研究生: |
蔡緯昕 Tsai, Wei-Hsin |
---|---|
論文名稱: |
探討消防人員之健康促進生活型態、睡眠與疲勞的相關性-以新北市消防局為例 A study on the correlation between health-promoting lifestyles, sleep quality, and fatigue levels among firefighters - A case study of firefighters in New Taipei City |
指導教授: |
胡益進
Hu, Yih-Jin 李子奇 Lee, Tzu-Chi |
口試委員: |
胡益進
Hu, Yih-Jin 李子奇 Lee, Tzu-Chi 張育通 Chang, Yu-Tung |
口試日期: | 2024/06/27 |
學位類別: |
碩士 Master |
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: | 2024 |
畢業學年度: | 112 |
語文別: | 中文 |
論文頁數: | 128 |
中文關鍵詞: | 消防人員 、健康促進生活型態 、睡眠品質 、疲勞程度 |
英文關鍵詞: | firefighters, health-promoting lifestyle, sleep quality, fatigue level |
研究方法: | 調查研究 |
DOI URL: | http://doi.org/10.6345/NTNU202401822 |
論文種類: | 學術論文 |
相關次數: | 點閱:140 下載:17 |
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本研究針對北部某消防局之人員進行健康促進生活型態、睡眠品質及疲勞程度關聯性的研究,作為未來消防局職場健康促進策略的參考。本研究採橫斷式調查法,利用問卷方式收集資料,研究工具包括社會人口學變項、健康促進生活型態量表、匹茲堡睡眠品質量表、職場疲勞量表,共收回364份問卷,研究結果發現:
一、研究對象的健康促進生活型態屬於中等程度,各構面量表得分從高到低依序為靈性成長、人際關係、壓力處理、營養、身體活動以及健康責任。
二、研究對象中睡眠品質不佳(即PSQI>5)的有267人(73.4%),其各項指標得分由高到低分別為主觀睡眠品質、睡眠干擾、睡眠遲滯期、日間功能失調、習慣性睡眠效率、睡眠總時數、使用安眠藥。
三、研究對象的整體疲勞程度屬於中等程度,各構面得分由高到低為服務對象疲勞、個人疲勞、工作過度投入。
四、研究對象的健康促進生活型態會因性別、消防年資、職稱之不同而有顯著差異,其中以女性、消防年資11-15年及職稱為隊員或小隊長者表現較佳。
五、研究對象的疲勞程度會因為教育程度而有顯著的差異,其中教育程度為大學者高於教育程度為專科者。
六、研究對象的健康促進生活型態與睡眠品質呈負向關,代表健康促進生活型態總分越低者,其睡眠品質越差(即總分越高)。
七、研究對象的健康促進生活型態與疲勞程度呈負相關,代表健康促進生活型態總分越低者,其疲勞程度越高;睡眠品質與疲勞程度呈正相關,代表睡眠品質越差(即總分越高)者,其疲勞程度越高。
八、研究對象的教育程度、健康促進生活型態總分以及睡眠品質總分可解釋疲勞程度總變異量的22.4%,其中睡眠品質總分是最佳預測因子。
依據研究結果,提供健康促進計畫推動、政策及未來研究方向提出相關建議,期望能提升消防人員整體健康狀態。
This study investigates the correlation between health-promoting lifestyles, sleep quality, and fatigue levels among personnel in a fire department in the northern region, aiming to provide insights for future workplace health promotion strategies in fire departments. This study adopts a cross-sectional survey method, collecting data through questionnaires. The research tools include sociodemographic variables, Health-Promoting Lifestyle Profile II, Pittsburgh Sleep Quality Index (PSQI), and the Chinese version of Copenhagen Burnout Inventory. A total of 364 questionnaires were collected, and the findings are as follows:
I. The health-promoting lifestyle of the subjects is moderate, with scores from high to low in the following order: spiritual growth, interpersonal relationships, stress management, nutrition, physical activity, and health responsibility.
II. Poor sleep quality (PSQI > 5) is observed in 267 subjects (73.4%). The indicators from high to low are subjective sleep quality, sleep disturbances, sleep latency, daytime dysfunction, habitual sleep efficiency, total sleep duration, and use of sleep medication.
III. The overall fatigue level of the subjects is moderate, with scores from high to low in the following order: service recipient fatigue, personal fatigue, and work-related exhaustion.
IV. The health-promoting lifestyle of the subjects varies significantly by gender, years of firefighting service, and rank. Female, those with 11-15 years of service, and those holding positions as firefighters or team leaders perform better.
V. Fatigue levels vary significantly based on education level, with those with a university education scoring higher than those with a college education.
