中醫師、護理師、藥師面對新冠肺炎疫情之焦慮情形與疫苗副作用之中醫處置研究：以台北市中醫醫療院所為例

Anxiety Among Traditional Chinese Medicine Practitioners, Nurses, and Pharmacists During the COVID-19 Pandemic and the Role of Traditional Chinese Medicine in Managing Vaccine Side Effects: A Cross-Sectional Study of Traditional Chinese Medicine Healthcare Facilities in Taipei City

10.6516/TJTCM.202403_27(1).0001

林舜穀(Shun-Ku Lin)；劉潔心(Chieh-Hsing Liu)；黃建榮(Jian-Rong Huang)

丹溪心法中醫 ； 新冠肺炎 ； 疫苗 ； 壓力 ； 醫療專業人員 ； Traditional Chinese Medicine ； COVID-19 ； Vaccine ； Stress ； Healthcare Professionals

中醫藥研究論叢

27卷1期（2024 / 03 / 30）

1 - 11

繁體中文;英文

背景：對中醫專業人員面對疫情時的壓力狀態、對於醫療成效的信賴程度、以及面對疫苗副作用的態度，過去並沒有足夠的調查。本研究的目的是分析台灣中醫人員面對疫情時的壓力，以及對於中醫治療的信心程度；此外，我們也分析施打疫苗時的副作用，以及使用中醫緩解副作用的滿意程度。方法：我們採用橫斷式調查方法，分析台北市中醫師公會疫苗調查資料庫，內涵台北市中醫師公會於2021年4-6月發放的橫斷式問卷調查。壓力評估我們將採用｢急性壓力量表｣、對於中醫就醫及滿意度我們將採用｢新冠肺炎中醫態度調查表｣、並使用｢疫苗副作用調查表｣來評估接種疫苗後的副作用情形。我們在計算各量表總分後，比較不同中醫專業人員對疫情壓力、疫苗和中醫態度的差異性，包含總分與各次項分數變化，並以回歸分析評估壓力和中醫態度間的相關性。結果：本計畫共收錄281位個案，我們發現台灣中醫專業人員之急性壓力量表總分平均為42.1分，標準差11.4分，在總分80分之問卷急性壓力量表中屬於中等急性壓力。作為中醫專業人員，受訪者對中醫之信心分數平均為8.7分，標準差1.6分。對中醫滿意度平均值8.5分，標準差1.7分。均屬於較高水準，且受訪者在出現疫苗副作用後有超過七成願意接受中醫治療。在施打疫苗後，中醫專業群體中有93.2%的受訪者出現疫苗相關副作用，且在12小時內出現副作用的比率為43.1%。此比例高於針對一般民眾得調查結果。回歸分析發現疫苗注射的副作用可能會增加急性壓力，包含關節疼痛、畏寒、肌肉痠痛與發燒均是可能的影響因子，而透過中醫治療疫苗相關副作用可能可以緩解疫情相關的壓力。結論：本研究探討中醫專業族群對於｢疫苗｣此一西醫預防藥品的施打後症狀，與接受中醫治療相關副作用的信心與滿意度，相關成果可作為未來推廣傳染病預防措施的政策參考。

Background: This research addresses the lack of sufficient investigation into stress levels, confidence in medical efficacy, and attitudes towards vaccine side effects among Traditional Chinese Medicine (TCM) professionals during the pandemic. The study aims to analyze stress levels and confidence in TCM treatment among TCM practitioners in Taiwan during the pandemic. Additionally, it examines vaccine side effects experienced by these professionals and their satisfaction with using TCM to alleviate these side effects. Methods: Data from the Taipei Chinese Medicine Association's vaccine survey database were analyzed in this cross-sectional study. The questionnaire was distributed between April and June 2021 to TCM professionals in Taipei. Stress levels were assessed using the "Acute Stress Scale," TCM attitudes and satisfaction were evaluated with the "COVID-19 Traditional Chinese Medicine Attitude Scale," and vaccine side effects were assessed using the "Vaccine Side Effect Survey." Comparisons were made among TCM professionals regarding pandemic-related stress, vaccine attitudes, and TCM attitudes, including total scores and individual subscale scores. Regression analysis was conducted to assess the correlation between stress levels and TCM attitudes. Results: The study included 281 participants. Taiwan's TCM professionals had an average total score of 42.1 on the Acute Stress Scale, indicating a moderate level of acute stress. Participants exhibited high confidence in TCM with an average score of 8.7 and expressed high satisfaction with TCM treatment with a mean score of 8.5. Over 70% of the respondents were willing to seek TCM treatment for vaccine-related side effects. 93.2% of TCM professionals reported experiencing vaccine-related side effects, with 43.1% occurring within 12 hours, higher than the general population's rate. Regression analysis indicated that vaccine side effects such as joint pain, chills, muscle soreness, and fever could increase acute stress. However, TCM treatment appeared to alleviate pandemic-related stress. Conclusion: This study provides insights into post-vaccination symptoms, confidence, and satisfaction related to TCM treatment among TCM professionals in Taiwan regarding vaccination. The findings can inform future policies promoting infectious disease prevention measures.