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研究生: 莊翼蓮
Chuang, Yi-Lian
論文名稱: 特約與專職職護客觀測量身體活動與睡眠型態之比較研究
Objectively-measured physical activity and sleep patterns between special and full-time occupational health nurse
指導教授: 廖邕
Liao, Yung
口試委員: 薛名淳 陳伯儀 廖邕
口試日期: 2021/08/31
學位類別: 碩士
Master
系所名稱: 樂活產業高階經理人企業管理碩士在職專班
Executive Master of Business Administration Program in Lifestyles of Health and Sustainability
論文出版年: 2021
畢業學年度: 110
語文別: 中文
論文頁數: 45
中文關鍵詞: 特約職護專職職護身體活動睡眠型態
英文關鍵詞: special and full-time occupational health nurse, physical activity, sleep pattern
研究方法: 個案研究法比較研究
DOI URL: http://doi.org/10.6345/NTNU202101460
論文種類: 學術論文
相關次數: 點閱:141下載:12
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  • 職業衛生護理專業的發展是台灣穩定健康勞動人力資源重要的條件之一。勞工健康服務護理人員 (職護) 若能發揮應有的專業能力、有效應用多方資源,不僅能實踐專業價值,更可保障工作者的職業安全與健康。據此,本研究希冀能比較「專職職護 (員工人數在300人以上的事業單位的專責護理人員) 」以及「特約職護 (勞工人數達 50至 299 人的三大類事業單位所聘請之特約護理人員) 」之身體活動與睡眠型態的差異。本研究利用立意取樣及便利取樣方式,分別招募「特約職護」以及「專職職護」參與本研究,並請參與者配戴七日的三軸加速規 (Actigraph GT3X),評估其身體活動量與睡眠型態,再以獨立樣本T檢定比較其差異。在去除無效的樣本後,本研究共有「特約職護」16人及「專職職護」21人納入分析。研究結果顯示,「專職職護」的每日步數 (7398.9 ± 1730.6步vs 6192.9 ± 1776.6步) 及輕強度身體活動 (300.3 ± 54.3分鐘vs. 260.8 ± 52.3分鐘) 顯著高於「特約職護」,而其他身體活動指標如中強度身體活動、高強度身體活動則沒有顯著差異。此外,四項睡眠型態指標 (睡眠效率、睡眠總時間、入睡後整晚醒來的總時間、夜間覺醒次數) 同樣沒有顯著差異。期望透過本研究之調查之結果,能提供事業管理階層與相關主管機關作為參考依據,以提升職業衛生護理人員身心安適,進而促進健康職場之推動。

    Occupational health and safety professionals play a key role of healthy labor human resources in Taiwan. Occupational health nurses can use their professional competence and integrate resources can protect workers’ safety and health. Therefore, this study aimed to compare the differences of physical activity and sleep patterns between full-time occupational health nurses (business unit over 300 employees) and special occupational health nurses (business unit with 50-299 employees. Purposive and convenience sampling was used to recruit special and full-time occupational health nurse. Participants were asked to wear accelerometer (Actigraph GT3X) for continuous 7 days to assess their physical activity and sleep patterns. Independent t test were used. After data cleaning, data on 16 special and full-time occupational health nurseswere analyzed. The results showed that full-time occupational health nurses engaged in higher daily steps (7398.9 ± 1730 vs. 6192.9 ± 1776.6 steps) and more light-intensity physical activity (300.3 ± 54.3 vs. 260.8 ± 52.3 minutes/day) than special ones, whereas no significant differences were observed in moderate-intensity and vigorous-intensity physical activity. Moreover, no significant differences were found in four sleep indicators (sleep efficiency, sleep duration, wake after sleep onset, number of awakenings)。Our results are informative to policy makers and administrative officials to promote physical and mental health of occupational health nurses, for achieving the goal of healthy work environment.