VI. There is a negative correlation between health-promoting lifestyle and sleep quality, indicating that lower health-promoting lifestyle scores are associated with poorer sleep quality.
VII. There is a negative correlation between health-promoting lifestyle and fatigue levels, meaning that lower health-promoting lifestyle scores are associated with higher fatigue levels. There is a positive correlation between sleep quality and fatigue levels, indicating that poorer sleep quality is associated with higher fatigue levels.
VIII. Education level, total health-promoting lifestyle score, and total sleep quality score together explain 22.4% of the total variance in fatigue levels, with the total sleep quality score being the best predictor.
Based on the research findings, recommendations are provided for promoting health, policy-making, and future research directions to enhance the overall health status of firefighters.
內政部. (1995). 內政部消防署組織條例. https://law.moj.gov.tw/LawClass/LawAll.aspx?media=print&pcode=D0000069
內政部消防署. (2005). 各級消防機關人員遴用標準. 內政部消防署. https://law.moj.gov.tw/LawClass/LawAll.aspx?pcode=D0120036
內政部消防署. (2023a). 消防法.
內政部消防署. (2023b). 消防署白皮書.
共力研究社. (2023a). 逃避可恥但有錢 (1) – 消防員的勞動現況. https://t-pec.org/firefighter-labor-1/
共力研究社. (2023b). 逃避可恥但有錢 (2):估算消防員的合理勞動報酬. https://t-pec.org/firefighter-labor-2/
共力研究社. (2023c). 逃避可恥但有錢 (3):消防員的薪資缺口與人力流失. https://t-pec.org/firefighter-labor-3/
新北市政府消防局. (2020). 新北市政府消防局消防勤務細部實施要點.
新北市政府消防局. (2023). 111年新北市消防統計年報.
盧守謙, & 陳武雄. (2003). 全球消防人員輪休制度. 消防月刊, 7, 2–21.
莊繼如. (2019). 消防人員健康生活型態及其相關因素之研究─以北部某消防局為例.
葉婉榆, 鄭雅文, 陳美如, & 邱文祥. (2008). 職場疲勞量表的編製與信效度分析. 台灣公共衛生雜誌, 27(5), 349–364.
Abbasi, M., Rajabi, M., Yazdi, Z., & Shafikhani, A. A. (2018). Factors Affecting Sleep Quality in Firefighters. Sleep and Hypnosis - International Journal, 283–289. https://doi.org/10.5350/Sleep.Hypn.2018.20.0163
Abu Hanifah, M. S., & Ismail, N. (2021). Fatigue and its associated risk factors among shift workers: A systematic review. Human Factors and Ergonomics in Manufacturing & Service Industries, 31(2), 208–222. https://doi.org/10.1002/hfm.20880
Aisbett, B., & Nicolas, D. (2007). Fighting fatigue whilst fighting bushfire: An overview of factors contributing to firefighter fatigue during bushfire suppression. The Australian Journal of Emergency Management, 22(3), 31–39.
B. Le, A., McNulty, L. A., Dyal, M.-A., DeJoy, D. M., & Smith, T. D. (2020). Firefighter Overexertion: A Continuing Problem Found in an Analysis of Non-Fatal Injury Among Career Firefighters. International Journal of Environmental Research and Public Health, 17(21), 7906. https://doi.org/10.3390/ijerph17217906
Belcher, R., Gumenyuk, V., & Roth, T. (2015). Insomnia in Shift Work Disorder Relates to Occupational and Neurophysiological Impairment. Journal of Clinical Sleep Medicine, 11(04), 457–465. https://doi.org/10.5664/jcsm.4606
Blair, S. N., Kampert, J. B., Kohl, H. W., Barlow, C. E., Macera, C. A., Paffenbarger, R. S., & Gibbons, L. W. (1996). Influences of cardiorespiratory fitness and other precursors on cardiovascular disease and all-cause mortality in men and women. JAMA, 276(3), 205–210.
Bonnell, E., Huggins, C., Huggins, C., McCaffrey, T., Palermo, C., & Bonham, M. (2017). Influences on Dietary Choices during Day versus Night Shift in Shift Workers: A Mixed Methods Study. Nutrients, 9(3), 193–193. https://doi.org/10.3390/nu9030193
Bouguezzi, R., Sammoud, S., Markov, A., Negra, Y., & Chaabene, H. (2023). Why Flexibility Deserves to Be Further Considered as a Standard Component of Physical Fitness: A Narrative Review of Existing Insights from Static Stretching Study Interventions. Youth, 3(1), 146–156. https://doi.org/10.3390/youth3010010
Caldwell, J. A. (2001). The impact of fatigue in air medical and other types of operations: A review of fatigue facts and potential countermeasures. Air Medical Journal, 20(1), 0025–0032. https://doi.org/10.1067/mmj.2001.112420
Dawson, D., Mayger, K., Thomas, M. J. W., & Thompson, K. (2015). Fatigue risk management by volunteer fire-fighters: Use of informal strategies to augment formal policy. Accident Analysis & Prevention, 84, 92–98. https://doi.org/10.1016/j.aap.2015.06.008
Ezenwanne, E. (2011). Current concepts in the neurophysiologic basis of sleep; a review. Annals of Medical and Health Sciences Research, 1(2), 173–179.
