研究生: |
胡嘉容 Hu, Chia-Jung |
---|---|
論文名稱: |
客艙組員疲勞管理衛生教育介入成效之研究 The Effectiveness of the Fatigue Management Health Education Intervention among the Cabin Crews |
指導教授: |
葉國樑
Yeh, Gwo-Liang |
學位類別: |
博士 Doctor |
系所名稱: |
健康促進與衛生教育學系 Department of Health Promotion and Health Education |
論文出版年: | 2019 |
畢業學年度: | 107 |
語文別: | 中文 |
論文頁數: | 114 |
中文關鍵詞: | 客艙組員 、疲勞管理 、衛生教育 |
英文關鍵詞: | Cabin crew, Fatigue Management, Health Education |
DOI URL: | http://doi.org/10.6345/NTNU201900328 |
論文種類: | 學術論文 |
相關次數: | 點閱:245 下載:0 |
分享至: |
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報 |
本研究目的為探討疲勞管理衛生教育介入對客艙組員疲勞管理知識、疲勞管理態度、疲勞管理行為意圖、疲勞管理自我效能及疲勞強度之影響。本研究為準實驗性研究設計,為實驗組及對照組雙組前後測設計,以台灣某國際航空公司客艙組員為對象,採立意取樣,實驗組共34人,對照組共36人。實驗組接受疲勞管理衛生教育介入,對照組無任何介入。以共變數分析及詹森內曼法進行統計分析,研究結果顯示,疲勞管理衛生教育介入顯著提升實驗組疲勞管理知識、疲勞管理態度、疲勞管理行為意圖、疲勞管理自我效能且減弱疲勞強度。依據本研究結果,建議:⑴疲勞管理衛生教育手冊可應用於客艙組員及相關職場進行疲勞管理教育訓練;(2)未來可開發相關疲勞管理衛生教育線上自學課程,藉由文字、案例或影片,讓客艙組員可於線上學習或複習,以強化疲勞管理之能力。
The aim of this study was to evaluate the effects of the fatigue management health educational among cabin crews. A quasi-randomized experimental study was conducted in an Airline in Taiwan. There were 34 cabin crews in the experimental group and 36 cabin crews in the control group. The experimental group was given a fatigue management health education. The control group did not receive any intervention. Covariate analysis and Johnson-Neyman were used for statistical analysis.
The results of the study showed that fatigue management health education significantly increased the experimental group's fatigue management knowledge, attitude, practices, self-efficacy and decreased their fatigue strength. It means that fatigue management health education is effective. We suggest that: (1) This intervention could be applied to cabin crews and related workplace members for fatigue management; (2) The fatigue management health education could be applied many styles such as online study, movies or any teaching courses to strengthen the ability of fatigue management among cabin crews.
參考文獻
一、中文部分
王肇齡、黃志中、楊俊毓、莊弘毅 (2000)。個人疲勞強度問卷中文版之效度及信度的評估。台灣家庭醫學雜誌,10 (4),192-201。doi: 10.7023/TJFM.200012.0192
民航通告 (2018年7月3日)。
江惠綾、陳錫中、白其卉、車先蕙、李明濱、賴仕涵、周碧瑟 (2009)。中文版雅典失眠量表信效度研究。臺灣精神醫學,23 (1),43-52。doiI:10.29478/TJP.200903.0005
何立己 (2012)。一個多贏且能協助解決飛安隱形挑戰的系統疲勞風險管理系統。飛行安全季刊,70,10-15。
航空器飛航作業管理規則 (2018年7月13日)。
張晏蓉、葉婉榆、陳春萬、陳秋蓉、石東生、鄭雅文 (2007)。台灣受僱者疲勞的分布狀況與相關因素。台灣公共衛生雜誌,26 (1),75-87。doi:10.6288/TJPH2007-26-01-09
溫德生 (1998)。飛行疲勞的認識與預防。航空醫學會刊,12 (1),16-34。doi:10.7011/TAMAROC.199812.0016
蔣立琦、郭雅雯、林綽娟 (2004)。自我效能之概念分析。護理雜誌,51 (2),67-72。doi:10.6224/JN.51.2.67
鄭雅文、葉婉榆、林宜平 (2007)。台灣職場疲勞問題的社會性。臺灣公共衛生雜誌,26 (4),251-253。doi:10.6288/TJPH2007-26-04-01
二、英文部分
Air Line Pilots Association. (2008). The airline pilots' guide to fighting fatigue. Washington, DC: ALPA.
