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 精神護理之家人員之工作壓力與身心健康：以調節中介模型探討工作倦怠與復原力全文閱讀

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摘要

目的：本研究目的在探討精神護理之家的護理師及照顧服務員之工作壓力、倦怠、復原力及身心健康之關係；工作倦怠在工作壓力與身心健康關係間之中介效果，以及復原力對中介模型的調節效果。

方法：研究參與者為223位臺灣精神護理之家的護理師及照顧服務員；採用工作內容問卷、職場疲勞量表、Connor-Davidson復原力量表及一般身心健康量表；以SPSS及PROCESS軟體進行中介模型及調節中介模型之分析。

結果：除復原力與工作壓力不具相關外，精神護理之家護理師及照顧服務員之工作壓力、倦怠、復原力與身心健康皆具顯著相關；倦怠對工作壓力與身心健康之關係具完全中介的效果；復原力不對工作壓力至倦怠、倦怠至身心健康、工作壓力至身心健康的關係具調節效果，但能顯著調節工作壓力透過倦怠影響身心健康的間接效果，當復原力愈高時，工作壓力透過倦怠影響身心健康的程度就降低。本文亦針對結果進行討論，並對實務工作者及後續研究提出建議。

並列摘要

Objective: This study examines the relationship between job stress, burnout, resilience, and mental health among psychiatric nursing home staff; the mediation effects of burnout in the relationship between job stress and burnout; and the moderated-mediation effects of resilience in the meditation model.

Method: A total of 223 psychiatric nursing home staff, including nurses and nurse aids, in Taiwan participated in this study. The Job Content Questionnaire, Occupational Burnout Inventory, Connor-Davidson Resilience Scale (Chinese Version), and General Health Questionnaire were used in this study. In addition, SPSS and PROCESS were employed to test the mediation and moderated-mediation model.

Results: (1) Except for the relationship between resilience and job stress, job stress, burnout, resilience, and mental health were significantly correlated. (2) Burnout fully mediated the relationship between job stress and mental health. (3) Resilience did not moderate the relationship between job stress and burnout, between burnout and mental health, and between job stress and mental health. However, it moderated the indirect effect of "job stress→burnout→mental health;" the higher the resilience, the less impact of burnout mediated the relationship between job stress and mental health. Discussions and suggestions for practitioners and future research were also provided.

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