Gifkins, J., Johnston, A., & Loudoun, R. (2018). The impact of shift work on eating patterns and self-care strategies utilised by experienced and inexperienced nurses. Chronobiology International, 35(6), 811–820. https://doi.org/10.1080/07420528.2018.1466790
Guseva Canu, I., Marca, S. C., Dell’Oro, F., Balázs, Á., Bergamaschi, E., Besse, C., Bianchi, R., Bislimovska, J., Koscec Bjelajac, A., Bugge, M., Busneag, C. I., Çağlayan, Ç., Cernițanu, M., Costa Pereira, C., Dernovšček Hafner, N., Droz, N., Eglite, M., Godderis, L., Gündel, H., … Wahlen, A. (2021). Harmonized definition of occupational burnout: A systematic review, semantic analysis, and Delphi consensus in 29 countries. Scandinavian Journal of Work, Environment & Health, 47(2), 95–107. https://doi.org/10.5271/sjweh.3935
Harvey, A. G., Soehner, A. M., Kaplan, K. A., Hein, K., Lee, J., Kanady, J., Li, D., Rabe-Hesketh, S., Ketter, T. A., Neylan, T. C., & Buysse, D. J. (2015). Treating insomnia improves mood state, sleep, and functioning in bipolar disorder: A pilot randomized controlled trial. Journal of Consulting and Clinical Psychology, 83(3), 564–577. https://doi.org/10.1037/a0038655
Hom, M. A., Stanley, I. H., Rogers, M. L., Tzoneva, M., Bernert, R. A., & Joiner, T. E. (2016). The Association between Sleep Disturbances and Depression among Firefighters: Emotion Dysregulation as an Explanatory Factor. Journal of Clinical Sleep Medicine, 12(02), 235–245. https://doi.org/10.5664/jcsm.5492
Horowitz, M. R., & Montgomery, D. L. (1993). Physiological profile of fire fighters compared to norms for the Canadian population. Canadian Journal of Public Health = Revue Canadienne De Sante Publique, 84(1), 50–52.
Izza, A. N., & Martiana, T. (2023). The Relationship Between Sleep Quality and Work Stress with Work Fatigue of Firefighters. Media Gizi Kesmas, 12(1), 134–141. https://doi.org/10.20473/mgk.v12i1.2023.134-141
Khoshakhlagh, A. H., Al Sulaie, S., Yazdanirad, S., Orr, R. M., Dehdarirad, H., & Milajerdi, A. (2023). Global prevalence and associated factors of sleep disorders and poor sleep quality among firefighters: A systematic review and meta-analysis. Heliyon, 9(2), e13250. https://doi.org/10.1016/j.heliyon.2023.e13250
Killgore, W. D. S. (2010). Effects of sleep deprivation on cognition. In Progress in Brain Research (Vol. 185, pp. 105–129). Elsevier. https://doi.org/10.1016/B978-0-444-53702-7.00007-5
Knoop, V., Cloots, B., Costenoble, A., Debain, A., Vella Azzopardi, R., Vermeiren, S., Jansen, B., Scafoglieri, A., Bautmans, I., Bautmans, I., Verté, D., Beyer, I., Petrovic, M., De Donder, L., Kardol, T., Rossi, G., Clarys, P., Scafoglieri, A., Cattrysse, E., … Jansen, B. (2021). Fatigue and the prediction of negative health outcomes: A systematic review with meta-analysis. Ageing Research Reviews, 67, 101261. https://doi.org/10.1016/j.arr.2021.101261
Krejcie, R. V., & Morgan, D. W. (1970). Determining Sample Size for Research Activities. Educational and Psychological Measurement, 30(3), 607–610. https://doi.org/10.1177/001316447003000308
Lavidor, M., Weller, A., & Babkoff, H. (2003). How sleep is related to fatigue. British Journal of Health Psychology, 8(1), 95–105. https://doi.org/10.1348/135910703762879237
Lim, D.-K., Baek, K.-O., Chung, I.-S., & Lee, M.-Y. (2014). Factors Related to Sleep Disorders among Male Firefighters. Annals of Occupational and Environmental Medicine, 26(1), 11–11. https://doi.org/10.1186/2052-4374-26-11
Lin, C.-Y., Su, S.-B., Hu, Y.-T., Peng, C.-J., Chen, K.-H., & Chen, K.-T. (2022). Prevalence and risk factors associated with poor sleep among firefighters in Taiwan: An observational study. Medicine, 101(44), e31570–e31570. https://doi.org/10.1097/MD.0000000000031570
Mehrdad, R., Haghighi, K. S., & Esfahani, A. H. N. (2013). Sleep quality of professional firefighters. International Journal of Preventive Medicine, 4(9), 1095–1100.
