教學醫院主治醫師工作成癮及生活品質之關聯

Abstract

本研究目的為探討教學醫院主治醫師的工作成癮盛行率，以及其影響這些受測者的生活品質情形。採橫斷式研究設計，以2017年至2018年臺灣北、中、南部5家教學醫院實際參與臨床工作之主治醫師作為研究對象，使用卑爾根工作成癮量表、臺灣簡明版世界衛生組織生活品質問卷收集資料，並進行敘述統計及推論統計、相關性分析、迴歸分析及驗證性因素分析。 主要研究結果發現教學醫院主治醫師有工作成癮情形，且盛行率略微偏高，而其工作成癮程度負向影響四個主要範疇的生活品質狀況，尤其心理範疇影響最大。另外，受測者的工作成癮程度越高，則其每日睡眠時數越低、每週工作時數越高，其生活品質狀況越差。未來可考慮比較住院醫師納入勞動基準法後，主治醫師的工作成癮盛行率是否有上升趨勢、生活品質是否有下降情形，以釐清工作成癮與生活品質之間的潛在機制，增進教學醫院主治醫師的生活品質。

The study aims to investigate the prevalence of work addiction among attending physicians in teaching hospitals, and evaluate what extent it affects the quality of life of these participants. This was a cross-sectional study utilized attending physicians from five teaching hospitals in northern, central, and southern Taiwan between 2017 and 2018. Data collection based on the Bergen Work Addiction Scale（BWAS）and the brief Taiwan version of the World Health Organization Quality of Life Questionnaire（WHOQOL-BREF）. Statistical methods employed included descriptive statistics, inferential statistics, correlation analysis, regression analysis, and confirmatory factor analysis. The main results reveal that attending physicians in teaching hospitals tend towards work addiction, with a slightly higher prevalence. Work addiction has impacted four main domains of quality of life negatively, especially psychological health domain. Additionally, greater extents of work addiction among participants correlate with fewer daily hours of sleep and longer weekly working hours, further contributing to their poorer quality of life. In the future, it may be considering to compare whether there is an increasing trend in the prevalence of work addiction among attending physicians and whether there is a decreasing trend in their quality of life, after employed physicians being applied to the Labor Standards Act. This comparison would illuminate the mechanisms between work addiction and quality of life, aiming to enhance the quality of life for attending physicians in teaching hospitals.