题名

職場疲勞狀況與工作過度投入之相關因素:以台北市36家職場受僱員工為例

并列篇名

Factors Associated with Workers' Burnout and "over-commitment to Work": A Survey among Employees of 36 Companies in Taipei City

DOI

10.6288/TJPH2008-27-06-02

作者

葉婉榆(Wan-Yu Yeh);鄭雅文(Ya-Wen Cheng);陳美如(Mei-Ju Chen);邱文祥(Allen Wen-Hsiang Chiu)

关键词

疲勞 ; 工作投入 ; 量表 ; 工作壓力 ; burnout ; commitment to work ; inventory ; work stress

期刊名称

台灣公共衛生雜誌

卷期/出版年月

27卷6期(2008 / 12 / 01)

页次

463 - 477

内容语文

繁體中文

中文摘要

目標:探討受僱者的疲勞狀況與工作過度投入行為傾向之分佈與相關因素。方法:參考「哥本哈根疲勞量表」與「付出-回饋失衡模型」,發展職場疲勞量表,包括「個人疲勞」、「工作疲勞」、「服務對象疲勞」與「工作過度投入」四個面向;問卷也同時測量人口學(性別、年齡、婚姻與教育程度)與工作背景資料(職等、公司規模、工時、工作負荷、工作控制與就業不安定性)。調查對象為台北市36家職場共2891名男性與2704名女性受僱者,其中製造業佔41%,營造業佔7%,服務業佔52%。結果:應用複迴歸模型,控制個人、工作變項後,女性在「個人疲勞」(β=4.2)與「工作疲勞」(β=2.9)之得分顯著高於男性,「服務對象疲勞」(β=-3.2)得分顯著低於男性,而「工作過度投入」(β=0.1)則無顯著性別差異。在男女性中,年輕者的「個人」、「工作」、與「服務對象疲勞」得分均顯著高於年長者;但「工作過度投入」則以35~45歲青壯年族群的得分明顯高於35歲以下及45歲以上者。此外,每週工時54小時以上、工作負荷高、工作控制低、就業不安定性高者,在上述四個面向的得分均顯著較高。結論:本研究指出職場疲勞與工作過度投入的高危險族群,可作為職場健康介入策略之參考。

英文摘要

Objectives: This study was designed to investigate the distribution and correlates of workers' burnout and ”over-commitment to work”. Methods: Burnout status was measured using revised items from the Copenhagen Burnout Inventory (CBI), which includes 3 subscales (personal burnout, work-related burnout, and client-related burnout). The scale measuring over-commitment to work was modified from Siegrist's Effort-Reward Imbalance Questionnaire (ERI-Q). Also collected were socio-demographic characteristics (sex, age, marital status, and education) and work-related factors (employment grade, company size, working hours, work demands, job control, and job insecurity). A total of 2891 male and 2704 female employees from 36 worksites in Taipei city participated in this survey. Among them, 41% was in manufacturing, 7% was in construction, and the remaining 52% in service sectors. Results: After controlling for demographic and work-related variables in regression analyses, women had significantly higher levels of personal burnout (β=4.2) and work burnout (β=2.9) but significantly lower levels of client burnout (β=-3.2) and comparable levels of over-commitment to work (β=0.1) compared to men. Among both sexes, younger employees had significantly higher levels of burnout in all three subscales; however, the middle-aged group (aged 35~45) reported the highest levels of over-commitment as compared to other age groups. Longer working hours (≥ 54 hours per week), higher psychological work demands, lower job control, and job insecurity were found to be positively associated with scores on all four subscales. Conclusions: This study identified groups at high risk for burnout and over-commitment to work and provided directions for health promotion strategies in the workplace.