    摘要 i Abstract ii 謝誌 iii 目 次 iv 表 次 vi 圖 次 vii 第壹章 緒論 .1 第一節 研究動機與重要性 1 第二節 研究目的 3 第三節 研究問題 3 第四節 名詞界定 4 第五節 研究限制 6 第貳章 文獻探討 7 第一節 身體活動 7 第二節 睡眠型態 11 第三節 護理人員的身體活動與睡眠 17 第參章 研究方法 19 第一節 研究架構 19 第二節 研究對象 20 第三節 研究工具 21 第四節 研究流程 23 第五節 資料處理與分析 24 第肆章 研究結果與討論 25 第一節 特約與專職職護個人背景變項之現況 25 第二節 特約職護與專職職護身體活動量與睡眠型態之現況 28 第三節 特約職護與專職職護身體活動量與睡眠型態之差異性比較 30 第四節 綜合討論 33 第伍章 結論與建議 34 第一節 結論 34 第二節 建議 35 引用文獻 36 附錄 43 附錄一 研究倫理審查核可證明書 43 附錄二 問卷 44

    李翊榤、程瑞福 (2016)。臺灣民眾休閒性身體活動不足盛行率與全民健康保險使用之關聯性探討。輔仁大學體育學刊,15:56-68。
    周翌、何立民 (1996)。神奇的褪黑激素。臺北市:方智
    周嘉芬 (2016)。從職護視角探討職場健康促進之執行差異(未出版碩士論文)。義守大學醫務管理學系,高雄市。
    徐彩莉 (1998)。固定式女性輪班工作人員飲食及生理狀況評估(未出版碩士論文)。台北醫學院,臺北市。
    許森彥、蘇世斌 (2003)。夜班及輪班工作者的健康問題。中華職業醫學雜誌,10(2),71-80。 10.5297/ser.1201.002
    郭世傑、故博文、周碧瑟 (2014)。中年及老年人閒暇時間身體活動的改變對全因死亡率之影響。大專體育學刊。16(2),250-260。10.5297/ser.1602.011
    詹欣隆、黃偉新、鄒孟婷 (2011)。睡眠時間長短與成人健康風險行爲之探討-給職場工作者之建議。中華職業醫學雜誌,18(3),153-164。 10.30027/CJOM.201107.0001
    衛生福利部 (2014)。103年度護理人力流向調查計畫。取自衛生福利部,護理及健康照護司網址https://dep.mohw.gov.tw/donahc/lp-4069-104.html
    蕭淑銖(2017)。職業與環境衛生護理:概念與實務.臺北市:華杏。[Shiao, J. S.C. (2017). Occupational and environmental health nursing: Concept and practice. Taipei City, Taiwan, ROC: Farseeing.]
    Akerstedt, T., & Froberg, J. E. (1976). Shift work and health: Interdisciplinary aspects. National Institute of Occupational Safety and Health, 184–187
    Akerstedt, T., & Gillberg, M. (1981). The Circadian Variation of Experimentally Displaced Sleep. Sleep, 4(2):159-169. 10.1249/MSS.0000000000000885
    Akune, T., Muraki, S., Oka, H., Tanaka, S., Kawaguchi, H., Nakamura, K., & Yoshimura, N. (2014). Exercise habits during middle age are associated with lower prevalence of sarcopenia: the ROAD study. Osteoporosis International, 25:1081–1088. https://pubmed.ncbi.nlm.nih.gov/24146097/
    Alfredson, H., Nordstro¨m, P., Pietila¨, T., & Lorentzon, R. (1998). Long-term Loading and Regional Bone Mass of the Arm in Female Volleyball Players. Calcified Tissue International, 62:303–308. https://pubmed.ncbi.nlm.nih.gov/9504954/
    Bastien, C. H., & Morin, C. M. (2000). Familial incidence of insomnia. Journal of Sleep Research, 9(1):49 -54. https://doi.org/10.1046/j.1365-2869.2000.00182.x
    Bolge, S. C., Doan, J. F., Kannan, H., & Baran, R. W. (2009). Association of insomnia with quality of life, work productivity, and activity impairment. Quality of Life Research, 18(4):415-422. https://pubmed.ncbi.nlm.nih.gov/19288223/
    Braunwald, E., Fauci, A. S., Kasper, D. L., Hauser, S. L., Longo, D. L., & Jameson, J.L. (2001). Harrison’s principles of internal medicine. 15th ed. New York: Mhraw-Hill.
