18.0 and Excel for Windows. Paired t-test and analysis of covariance (ANCOVA) were used for data analysis. Results and Conclusion: After 8 weeks MBSR program, experimental group showed a significant improvement in PSQI and PSS (p<0.05) between pre-test and post-test. However, the difference between pre- and post-test of control group were not significant (p>0.05) in both PSQI and PSS. After controlling the pre-test of both groups, the ANCOVA showed that post-tests of experimental group were better than those of control group in both PSQI and PSS (p<0.01). In conclusion, 8 weeks MBSR program can improve the quality of sleep and Stress of life on emergency medical personnel.
    显示于类别:[自然生物科技學系(自然療癒碩士班)] 博碩士論文-自然療癒碩士班

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