The exploration on the disturbed degree of working pressure event , physiological values and life of quality among allied personnel in a southern medical center

• Main Authors: Yu-Man Chiang, 蔣玉滿
• Other Authors: I-Chen Lee
• Format: Others
• Language: zh-TW
• Published: 2014
• Online Access: http://ndltd.ncl.edu.tw/handle/243zqj

碩士 === 高雄醫學大學 === 醫務管理暨醫療資訊學系碩士班 === 102 === The aim of this research was to explore the relations on working pressure event degree, physiological values and quality of life among allied personnel working on outpatient department. This cross-section relational survey was conducted by structured questionnaire and physiiological values. Data were collected between 8am and 9am (before working), including individual´s blood pressure, cortisol level and the structured questionnaire. Blood pressure was also collected when participants finished working. All outpatient department nurses in a southern medical centre were participated.There were 141 valid questionnaires with response rate as 88.1%. Research instruments include: demographic characteristics, working environment, working pressure event scales which was developed by Yan yuch yun(2005) .“Health related quality of life scales (WHOQOL-BREF)” was translated by Yao kai ping. Spss 20.0 version was used for data analysis. Research results and main findings: 一、The overall score on the disturbed degree of working pressure event was 3.32 which indicates between median to high , “Patient often rush in to inquire because of impatience” had the highest score (mean: 4.01), and both “VIP asking for cutting in to see the doctor” and “Colleague in the same hospital asking for cutting in to see the doctor” had second highest score (mean: 3.98) The pre-test systolic blood pressure was114.07（11.90), diastolic blood pressure was70.28（8.12), the post-test systolic blood pressure was 122.29（2.86), and diastolic blood pressure was74.83（9.40), The cortisol data was 12.36（4.77）. In addition, among the four domains on the quality of life, the physical domain had highest average score as13.96, and the social domain was score as 13.80, the psychological domain was scored as 13.12, and the lowest score was environmental domain as13.08 。 二、Despite both increased physiological values and pressure awareness met the medium level in post-test, the data was still acceptable。 三、Among demographic characteristics, marriage, rank, education, degree, health awareness, life happiness, and income had relation to disturbed degree of working pressure event. Working environment had statistically significant difference on both today´s number of appointments and the number of appointments daily and in two weeks. Quality of life had relation to age, education, health awareness, life happiness, income, today´s number of appointments and working pressure。 四、The relation to physiological values and all domains on quality of life, both the systolic blood pressure variance and the diastolic blood pressure variance had negative relation to physical domain; whereas, the relation to physiological values and the disturbed degree of working pressure event, the systolic blood pressure variance had positive relation to administrative. On the other hand, the disturbed degree of working pressure event had significantly negative relation to all domains on quality of life. Furthermore, stepwise the multiple regression analysis to predict quality of life to disturbed degree of working pressure event, and physiological values, the “non-routine task” was the only one negative relation to all domains on quality of life。. The results of this explorative study provide medical authorities better understand about the relations on disturbed degree of working pressure event, physiological values and quality of life among allied personnel working on outpatient department. Although the data on physiological values were found acceptable, a long term constant surveillance was needed to avoid personnel from any physically and mentally damage and to promote their quality of life。