醫院護理人員身體活動與生活品質之研究

The Study of Physical Activity and Quality of Life among Nurses in Taipei City Hospital

10.6540/NTJN.201909_21(2).0002

陳燕珍(Yen-Chen Chen)；劉影梅(Yiing-Mei Liou)；黃奕清(Yi-Ching Huang)；李碧霞(Pi-Hsia Lee)

護理人員 ； 身體活動 ； 生活品質 ； nurses ； physical activity ； quality of life

新臺北護理期刊

21卷2期（2019 / 09 / 01）

13 - 26

繁體中文

背景：身體活動具有促進身心健康的益處，但國內有關臨床護理人員身體活動量與生活品質的研究，仍不多見。目的：本研究旨在探討臨床護理人員身體活動和生活品質的現況、相關性、個人背景因素與兩者的關係，以及生活品質的影響因素。方法：採描述相關性研究設計，以臺北市某五家區域教學醫院的380名女性護理人員為研究對象。研究工具包括臺灣身體活動研究量表、臺灣簡明版世界衛生組織生活品質問卷表。結果：研究對象的總身體活動量平均為2,321.6±610.9 Kcal／day；身體活動的分類中，以工作身體活動量最多、休閒運動量最少。生活品質得分以生理健康範疇最高、心理範疇最低。費力身體活動量與社會關係範疇呈正相關；睡眠活動能量、家務身體活動量、休閒運動量與整體生活品質和次面向有相關。不同婚姻狀況、有無子女、不同輪班狀況在總身體活動量有顯著差異；身體質量指數、子女數與總身體活動量呈正相關。不同職稱在整體生活品質、社會關係、環境範疇有顯著差異。睡眠活動能量、家務身體活動量、休閒運動量及職稱，可解釋整體生活品質5.6%的變異量。結論：身體活動與生活品質具有相關性，研究結果可提供改善護理人員身體活動及生活品質策略的參考。

Background: Physical activity has the benefit of promoting physical and mental health. There are only a few studies on relationship between physical activity and quality of life among nurses in Taiwan. Objectives: This study aimed to explore the current status, correlation between physical activity and quality of life, the relationship between personal background factors and the two, and related factors of quality of life among nurses. Methods: A descriptive correlational design with a purpose sample from five Taipei City hospitals was used. In total there were 380 female participants and all the participants returned the questionnaires. The questionnaires included Taiwan Study of Physical Activity and World Health Organization Quality of Life Questionnaire-Taiwan brief version (WHOQOL-BREF). Results: The mean physical activity for all participants was 2321.6 ± 610.9 Kcal/day. With regard to the classification of physical activity, physical activity associated with work accounted for the highest proportion while leisure time physical activity accounted for the lowest proportion. For the four domains of WHOQOL-BREF, there was highest score for physical health domains and there was lowest score for psychological domain. There was a positive correlation between vigorous-level physical activity and social relationship domains. The amounts of physical activity in sleep, housework and leisure-exercise were related to the quality of life and subscale. Status of marriage, number of siblings, and shift work significantly influenced physical activity. Different titles significantly influenced quality of life, social relationship and environmental domains. There was a positive correlation between body mass index, number of sibling and physical activity. The amounts of physical activity in sleep, housework and leisure-exercise, and title were the most important factors of quality of life, accounting for 5.6% of total variance. Conclusion: This study revealed that quality of life was correlated with physical activity. We suggest implementing physical activity program to improve quality of life among nurses in Taiwan.