    Buysse, D. J.,Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: A New Instrument for Psychiatric Practice and Research. Psychiatry Research, 28(2):193-213. https://doi.org/10.1016/0165-1781(89)90047-4
    Carter, M. I., & Hinton, P. S. (2014). Physical Activity and Bone Health. Science of Medicine, 111(1): 59–64. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6179512/
    Caspersen, C. J., Powell, K. E., & Christenson, G. M. (1985). Physical Activity, Exercise, and Physical Fitness: Definitions and Distinctions for Health-Related Research. Public Health Reports,100(2): 126-131. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1424733/
    Centers for Disease Control and Prevention. (2008). Sleep Duration as a Correlate of Smoking, Alcohol Use, Leisure-Time Physical Inactivity, and Obesity Among Adults: United States, 2004-2006. https://www.cdc.gov/nchs/data/hestat/sleep04-06/sleep04-06.htm
    Dolezal, B. A., Neufeld, E. V., Boland, D. M., Martin, J. L., & Cooper, C. B. (2017). Interrelationship between Sleep and Exercise: A Systematic Review. Advances in Preventive Medicine, 2017: 1364387. https://doi.org/10.1155/2017/1364387
    Etherington, J., Harris, P. A.,Nandra, D., Hart, D. J., Wolman, R. L.,Doyle, D. V., & Spector, T. D. (1996). The Effect of Weight-Bearing Exercise on Bone Mineral Density: A Study of Female Ex-Elite Athletes and the General Population. Journal of Bone and Mineral Research, 11(9):1333-1338. https://doi.org/10.1002/jbmr.5650110918
    Fang, Y. Y., Hung, C. T., Chan, J. C., Huang, S. M., & Lee, Y. H. (2019). Meta‐analysis: Exercise intervention for sleep problems in cancer patients. European Journal of Cancer Care, 28(5): e13131. https://doi.org/10.1111/ecc.13131
    Fragoso, C. A. V., & Gill, T. M. (2007). Sleep complaints in community-living older persons: a multifactorial geriatric syndrome. Journal of the American Geriatrics Society, 55(11):1853-1866. https://doi.org/10.1111/j.1532-5415.2007.01399.x
    Grimm, E. K., Swartz, A. M., Hart, T., Miller, N. E., & Strath, S. J. (2012). Comparison of the IPAQ-Short Form and accelerometry predictions of physical activity in older adults. Journal of Aging and Physical Activity, 20(1):64-79. https://doi.org/10.1123/japa.20.1.64
    Hall, R. C., Platt, D. E., & Hall, R. C. (1999). Suicide risk assessment: a review of risk factors for suicide in 100 patients who made severe suicide attempts. Evaluation of suicide risk in a time of managed care. Psychosomatics, 40(1):18-27. https://doi.org/10.1016/S0033-3182(99)71267-3
    Healey, E. S., Kales, A., Monroe, L. J., Bixler, E. O., Chamberlin, K., & Soldatos, C. R. (1981). Onset of insomnia: role of life-stress events. Psychosomatic Medicine, 43(5):439-451. 10.1097/00006842-198110000-00007
    Hong, O., Chin, D. L., & Thomas, E. A. (2013). Global Occupational Health and Safety Responsibilities of Occupational Health Nurses Based in the United States. Workplace Health & Safety, 61(7): 287-295. https://doi.org/10.1177/216507991306100703
    Krall, E. A., & Dawson-Hughes, H. (1994). Walking is related to bone density and rates of bone loss. The American Journal of Medicine, 96(1):20-26. https://doi.org/10.1016/0165-1781(89)90047-4
    Kredlow, M. A., Capozzoli, M. C., Hearon, B. A., Calkins, A. W., & Otto, M. W. (2015). The effects of physical activity on sleep: a meta-analytic review. Journal of Behavioral Medicine, 38:427-449. https://doi.org/10.1080/21679169.2019.1623314
    Lanyon, L. E. (1996). Using functional loading to influence bone mass and architecture: objectives, mechanisms, and relationship with estrogen of the mechanically adaptive process in bone. Bone, 18(1 Supp. l): S37-S43. https://doi.org/10.1016/8756-3282(95)00378-9
    Ledermana, O., Ward, P. B., Firthe, J., Maloney, C., Carney, R.,Vancampforth, D., Stubbs, B., Kalucy, M., & Rosenbaumc, S. (2019). Does exercise improve sleep quality in individuals with mental illness? A systematic review and meta-analysis. Journal of Psychiatric Research, 109:96-106. https://doi.org/10.1016/j.jpsychires.2018.11.004
    Léger, D., Guilleminault, C., Bader, G., Lévy, E., & Paillard, M. (2002). Medical and socio-professional impact of insomnia. Sleep, 25(6):625-629. https://pubmed.ncbi.nlm.nih.gov/12224841/
    Léger, D., Scheuermaier, K., Philip, P., Paillard, M., & Guilleminault, C. (2001). SF-36: Evaluation of quality of life in severe and mild insomniacs compared with good sleepers. Journal of Psychosomatic Medicine, 63(1):49-55. 10.1097/00006842-200101000-00006
    Loprinzi, P. D., & Cardinal, B. J. (2011). Association between objectively-measured physical activity and sleep, NHANES 2005e2006. Mental Health and Physical Activity, 4(2):65-69, https://doi.org/10.1016/j.mhpa.2011.08.001