主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
参考文献
  1. 張晏蓉、葉婉榆、陳春萬、陳秋蓉、石東生、鄭雅文(2007)。台灣受僱者疲勞的分布狀況與相關因素。台灣衛誌,26,75-87。
    連結:
  2. 曾慧萍、鄭雅文(2002)。「負荷-控制-支持」與「付出-回饋失衡」工作壓力模型中文版量表之信效度檢驗:以電子產業員工為研究對象。台灣衛誌,21,420-432。
    連結:
  3. 葉婉榆、鄭雅文、陳美如、邱文祥(2008)。職場疲勞量表的編製與信效度分析。台灣衛誌,27,349-364。
    連結:
  4. Ahola K,Honkonen T,Isometsa E(2006).Burnout in the general population. Results from the Finnish Health 2000 Study.Soc Psychiatry Psychiatr Epidemiol,41,11-17.
  5. Bensing JM,Hulsman RL,Schreurs KMG(1999).Gender differences in fatigue: biopsychosocial factors relating to fatigue in men and women.Med Care,37,1078-1083.
  6. Brotheridge CM,Grandey AA(2002).Emotional labor and burnout: comparing two perspectives of "people work".J Vocat Behav,60,17-39.
  7. Bultmann U,Kant I,Kasl S,Beurskens A,van den Brandt P(2002).Fatigue and psychological distress in the working population: psychometrics, prevalence, and correlates.J Psychosom Res,52,445-452.
  8. Burawoy M(1979).Manufacturing Consent: Changes in the Labor Process under Monopoly Capitalism.Chicago:University of Chicago Press.
  9. Cheng Y,Chen CW,Chen CJ,Chiang TL(2005).Job insecurity and its association with health among employees in the Taiwanese general population.Soc Sci Med,61,41-52.
  10. Cheng Y,Luh WM,Guo YL(2003).Reliability and validity of the Chinese version of the Job Content Questionnaire (C-JCQ) in Taiwanese workers.Int J Behav Med,10,15-30.
  11. Dekker SWA,Schaufeli WB(1995).The effects of job insecurity on psychological health and withdrawal: a longitudinal study.Aust Psychol,30,57-63.
  12. Dembe AE,Erickson JB,Delbos RG,Banks SM(2005).The impact of overtime and long work hours on occupational injuries and illnesses: new evidence from the United States.Occup Environ Med,62,588-597.
  13. Erickson RJ,Ritter C(2001).Emotional labor, burnout, and inauthenticity: does gender matter.Soc Psychol Q,64,146-163.
  14. Hayashi T,Kobayashi Y,Yamaoka K,Yano E(1996).Effect of overtime work on 24-hour ambulatory blood pressure.J Occup Environ Med,38,1007-1011.
  15. Hickie IB,Hooker AW,Hadzi-Pavlovic D,Bennett B,Wilson A(1996).Fatigue in selected primary care settings: sociodemographic and psychiatric correlates.Med J Aust,164,585-588.
  16. Hochschild AR(1983).The Managed Heart: Commercialization of Human Feeling.Berkeley:University of California Press.
  17. International Institute for Management Development (IMD)(2007).IMD World Competitiveness Yearbook 2007.Lausanne:IMD.
  18. Jansen NWH,van Amelsvoort LGPM,Kristensen TS,van den Brandt PA,Kant IJ(2003).Work schedules and fatigue: a prospective cohort study.Occup Environ Med,60(1),47-53.
  19. Janssen N,Nijhuis FJ(2004).Associations between positive changes in perceived work characteristics and changes in fatigue.J Occup Environ Med,46,866-875.
  20. Copenhagen Burnout Inventory: normative data from a representative Danish population on Personal Burnout and results from the PUMA study on Personal Burnout, Work Burnout, and Client Burnout
  21. Li J,Yang W,Cheng Y,Siegrist J,Cho SI(2005).Effort-reward imbalance at work and job dissatisfaction in Chinese healthcare workers: a validation study.Int Arch Occup Environ Health,78,198-204.
  22. Lindblom KM,Linton SJ,Fedeli C,Bryngelsson IL(2006).Burnout in the working population: relations to psychosocial work factors.Int J Behav Med,13,51-59.
  23. Liu Y,Tanaka H(2002).Overtime work, insufficient sleep, and risk of non-fatal acute myocardial infarction in Japanese men.Occup Environ Med,59,447-451.
  24. Maslach C,Schaufeli WB,Leiter MP(2001).Job burnout.Annu Rev Psychol,52,397-422.
  25. Nakanishi N,Yoshida H,Nagano K,Kawashimo H,Nakamura K,Tatara K(2001).Long working hours and risk for hypertension in Japanese male white collar workers.J Epidemiol Community Health,55,316-322.
  26. Pawlikowska T,Chalder T,Hirsch SR,Wallace P,Wright DJM,Wessely SC(1994).Population based study of fatigue and psychological distress.Br Med J,308,763-766.
  27. Reilly NP(1994).Exploring a paradox: commitment as a moderator of the stressor-burnout relationship.J Appl Soc Psychol,24,397-414.
  28. Saija M,Ulla K,Anne M,Jouko N(2005).Psychological consequences of fixed-term employment and perceived job insecurity among health care staff.Eur J Work Organ Psychol,14,209-237.
  29. Schaubroeck J,Jones JR(2000).Antecedents of workplace emotional labor dimensions and moderators of their effects on physical symptoms.J Organ Behav,21,163-183.
  30. Shirom A,Melamed S,Toker S,Berliner S,Shapira I(2005).Burnout and health: current knowledge and future research directions.Int Rev Ind Organ Psychol,20,269-309.
  31. Siegrist J,Starke D,Chandola T(2004).The measurement of effort-reward imbalance at work: European comparisons.Soc Sci Med,58,1483-1499.
  32. Sokejima S,Kagamimori S(1998).Working hours as a risk factor for acute myocardial infarction in Japan: casecontrol study.Br Med J,317,775-780.
  33. Watt T,Groenvold M,Bjorner JB,Noerholm V,Rasmussen NA,Bech P(2000).Fatigue in the Danish general population. Influence of sociodemographic factors and disease.J Epidemiol Community Health,54,827-833.
  34. Yeh WY,Cheng Y,Chen CJ,Hu P,Kristensen TS(2007).Psychometric properties of the Chinese version of the Copenhagan Burnout Inventory among Taiwanese employees from two enterprises.Int J Behav Med,14,1-8.
  35. 石東生、陳秋蓉、張振平(2004)。93年度受僱者工作環境安全衛生調查。台北:行政院勞工委員會勞工安全衛生研究所。
  36. 行政院主計處(2007)。受僱員工薪資調查與生產力統計年報。台北:行政院主計處。
  37. 行政院勞工委員會勞工安全衛生研究所(1994)。工作環境安全衛生狀況調查報告-受僱者認知調查。台北:行政院勞工委員會勞工安全衛生研究所。
  38. 李佩蓉(2008)。碩士論文(碩士論文)。台北,國立台灣大學衛生政策與管理研究所。
  39. 林宗弘、張烽益、鄭力軒譯(2005)。製造甘願-壟斷資本主義勞動過程的歷史變遷。台北:群學。
  40. 徐瑞珠譯(1992)。情緒管理的探索。台北:桂冠。
  41. 鄭雅文、葉婉榆、林宜平(2007)。台灣職場疲勞問題的社會性。台灣衛誌,26,251-253。
被引用次数
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  3. 李宜芳(2016)。女性護理人員職場疲勞探討。長榮大學護理學系(所)學位論文。2016。1-78。
  4. 張維晏(2017)。電子病歷所產生壓力對於病歷室人員工作疲憊與工作績效影響之研究。義守大學醫務管理學系學位論文。2017。1-69。