Ajzen, I., & Fishbein, M. (1977). Attitude-behavior relations: a theoretical analysis and review of empirical research. Psychological Bulletin, 84(5), 888-918. doi: 10.1037//0033-2909.84.5.888
Alertness Solutions. (2013). The alert crew-flight awareness in flight operations. Cupertino, CA: National Business Aviation Association.
Aljurf, T. M., Olaish, A. H., & BaHammam, A. S. (2018). Assessment of sleepiness, fatigue, and depression among gulf cooperation council commercial airline pilots. Sleep and Breathing, 22(2), 411-419. doi: 10.1007/s11325-017-1565-7
Avers, K. B., King, S. J., Nesthus, T. E., Thomas, S., & Banks, J. (2009). Flight attendant fatigue, part 1: national duty, rest, and fatigue survey. Washington, DC: Federal Aviation Administration.
Avers, K.E., Hauck E.L., Blackwell L.V., Nesthus, T.E. (2009). Flight Attendant fatigue, part 6: fatigue countermeasure training and potential benefits. Washington, DC: Federal Aviation Administration.
Badran, I.G. (1995). Knowledge, attitude and practice the three pillars of excellence and wisdom: a place in the medical profession. Eastern Mediterranean Health Journal, 1(1), 8-16. doi: 10.26719/2016.22.8.628
Bandura, A. (1977). Self-efficacy: toward a unifying theory of behavioral change. Psychological Review,84(2), 191-215. doi: 10.1016/0146-6402(78)90002-4.
Bandura, A. (1998). Health promotion from the perspective of social cognitive theory. Psychology and Health, 13, 623-649. doi: 10.1080/08870449808407422
Banks, J. O., Wenzel, B. M., Avers, K. E., & Hauck, E. L. (2013). An evaluation of aviation maintenance fatigue countermeasures training. Washington, DC: Federal Aviation Administration.
Bjorvatn, B., Fiske, E., & Pallesen, S. (2011). A self-help book is better than sleep hygiene advice for insomnia: a randomized controlled comparative study. Scandinavian Journal of Psychology, 52(6), 580-585. doi: 10.1111/j.1467-9450.2011.00902.
Caldwell, J. A., Caldwell, J. L., Thompson, L. A., & Lieberman, H. R. (2019). Fatigue and its management in the workplace. Neuroscience & Biobehavioral Reviews, 96, 271-289. doi: 10.1016/j.neubiorev.2018.10.024.
Canadian Centre for Occupational Health and Safety. (2017). OSH Answers Fact Sheet: Fatigue. Retrieved from https://ccohs.ca/oshanswers/psychosocial/fatigue.html.
Centers for Disease Control and Prevention. (2015). National Institute for Occupational Safety and Health. Retrieved from https://www.cdc.gov/niosh/topics/workschedules/guidance.html.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences. (2nd ed.). Mahwah, NJ: Lawrence Erlbaum Associates.
Demerouti, E., Veldhuis, W., Coombes, C., & Hunter, R. (2018). Burnout among pilots: psychosocial factors related to happiness and performance at simulator training. Ergonomics, 62(2):233-245. doi:10.1080/00140139.2018.1464667
Dawson, D., & McCulloch, K. (2005). Managing fatigue: it's about sleep. Sleep medicine reviews, 9(5), 365-380. doi: 10.1016/j.smrv.2005.03.002
European Cockpit Association. (2012). Pilot fatigue. Brussels, Belium: European Cockpit Association AISBL.