    MacKelvie, K. J., Khan, K. M., Petit, M. A., Janssen, P. A., & McKay, H. A. (2000). A School-Based Exercise Intervention Elicits Substantial Bone Health Benefits: A 2-Year Randomized Controlled Trial in Girls. Pediatrics, 112(6 Pt 1): e447. 10.1542/peds.112.6.e447
    Marziale, M. H. P., Hong, O. S., Morris, J. A., & Rocha, F. L. R. (2010). The Roles and Functions of Occupational Health Nurses in Brazil and in the United States. Revista Latino-Americana de Enfermagem, 18(2):182-188. https://doi.org/10.1590/S0104-11692010000200007
    Mellinger, G. D., Balter, M. B., & Uhlenhuth, E. H. (1985). Insomnia and Its Treatment: Prevalence and Correlates. Arch Gen Psychiatry, 42(3):225-232. 10.1001/archpsyc.1985.01790260019002
    Montoye, H. J. (2000). Introduction: evaluation of some measurements of physical activity and energy expenditure. Medicine & Science in Sports & Exercise, 32(9): S439-S441. 10.1097/00005768-200009001-00001
    Morin, C. M. (1993). Insomnia: Psychological assessment and management. New York: Guilford Press. 42(5):493-502. https://doi.org/10.1016/j.amepre.2012.01.030
    Ohayon, M. M., & Roth T. (2003). Place of chronic insomnia in the course of depressive and anxiety disorders, Journal of Psychiatric Research, 37(1):9-15., https://doi.org/10.1016/S0022-3956(02)00052-3
    Patnode, C. D., Evans, C. V., Senger, C. A., Redmond, N., & Lin, J. S. (2017). Behavioral Counseling to Promote a Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults Without Known Cardiovascular Disease Risk Factors Updated Evidence Report and Systematic Review for the US Preventive Services Task Force. Journal of the American Medical Association, 318(2):175-193. 10.1001/jama.2017.3303
    Ruotsalainen, H., Kyngaas, H., Tammelin, T., & Kaariainen, M. (2015). Systematic review of physical activity and exercise interventions on body mass indices, subsequent physical activity and psychological symptoms in overweight and obese adolescents. Journal of Advanced Nursing, 71(11): 2461-2477. https://doi.org/10.1111/jan.12696
    Simon, G. E., & VonKorff, M. (1997). Prevalence, burden, and treatment of insomnia in primary care. American Journal of Psychiatry, 154(10):1417-1423. https://doi.org/10.1176/ajp.154.10.1417
    Tang, M. F., Liou, T. H., & Lin, C. C. (2010). Improving sleep quality for cancer patients: benefits of a home-based exercise intervention. Support Care Cancer, 18:1329–1339. 10.1007/s00520-009-0757-5
    Vgontzas, A. N., Liao, D., Bixler, E. O., Chrousos, G. P., & Vela-Bueno, A. (2009). Insomnia with objective short sleep duration is associated with a high risk for hypertension. Sleep, 32(4):491-497. https://doi.org/10.1093/sleep/32.4.491
    Wahid, A., Manek, N., Nichols, M., Kelly, P., Foster, C., Webster, P., Kaur, A., Smith, C. F., Wilkins, E., Rayner, M., Roberts N., & Scarborough, P. (2016). Quantifying the Association Between Physical Activity and Cardiovascular Disease and Diabetes: A Systematic Review and Meta-Analysis. Journal of the American Heart Association, 5(9). https://doi.org/10.1161/JAHA.115.002495
    Wang, C., Chen, P., & Zhuang, J.(2013). A national survey of physical activity and sedentary behavior of Chinese city children and youth using accelerometers. Research Quarterly for Exercise and Sport, 84: S12-S28. 10.1080/02701367.2013.850993
    Wanner, M., Götschi, T., Martin-Diener, E., Kahlmeier, S., & Martin, B. W. (2010). Improving sleep quality for cancer patients: benefits of a home-based exercise intervention. Support Care Cancer, 18:1329–1339. 10.1007/s00520-009-0757-5
    Ward, D. S., Evenson, K. R., Vaughn, A., Rodgers, A. B., & Troiano, R. P. (2005). Accelerometer use in physical activity: best practices and research recommendations. Medicine & Science in Sports & Exercise, 37(11): S582-S588. 10.1249/01.mss.0000185292.71933.91
    Whitaker, K. M, Gabriel, K. P., Jacobs Jr, D. R., Sidney, S., & Sternfeld, B. (2000). Comparison of Two Generations of ActiGraph Accelerometers: The CARDIA Study. Medicine and Science in Sports and Exercise, 50(6): 1333-1340. 10.1249/MSS.0000000000001568
    World Health Organization. (2010). Global Recommendations on Physical Activity for Health. World Health Organization. https://www.who.int/publications/i/item/9789241599979
    Yang, C. M., Wu, C. H., Hsieh, M.H., Liu, M. H., & Lu, F.H. (2003). Coping with sleep disturbances among young adults: A survey of first-year college students in Taiwan. Behaviorak Medicine, 29(3),133-138. https://doi.org/10.1080/08964280309596066
    Zhang, D., Liu, X., Liu, X., Sun, X., Wang, B., Ren, Y., Zhao, Y., Zhou, J., Han, C., Yin, L., Zhao, J., Shi, Y., Zhang, M., & Hu , D. (2017). Leisure-time physical activity and incident metabolic syndrome: a systematic review and dose-response meta-analysis of cohort studies. Metabolism, 75:36-44. https://doi.org/10.1016/j.metabol.2017.08.001

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