探討在防疫期間花精對急診護理人員身心健康之成效

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Title:	探討在防疫期間花精對急診護理人員身心健康之成效
Other Titles:	The Effects of Flower Remedies on the Physical and Mental Wellbeing among Emergency Nurses in Epidemic Period
Authors:	劉祐睿 LIU, YU-RUEY
Contributors:	自然生物科技學系自然療癒碩士班陳秋媛 CHEN, CHIU-YUAN
Keywords:	新冠病毒;複合花精;急診護理人員;睡眠品質;心身壓力;情緒特質 COVID-19;flower remedies;emergency nurses;sleep quality;psychological and physical stress;emotional characteristics
Date:	2020
Issue Date:	2022-08-11 13:22:45 (UTC+8)
Abstract:	背景及目的：2019新冠病毒 (COVID-19) 爆發至今，第一線醫護人員每天繃緊神經，承受巨大的身心壓力，提供及時心理治療這個問題顯得尤其緊迫和關鍵。本研究目的在探討花精對於急診護理人員身心壓力、情緒特質及睡眠品質之影響。　　材料及方法：本研究為隨機雙盲兩組平行前後對照實驗，以中部某綜合醫院急診臨床護理人員為研究對象，符合資格者以亂數表塊狀隨機分派為實驗組及對照組各30人，實驗組使用複合花精噴劑，對照組使用安慰劑(不含花精之純水)，每次於耳後皮膚噴2下，每日4次連續3週。評估工具為心身壓力量表、情緒特質量表及匹茲堡睡眠品質量表。資料譯碼後以 SPSS 18.0 軟體分析，統計水準以p<0.05表示有統計上意義，統計方法包括描述性統計、推論性統計。　　結果：共計60 位受試者完成試驗，兩組受試者在基本資料上的分佈屬於同質。對疫情反應部分，「可能與確診者的接觸機會」以中等21人(35%)及偏重21人(35%)居多；「疫情可控制感」以中等22人(36.7%)及偏重27人(45%)居多；「額外的工作負荷過重」中等27人(45%)，偏重16人(26.7%)；「擔心感染的程度」輕微16人(26.7%)，中等23人(38.3%)；「疫情帶來的精神壓力」中等19人(31.7%)，偏重20人(33.3%)，極度9人(15%)。無論是在實驗介入前或是介入後，兩組受試者在「睡眠品質」、「心身壓力」及「情緒特質」皆沒有顯著的差異存在。成對樣本t檢定得知，睡眠品質部分，介入後對照組在「日間精神狀態」有顯著改善，實驗組在「睡眠潛伏期」及「日間精神狀態」皆有顯著改善。心身壓力部分，對照組在「心身壓力」總分及「情緒」分項有顯著改善；實驗組在「心身壓力」總分及「情緒」、「行為」及「身體」分項皆有顯著的改善。情緒特質部分，介入後，對照組在「無助感」及「自卑感」有顯著的差異，實驗組則是在「關懷性」及「愉悅感」有顯著的差異。　　結論：急診護理人員使用巴哈花精者較易入睡及有較佳之日間精神狀態，心身壓力及正向情緒特質皆較介入前顯著改善，研究結果可提供花精相關實證研究之參考。　　Background and Purpose: Since the outbreak of the new coronavirus (COVID-19) in 2019, front-line medical staff have tightened their nerves every day and endured huge physical and mental stress. The purpose of this study is to explore the effects of flower essence on the physical and mental stress, emotional characteristics and sleep quality of emergency nurses.　　Materials and methods: This is a randomized controlled experimental design study with blocked sampling method to include clinical emergency nurses. The experimental group used a flower remedies spray, and the control group used a placebo (pure water without flower remedies), sprayed on the skin behind the ear twice each time, 4 times a day for 3 weeks. Assessment tools are the Psychosomatic Stress Scale, the Emotional Trait Scale and the Pittsburgh Sleep Quality Inventory (PSQI). 　　Results: Data were obtained from 60 participants who have completed the study. There is no significant difference in “anxiety” between two groups before the intervention, which is regarded as homogeneous. After the intervention, the control group had significant improved in the “day mental state”, and the experimental group had significant differences in the “sleep latency” and “day mental state”. In the psychosomatic stress, the control group had significant improved in the total scores of “psychosomatic stress” and “emotion”; the experimental group had significant improved in the total scores of “psychosomatic stress” and “emotion”, “behavior” and “body”. In terms of emotional characteristics, after the intervention, the control group had significant improved in “helplessness” and “inferiority complex”, while the experimental group had significant differences in “caring” and “pleasure”. 　　Conclusion: The use of flower remedies for emergency nurses can relieve their anxiety, easier to fall asleep and better daytime mental state, psychological and physical stress and positive emotional characteristics are significantly improved. The research results can provide a reference for empirical research on flower remedies.
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