Fred, G. (2015). Aviation week-preventing crew fatigue from A to Zzz. Aviation week. Retrieved from http://aviationweek.com/business-aviation/preventing-crew-fatigue-zzz.
International Civil Aviation Organization. (2015). Fatigue management guide for airline operators(2ed ed.). Montreal, CA: International Civil Aviation Organization.
International Petroleum Industry Environmental Conservation Association. (2007). Management fatigue in workplace. London, UK: International Petroleum Industry Environmental Conservation Association.
Kaiser, F. G., Oerke, B., & Bogner, F. X. (2007). Behavior-based environmental attitude: Development of an instrument for adolescents. Journal of Environmental Psychology, 27, 242–251. doi: 10.1016/j.jenvp.2007.06.004
Kear, M. (2000). Concept analysis of self-efficacy. Graduate research in nursing, 2(2), 1-7.
Kryger, M. H., Roth, T., & Dement, W. C. (2015). Principles and practice of sleep medicine. Nederland, AMS: Elsevier Health Sciences.
Launiala, A. (2009). How much can a KAP survey tell us about people's knowledge, attitudes and practices? Some observations from medical anthropology research on malaria in pregnancy in Malawi. Anthropology Matters, 11(1), 1-13.
Lawrence, L. J., & Mardon, S. (2007). The harvard medical school guide to a good night’s sleep. New York: McGraw-Hill.
McNeely, E., Gale, S., Tager, I., Kincl, L., Bradley, J., Coull, B., & Hecker, S. (2014). The self-reported health of US flight attendants compared to the general population. Environmental Health, 13(1), 13. doi: 10.1186/1476-069X-13-13
McNeely, E., Mordukhovich, I., Tideman, S., Gale, S., Coull, B. (2018). Estimating the health consequences of flight attendant work: comparing flight attendant health to the general population in a cross-sectional study. BMC Public Health, 18(1), 346. https://doi.org/10.1186/s12889-018-5221-3.
Müller, R., Wittmer, A. & Drax, C. (2014). Aviation risk and safety management: methods and applications in aviation organizations. Heidelberg: Springer.
National Research Council. (2011). The effects of commuting on pilot fatigue. Washington, DC: National Academies Press.
Omholt, M.L., Tveito, T.H., Ihlebæk, C. (2017). Subjective health complaints, work-related stress and self-efficacy in Norwegian aircrew. Occupational Medicine, 67(2), 135-142. doi:10.1093/occmed/kqw127.
Perrin, S. L., Dorrian, J., Gupta, C., Centofanti, S., Coates, A., Marx, L., Beyne, K., & Banks, S. (2018). Timing of Australian flight attendant food and beverage while crewing: a preliminary investigation. Industrial health. doi: 10.2486/indhealth.2018-0070
Petrilli, R. M., Roach, G. D., Dawson, D., & Lamond, N. (2006). The sleep, subjective fatigue, and sustained attention of commercial airline pilots during an international pattern. Chronobiology International, 23(6), 1357-1362. doi: 10.1080/07420520601085925.
Pinar-Chelso, M.J. & Fernandez-Castro J. (2011). A new scale to evaluate disruptive passenger management by cabin crew. Aviation Psychology and Applied Human Factors, 1(1), 21-30. doi: 10.1027/2192-0923/a00009
Redeker, N. S., Caruso, C. C., Hashmi, S. D., Mullington, J. M., Grandner, M., & Morgenthaler, T. I. (2019). Workplace interventions to promote sleep health and an alert, healthy workforce. Journal of Clinical Sleep Medicine, 15(04), 649-657. doi: 10.5664/jcsm.7734.
