| 摘要: | 2019年底新型冠狀病毒疾病(COVID-19)快速肆虐全球，廣泛的傳染令人擔憂，造成第一線醫護人員工作量倍增。疫情期間支援發燒篩檢站的門診護理人員面臨諸多的壓力與擔憂，本研究旨在探討在新冠肺炎疫情期間支援發燒篩檢站的門診護理人員之壓力因應，採質性方法進行研究，在南部某醫學中心以立意取樣方式收案，透過半結構式深度訪談9位門診護理人員，並以主題分析法進行分析。研究結果顯示疫情期間的壓力源以工作壓力區分為：擔心被感染或成為感染源、單位人員互動減少、跨單位支援、缺乏院內支持系統、人力短缺及缺乏完整的教育訓練；以家庭因素區分為：家人排擠、反對繼續工作；以外在壓力區分為：遭受社會汙名化與歧視、朋友的迴避、國家政策與醫院決策的發佈。而國家政策與醫院決策的發佈區分為：口罩搶購、禁止醫護人員出國、非自願性支援、信息傳遞的不完整、品質與供應不穩的防護裝備、隔離的居身之地。當壓力過大時並且無法獲得有效改善，將可能不斷惡性循環，影響護理人員身心狀態，嚴重危及專業品質。壓力因應方式區分為：家人支持、親友支持、同事支持、民間資源支持、正向面對問題、情緒轉移尋求幫助。以及，護理人員在面臨壓力時，未能接收到醫院的支持系統，在遇到問題而產生困境時，容易讓護理人員身陷壓力困擾，而需耗費更多時間走出壓力，這顯示專業諮商與壓力調適團隊介入的重要性。最後，本研究者提出相關建議，以供相關單位在未來面對類似壓力情況下，能夠有具體的因應方案與參考。
At the end of 2019, the coronavirus disease (COVID-19) rapidly raged around the world, the spread of the disease has been alarming causing the workload of frontline medical staff to double. During the epidemic, the outpatient nursing staff who supported the fever screening station faced a lot of pressure and worries. This purpose of research to explore the stress-coping of outpatient nursing staff who support fever screening stations during the COVID-19 pandemic. It adopts qualitative methods to conduct research and collects cases by purposive sampling at a medical center in the south. Semi-structured in-depth interviews with 9 outpatient nursing staff, and analyzed by thematic analysis method. The results of the study show that the stressors during the epidemic are classified as work stress: fear of being infected or becoming a source of infection, reduced interaction between unit personnel, cross-unit support, lack of hospital support system, shorthanded, and lack of complete education and training; family factors are classified as: edged out by Family and against continuing to work.External pressure including : social stigma and discrimination, avoidance of friends, announcement of national policies and hospital decisions. The national policy and the release of hospital decisions are divided into: mask buying, prohibition of medical staff from going abroad, involuntary support, incomplete information transmission, protective equipment of unstable quality and supply, and government quarantine facility. When the pressure is too great and no effective improvement can be achieved, it may continue to be a vicious circle, affecting the physical and mental state of the nursing staff, and seriously endangering the professional quality. The stress-coping methods including : family support, relatives and friends support, colleague support, support from non-governmental resources, facing problems positively, and seeking help for emotional transfer. In addition, when nursing staff are under pressure, they cannot receive the support system of the hospital. When problems arise and difficulties arise, it is easy for nursing staff to get stressed out, and it takes more time to get out of the pressure, which shows professional consultation. The importance of getting involved with the stress adjustment team. Finally, the researcher puts forward relevant suggestions for relevant units to have specific response plans and references under similar pressure situations in the future. |
