影響到院前救護技術員壓力程度之探討

Impact of Stress Levels for Pre-hospital Emergency Medical Technician

10.6299/JHA.2013.1.1.R6.47

王柏權(Bo-Cyuan Wang)；莊佳敏(Jia-Min Zhuang)；廖幼媫(Yu-Chieh Liao)；徐玉珍(Yu-Chen Hsu)；傅綢妹(Chou-Mei Fu)；徐南麗(Nan-Ly Hsu)

到院前救護 ； 救護技術員 ； 壓力 ； Emergency Medical Service (EMS) ； Emergency Medical Technician (EMT) ； Stress

健康與建築雜誌

1卷1期（2013 / 10 / 01）

47 - 55

繁體中文

背景：緊急醫療救護服務需求逐年增加，第一線救護技術員壓力亦大幅增加。目的：探討到院前救護技術員之壓力程度。方法：採橫斷式調查性研究，以某消防局之到院前救護技術員為對象，有效樣本32份；時間為民國101年11月迄至102年12月止。研究工具採自擬救護技術員壓力程度量表，內容包括個人屬性及壓力程度量表，為結構式問卷，以Likert scale五分計分法，整份問卷信度Cronbach's α為0.971，效度採表面及專家效度；問卷資料以SPSS 19.0軟體處理。結果：救護技術員總壓力平均得分為3.53±0.55，各項由大至小分別依序為環境壓力3.63±0.55；資源壓力3.54±0.63；病人壓力3.40±0.53；整體壓力3.35±0.73。救護技術員資格與整體壓力；健康狀況與資源壓力及整體壓力；婚姻狀況與病人壓力；有無子女與環境壓力；是否值班與資源壓力；是否值班與整體壓力；其他業務與整體壓力；其他勤務困擾與病人壓力、環境壓力及整體壓力皆有顯著差異。結論：研究結果有助於瞭解救護技術員之壓力，以做為相關單位協助改善救護技術員壓力之參考。

Background: The needs of emergency medical service is increasing every year, as the first line emergency medical technician, the stress level is increasing higher graduate.Purposes: The purpose of this study was to understand the stress level and analyze impact factors of Pre-hospital Emergency Medical Technicians (EMTs).Methods: The research time started from Sep. 1, 2012, and ended on Dec. 30, 2012. There were 32 EMTs working on Hisnchu City Fire Departments chosen as sample size. Self-made Stress Questionnaires for EMTs were used as tool, which included personal attributes and 4 dimensions' stress, such as patient stress, resource stress, environmental stress, and physic-psycho stress. Likert scale of five points was used to calculate stress; data was analyzed by SPSS 19.0. Cronbach's α reliability of total questionnaires was 0.971. Content and face validity were used.Results: The results showed that average scores of stress for EMTs was 3.53. The highest stress score was Environment Stress 3.63; then, Resource Stress 3.54; Patient Stress 3.40; the lowest stress was Physic-psycho Stress 3.35. Data analysis by ANOVA showed that the marriage status had significant difference with Patient Stress (p＜.05). Having children or not, with other duty or not, indicated significant difference with Environmental Stress (p＜.05). On Duty or not, health status good or bad, had significant difference with Resource Stress (p＜.05). The classification of EMT1 and EMT2 had significant difference with physic-psycho stress. The health situation good or bad, on duty or not, have other service or not, showed significant difference with Physic-psycho Stress (p＜.05).Implications: As contribution of this study, it could not only help people to assess the stress level of EMTs, but also indicate impact factors. It may assist EMTs to understand their stress, then, to relieve stress and improve the quality of life.