Rosekind, M. R., Boyd, J. N., Gregory, K. B., Glotzbach, S. F., & Blank, R. C. (2002). Alertness management in 24/7 settings: lessons from aviation. Occupational Medicine, 17(2), 247-260.
Rosekind, M. R., Gregory, K. B., & Mallis, M. M. (2006). Alertness management in aviation operations: enhancing performance and sleep. Aviation, Space, and Environmental Medicine, 77(12), 1256-1265. doi: 10.3357/ASEM.1879.2006.
Rosskam, E., Greiner, B., Mateski, M., McCarthy, V., Siegrist, J., Smith, S. L., & Zsoldos, L. (2009). Stressed and fatigued on the ground and in the sky: changes from 2000–2007 in civil aviation workers ‘conditions of work. A global study of 116 countries in Africa, Asia/Pacific. Middle East, North America, Latin/South America, and Europe in the post–9/11 era. London, UK: ITF.
Salazar, G.J. (2007). Fatigue in Aviation: Medical Facts for Pilots. Oklahoma City, OK: FAA Civil Aerospace Medical Institute.
Schrader, P. G., & Lawless, K. A. (2004). The knowledge, attitudes, & behaviors approach how to evaluate performance and learning in complex environments. Performance Improvement, 43(9), 8-15. doi: 10.1002/pfi.4140430905
Schneider, B., & Cheslock, N. (2003). Measuring results: Gaining insight on behavior change strategies and evaluation methods from environmental education, museum, health, and social marketing programs. San Francisco, CA: Coevolution Institute.
Sheeran, P., Maki, A., Montanaro, E., Avishai-Yitshak, A., Bryan, A., Klein, W. M. Miles, E., Rothman, A. J. (2016). The impact of changing attitudes, norms, and self-efficacy on health-related intentions and behavior: a meta-analysis. Health Psychology, 35(11), 1178. doi: 10.1037/hea0000387.
Transport Canada. (2007). Fatigue Management Strategies for Employees. Retrieved from https://www.tc.gc.ca/eng/civilaviation/standards/-
sms-frms-menu-634.htm
Vandamme, E. (2009). Concepts and challenges in the use of Knowledge-Attitude Practice surveys: Literature review. Department of Animal Health, Institute of Tropical Medicine, Antwerp, Belgium.
van Drongelen A., Boot C.R., Hlobil H., Twisk J.W., Smid T., & van der Beek A.J. (2014). Evaluation of an mHealth intervention aiming to improve health-related behavior and sleep and reduce fatigue among airline pilots. Scandinavian Journal of Work,Environment and Health, 40(6), 557. doi: 10.5271/sjweh.3447.
van Drongelen, A., Boot, C. R., Hlobil, H., Smid, T., & van der Beek, A. J. (2016). Process evaluation of a tailored mobile health intervention aiming to reduce fatigue in airline pilots. BMC public health, 16(1), 894. doi: 10.1186/s12889-016-3572-1
van Drongelen, A., Boot, C.R.L., Hlobil, H. Smid, T., & van der Beek, A.J. (2017). Risk factors for fatigue among airline pilots. International Archives of Occupational and Environmental Health, 90(1), 39-47. doi: 10.1007/s00420-016-1170-2
Wahlstedt, K., Lindgren, T., Norbäck, D., Wieslander, G., & Runeson, R. (2010). Psychosocial work environment and medical symptoms among Swedish commercial airline cabin crew. American journal of industrial medicine, 53(7), 716-723. doi: 10.1002/ajim.20822
Yumang-Ross, D. J., & Burns, C. (2014). Shift work and employee fatigue: implications for occupational health nursing. Workplace health & safety, 62(6), 256-261. doi: 10.3928/21650799-20140514-07.
Zaslona, J. L., O’Keeffe, K. M., Signal, T. L., & Gander, P. H. (2018). Shared responsibility for managing fatigue: Hearing the pilots. PloS one, 13(5), e0195530. doi: 10.1371/journal.pone.0195530