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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 張?(Chueh Chang) | |
| dc.contributor.author | Gan Cai Ru | en |
| dc.contributor.author | 顏采如 | zh_TW |
| dc.date.accessioned | 2021-06-16T05:08:58Z | - |
| dc.date.available | 2015-10-20 | |
| dc.date.copyright | 2014-10-20 | |
| dc.date.issued | 2014 | |
| dc.date.submitted | 2014-08-19 | |
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| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/55819 | - |
| dc.description.abstract | 背景：隨著世界衛生組織（World Health Organization, WHO）開始推動健康促進醫院，醫療人員之健康（health）和安適或福祉（well-being）開始受到關注，在台灣也逐漸重視提供醫療人員具體的工具來管理壓力和維護自身的健康福祉。過去二十年的研究證實「正念減壓」（Mindfulness-Based Stress Reduction，MBSR） 介入方案有效降低壓力和焦慮，其應用也蓬勃發展至醫療人員。目的：以試探性研究探討正念減壓課程是否有助於促進醫療人員的身心健康並瞭解實施介入之歷程.方法：本研究採介入前後的比較，受試者共12位醫療人員包括護理師、護佐、住院醫師和醫療行政人員，研究工具使用自填的心理健康問卷、自主神經功能檢測及介入後參與者和帶領者的個別深度訪談。結果：8位完成介入前後自填的心理健康問卷、3位接受自主神經功能檢測及5位與研究者進行介入後的深度訪談。結果顯示正向情緒顯著增加（W=4, t=-2.26/P=0.034）；在前後測之BVP、指溫、膚電及EMG皆有明顯改善；顯示受試者在接受正念減壓課程之後，其放鬆程度增加、緊張程度下降，但如何引發參與動機仍需再進一步探討。結論：本初探研究與國外比較，正念減壓課程的確可以培養醫療人員不帶批判的認識醫療環境、自己、與他人快樂體驗和消極事件的客觀存在，進而降低壓力並提升自我照護和抗逆能力。健康促進醫院的落實使醫療人員感受並認同身心健康促進的效益，自助助人。 | zh_TW |
| dc.description.abstract | Introduction: Health Promoting Hospitals (HPH), the concept built upon WHO Ottawa-Charter for Health Promotion is increasingly apparent. In Taiwan, there are more strategies and plans to provide medical personnel a tangible self-care tool to better health and quality of life. For the past 20 years, Meditation-based Stress Reduction (MBSR) program which had been proved significant stress reduce and anxiety that accompanies daily life.
Objective: The aim of this pilot study was to examine the effectiveness of the MBSR intervention for medical personnel and to learn the process of implementation. Methods: Full-time medical personnel (n=12) participants include nurses, PGY medical student and medical staff were recruited to participate in an 8-week MBSR program. A self-report mental health questionnaire and Autonomic Nervous System (ANS) were administered pre and post-intervention. In-depth interviews with participants and facilitator were conducted after the interventions. Results: 8 completed the self-report mental health questionnaires, 3 of them had their ANS tested and 5 participants joined the post intervention in-depth interviews. Significant were observed on positive emotions（W=4, t=-2.26/P=0.034）and improvement on post-test of the ANS result. Conclusion: The cultivation of mindfulness could help medical personnel to cope with their work stress by allowing them to face and evaluate problems with greater emotional equilibrium, and by providing a self-care tool to boost resiliency. | en |
| dc.description.provenance | Made available in DSpace on 2021-06-16T05:08:58Z (GMT). No. of bitstreams: 1 ntu-103-R01847035-1.pdf: 6944055 bytes, checksum: f3c4e90828ee0ee74fa869a94fbd1f16 (MD5) Previous issue date: 2014 | en |
| dc.description.tableofcontents | 第一章 緒論 1
第一節 前言 1 第二節 研究動機 1 第三節 研究目的 2 第二章 文獻探討 3 第一節 健康促進醫院 3 一、健康促進與健康促進醫院 3 二、工作環境改變與醫療人員離職率 5 三、醫療人員壓力知覺與身心健康 9 四、健康促進醫院與員工健康促進 11 第二節 正念 12 一、正念減壓（Mindfulness-based Stress Reduction） 14 二、國外「正念」的發展 15 三、國內相關研究發展 16 四、正念減壓相關療效 24 五、護理人員「正念減壓」介入研究 25 第三章 研究方法 29 第一節 研究設計 29 第二節 研究對象 29 第三節 研究工具 31 第四節 正念減壓介入課程內容 40 第四章 研究結果與討論 41 第一節 研究對象基本資料 41 第二節 量化結果分析與討論 42 第三節 深度訪談結果分析 46 第四節 綜合結果分析 68 第五章 討論 73 第一節 正念減壓課程促進身心健康 73 第二節 在醫院推動的適用性 75 第六章 總結 81 第一節 研究結論 81 第二節 研究特點與限制 82 第三節 研究建議 82 第四節 研究貢獻與未來研究方向 85 參考書目 86 附錄一 同仁健康促進管理辦法 95 附錄二 介入活動宣傳海報 98 附錄三 介入活動講義 100 附錄四 心理健康問卷 101 | |
| dc.language.iso | zh-TW | |
| dc.subject | 健康促進醫院 | zh_TW |
| dc.subject | 正念減壓 | zh_TW |
| dc.subject | 醫療人員 | zh_TW |
| dc.subject | 工作壓力 | zh_TW |
| dc.subject | Mindfulness-based Stress Reduction (MBSR) | en |
| dc.subject | Health Promoting Hospitals (HPH) | en |
| dc.subject | health-care workers | en |
| dc.subject | work stress | en |
| dc.title | 正念減壓課程對醫療人員身心健康之初探 | zh_TW |
| dc.title | A pilot study on Mindfulness-based Stress Reduction for medical personnel. | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 102-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 林名男(Ming-Nan, Lin),鄭雅文(Yawen, Cheng) | |
| dc.subject.keyword | 正念減壓,健康促進醫院,醫療人員,工作壓力, | zh_TW |
| dc.subject.keyword | Mindfulness-based Stress Reduction (MBSR),Health Promoting Hospitals (HPH),health-care workers,work stress, | en |
| dc.relation.page | 107 | |
| dc.rights.note | 有償授權 | |
| dc.date.accepted | 2014-08-19 | |
| dc.contributor.author-college | 公共衛生學院 | zh_TW |
| dc.contributor.author-dept | 公共衛生碩士學位學程 | zh_TW |
| 顯示於系所單位： | 公共衛生碩士學位學程 | |
文件中的檔案：
| 檔案 | 大小 | 格式 | |
|---|---|---|---|
| ntu-103-1.pdf 未授權公開取用 | 6.78 MB | Adobe PDF |
系統中的文件，除了特別指名其著作權條款之外，均受到著作權保護，並且保留所有的權利。