北部某醫學中心照顧新冠肺炎護理人員自覺壓力之相關因素探討

Exploration of Perceived Stress on Nursing Staffs Caring for Patients with COVID-19 in a Medical Center of Northern Taiwan

10.6530/YYN.202207_16(2).0009

呂旻瑾(Min-Chin Lu)；翁玲子(Ling-Tzu Weng)；張瓈方(Li-Fang Chang)；潘雪幸(Hsueh-Hsing Pan)

新冠肺炎 ； 護理人員 ； 自覺壓力 ； 自我效能 ； COVID-19 ； nursing staff ； perceived stress ； self-efficacy

源遠護理

16卷2期（2022 / 07 / 01）

67 - 74

繁體中文

背景：新型冠狀病毒疾病（coronavirus, COVID-19）已造成全球的大流行，確診人數及死亡人數迄今仍持續增加中，照顧新冠肺炎護理人員承受極大的壓力，而自我效能被認為是最有效預測健康行為的一項變項，目前很少針對照顧COVID-19護理人員自我效能與自覺壓力的關係進行探討。目的：本研究旨在探討照顧新冠肺炎護理人員的自我效能與自覺壓力的關係及其相關因素。方法：本研究採橫斷式描述性研究設計，以北部某醫學中心照顧新冠肺炎之護理人員為研究對象，使用基本資料、工作相關資料、自我效能量表及壓力知覺量表等進行資料收集。以描述性統計及皮爾森積差相關（Pearson correlation coefficient）、獨立t檢定（Independent t-test）、單因子變異數分析（One-way ANOVA）及多元線性回歸模式進行推論性統計，以p＜0.05為統計上之顯著意義。結果：本研究共收集205位護理人員資料，研究結果顯示自我效能、年齡是影響照顧新冠肺炎護理人員自覺壓力的重要預測因子。護理人員自我效能愈高其自覺壓力愈小（β＝-0.76，95％信賴區間-0.91～-0.61）；年齡愈大其自覺壓力愈大（β＝0.31，95％信賴區間0.06～0.55）。結論：由本研究結果發現自我效能、年齡是影響照顧新冠肺炎護理人員自覺壓力的重要預測因子。建議未來進一步提供介入措施，以增進護理人員的自我效能，降低其自覺壓力，進而提升病人安全及照護品質。

Background: Coronavirus disease, also called COVID-19, has caused a global pandemic. The number of cases and deaths of COVID-19 continues to increase. Nursing staffs are also under a lot of stress when caring for the patients with COVID-19. Self-efficacy is considered to be the most effective predictor of healthy behavior. However, there is little research on the relationship between self-efficacy and perceived stress of nursing staffs who were caring for the patients with COVID-19 at present. Objectives: This study aimed to investigate the relationship between self-efficacy and perceived stress and related factors among nursing staffs caring for patients with COVID-19. Methods: This was a cross-sectional, and descriptive study design. Data were collected on demographic, working-related characteristics, General Self-Efficacy Scale, and Perceived Stress Scale (PSS-14) in a medical center of Northern Taiwan. We performed descriptive statistics and inferential statistics including Pearson's correlation coefficients, independent t-test, one-way ANOVA, and a multiple linear regression model. A threshold of p ＜ 0.05 was set as a statistical significance. Results: A total of 205 nursing staffs participated in this study. The results showed that self-efficacy, and age were the predictors of perceived stress among nursing staffs caring for patients with COVID-19. Nursing staffs who had higher self-efficacy, the less perceived stress level [β = -0.76, 95% confidence interval (CI) = -0.91~ -0.61]; the older age, the higher perceived stress level (β = 0.31, 95%CI = 0.06~ 0.55). Conclusion: Based on this finding, it is proposed that self-efficacy and age were the important predictors of perceived stress among the nursing staffs caring for the patients with COVID-19. Therefore, it is suggested to provide nursing interventions to enhance the self-efficacy of nursing staffs and decrease the perceived stress level to improve patient safety and quality of care.

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