1. 陳嫣芬,林晉榮(2006)。社區老人身體活動與生活品質相關之研究。體育學報，39(1)，87-100。
   連結：
2. Abdollahzade, F.,Mohammadi, F.,Dianat, I.,Asghari, E.,Asghari-Jafarabadi, M.,Sokhanvar, Z.(2016).Working posture and its predictors in hospital operating room nurses.Health Promotion Perspectives,6(1),17-22.
3. Anokye, N. K.,Trueman, P.,Green, C.,Pavey, T. G.,Taylor, R. S.(2012).Physical activity and health related quality of life.BMC Public Health,12,624.
4. Blake, H.,Mo, P. K.,Lee, S.,Batt, M. E.(2012).Health in the NHS: Lifestyle behaviours of hospital employees.Perspective Public Health,132(5),213-215.
5. Caspersen, C. J.,Powell, K. E.,Christenson, G. M.(1985).Physical activity, exercise, and physical fitness: Definitions and discussions for health-related research.Public Health Report,100(2),126-131.
6. Cohen, J.(1988).Statistical power analysis for the behavioral sciences.Hillsdale, N.J.:L. Erlbaum Assosicates.
7. Dianat, I.,Sedghi, A. Bagherzade, J.,Jafarabadi, M. A.,Stedmon, A. W.(2013).Objective and subjective assessments of lighting in a hospital setting: Implications for health, safety and performance.Ergonomics,56(10),1535-1545.
8. Jurakić, D.,Pedišić, Ž.,Greblo, Z.(2010).Physical activity in different domains and health-related quality of life: A population-based study.Quality of Life Research,19(9),1303-1309.
9. Kheiraoui, F.,Gualano, M. R.,Mannocci, A.,Boccia, A.,La Torre, G.(2012).Quality of life among healthcare workers: A multicentre cross-sectional study in Italy.Public Health,126(7),624-629.
10. Marques, A.,Santos, T.,Martins, J.,Matos, M. G.,Valeiro, M. G.(2018).The association between physical activity and chronic diseases in European adults.European Journal of Sport Science,18(1),140-149.
11. Massidda, M.,Cugusi, L.,Mathieu, A.(2015).Physical activity levels and health-related quality of life in young Italian population.Journal of Sports Medicine and Physical Fitness,55(5),506-512.
12. Parhizi, S.,Steege, L. M.,Pasupathy, K. S.(2013).Mining the relationships between psychosocial factors and fatigue dimensions among registered nurses.International Journal of Industrial Ergonomics,43(1),82-90.
13. Paskulin, L.,Vianna, L.,Molzahn, A. E.(2009).Factors associated with quality of life of Brazilian older adults.International Nursing Review,56(1),109-115.
14. Pucci, G. C.,Rech, C. R.,Fermino, R. C.,Reis, R. S.(2012).Association between physical activity and quality of life in adults.Revista de Saude Publica,46(1),166-179.
15. Puciato, D.,Rozpara, M.,Borysiuk, Z.(2018).Physical activity as a determinant of quality of life in working-age people in Wrocław, Poland.International Journal of Environmental Research and Public Health,15(4),623.
16. Tucker, S. J.,Harris, M. R.,Pipe, T. B.,Stevens, S. R.(2010).Nurses' ratings of their health and professional work environments.AAOHN Journal,58(6),253-267.
17. WHOQOL Group(1993).Study protocol for the WHO project to develop a Quality of Life assessment instrument (WHOQOL).Quality of Life Research,2(2),153-159.
18. 李瓊娥(2016)。臺南市，長榮大學護理學系。
19. 姚開屏(2005).臺灣簡明版世界衛生組織生活品質問卷之發展及使用手冊.臺北市:世界衛生組織生活品質問卷發展小組.
20. 高家常,林沛綺,黃惠滿,林祐樺(2013)。參與社區關懷據點之長者身體活動與生活品質關係之探討。護理暨健康照護研究，9(2)，157-167。
21. 莊佳靜(2012)。臺南市，成功大學護理學系。
22. 郭麗芬(2016)。臺南市，長榮大學護理學系。
23. 陳心怡(2010)。臺北市，臺北醫學大學護理學研究所。
24. 陳妮婉,張彩秀,張淑萍,宋琇鈺(2011)。護理人員健康促進生活型態與生活品質之關係探討。澄清醫護管理雜誌，7(2)，27-37。
25. 陳昱婷(2016)。彰化縣，大葉大學運動健康管理學系。
26. 黃宇黛(2009)。臺北市，臺北醫學大學護理學研究所。
27. 黃琡珺(2016)。高雄市，義守大學管理學系。
28. 楊婉珍(2013)。金門縣，金門大學運動與休閒學系。
29. 劉影梅(2016)。身體活動量評估。健康體適能：理論與實務，臺中市:
30. 劉蕓鴒(2012)。花蓮市，慈濟大學護理學系。
31. 謝汝艷(2011)。臺東市，臺東大學健康促進與休閒管理學系。
32. 鍾秀玲(2012)。臺北市，國立臺北護理健康大學護理研究所。

1. 蘇慧怡,莊昭華,翁欣蓉(2020)。不同職域社區衛生護理人員生活品質調查。彰化護理，27(1)，40-48。
2. 葉偉成,黃麗玲,張邇贏,洪弘昌,林宏翰(2022)。醫事放射師肌肉骨骼不適之調查研究－以南投地區為例。醫學與健康期刊，11(2)，33-46。
3. 張惟筌,邱文玉(2022)。探究私人教練課情境中的代理效能。臺灣運動心理學報，22(1)，19-37。
4. (2023)。女性活力通勤對建成環境重視程度之城鄉差異分析：以捷運沿線為例。地理學報，106，29-60。