摘要
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。研究對象為中部某綜合醫院臨床護理人員，共計60人。採隨機雙盲兩組平行前後對照實驗，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中文版等前後測量表。結果部分，成對樣本t檢定（Paired Sample t test）得知，睡眠品質部分，介入前後對照組在「日間精神狀態」有顯著的差異，實驗組則在「睡眠潛伏期」及「日間精神狀態」有顯著的差異。心身壓力部分，介入前後對照組在「心身壓力」總分及「情緒」分項有顯著的差異；實驗組在「心身壓力」總分及「情緒」、「行為」及「身體」分項皆有顯著的差異。情緒特質部分，介入前後對照組在「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。以共變異數分析（Analysis of Covariance, ANCOVA）進行組間比較，在排除前測對後測分數之影響後，兩組受試者在各項指標後測得分上未存在顯著差異。本研究顯示花精介入前後二組受試者在「睡眠品質」、「心身壓力」及「情緒特質」有不同之反應，整體效益則未達顯著差異。未來研究建議以傳統口服方式或增加客觀生理評估項目進一步探討介入成效之差異。
關鍵字
新冠病毒 ； 花精療法 ； 急診護理人員 ； 睡眠品質 ； 心身壓力
並列摘要
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. 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 (BFR), 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 Pittsburgh Sleep Quality Inventory (PSQI) and the Psychosomatic Stress Scale. Data were obtained from 60 participants who have completed the study. Statistical analysis (paired t-test) revealed a significant improvement in "sleep latency" and "day mental state" subscale of PSQI after treatment in the BFR group and the control group had significant improved in the "day mental state" subscale. In the psychosomatic stress, the BFR group had significant improved in the total scores and "emotion", "behavior" and "body" subscale. The control group had significant improved in the total scores and "emotion" subscale. The ANCOVA revealed no significant differences between the two groups on the post-measurement score of the PSQI and Psychosomatic Stress Scale. Future research suggests using traditional oral methods or adding objective physiological evaluation items to further explore the difference in intervention effectiveness.
並列關鍵字
COVID-19 ； Bach flower remedies ； emergency nurses ； sleep quality ； psychosomatic stress
出版資訊
ISSN : 2313-8963
DOI :
出版單位 : 中華國際自然醫學學會 , 台灣
收錄起始 : 1卷1期(2014/09)
學科分類：醫藥衛生 > 醫藥總論
刊頻 : 半年刊 , 正常發行