Morman, M. T., Schrodt, P., & Adamson, A. (2020). Firefighters’ job stress and the (un)intended consequences of relational quality with spouses and firefighter friends. Journal of Social and Personal Relationships, 37(4), 1092–1113. https://doi.org/10.1177/0265407519886355
Ohayon, M., Wickwire, E. M., Hirshkowitz, M., Albert, S. M., Avidan, A., Daly, F. J., Dauvilliers, Y., Ferri, R., Fung, C., Gozal, D., Hazen, N., Krystal, A., Lichstein, K., Mallampalli, M., Plazzi, G., Rawding, R., Scheer, F. A., Somers, V., & Vitiello, M. V. (2017). National Sleep Foundation’s sleep quality recommendations: First report. Sleep Health, 3(1), 6–19. https://doi.org/10.1016/j.sleh.2016.11.006
Olson, J. A., Artenie, D. Z., Cyr, M., Raz, A., & Lee, V. (2020). Developing a light-based intervention to reduce fatigue and improve sleep in rapidly rotating shift workers. Chronobiology International, 37(4), 573–591. https://doi.org/10.1080/07420528.2019.1698591
Pace, T. W. W., Zeiders, K. H., Cook, S. H., Sarsar, E. D., Hoyt, L. T., Mirin, N. L., Wood, E. P., Tatar, R., & Davidson, R. J. (2022). Feasibility, Acceptability, and Preliminary Efficacy of an App-Based Meditation Intervention to Decrease Firefighter Psychological Distress and Burnout: A One-Group Pilot Study. JMIR Formative Research, 6(6), e34951. https://doi.org/10.2196/34951
Pawer, S., Turcotte, K., Desapriya, E., Zheng, A., Purewal, A., Wellar, A., Kunz, K., Garis, L., Thomas, L. S., & Pike, I. (2022). Female Firefighter Work-Related Injuries in the United States and Canada: An Overview of Survey Responses. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.861762
Pender, N. J. (1996). Health Promotion Model – Diagram. http://deepblue.lib.umich.edu/handle/2027.42/85351
Reeves, M. J., & Rafferty, A. P. (2005). Healthy Lifestyle Characteristics Among Adults in the United States, 2000. Archives of Internal Medicine, 165(8), 854. https://doi.org/10.1001/archinte.165.8.854
Rivera, A. S., Akanbi, M., O’Dwyer, L. C., & McHugh, M. (2020). Shift work and long work hours and their association with chronic health conditions: A systematic review of systematic reviews with meta-analyses. PLOS ONE, 15(4), e0231037–e0231037. https://doi.org/10.1371/journal.pone.0231037
Roșca, A. C., Mateizer, A., Dan, C.-I., & Demerouti, E. (2021). Job Demands and Exhaustion in Firefighters: The Moderating Role of Work Meaning. A Cross-Sectional Study. International Journal of Environmental Research and Public Health, 18(18), 9819. https://doi.org/10.3390/ijerph18189819
Schwab, K., & Milen, D. (2020). Effect of 24-Hour Shifts on Fatigue Experienced by Firefighter Paramedics. ProQuest Dissertations and Theses, 114–114.
Smith, D. L. (2011). Firefighter Fitness: Improving Performance and Preventing Injuries and Fatalities. Current Sports Medicine Reports, 10(3), 167–172. https://doi.org/10.1249/JSR.0b013e31821a9fec
Utsugi, M., Saijo, Y., Yoshioka, E., Horikawa, N., Sato, T., Gong, Y., & Kishi, R. (2005). Relationships of Occupational Stress to Insomnia and Short Sleep in Japanese Workers. Sleep, 28(6), 728–735. https://doi.org/10.1093/sleep/28.6.728
Van Hasselt, V. B., Bourke, M. L., & Schuhmann, B. B. (2022). Firefighter Stress and Mental Health: Introduction to the Special Issue. Behavior Modification, 46(2), 259–266. https://doi.org/10.1177/01454455211064955
Vincent, G. E., Aisbett, B., Hall, S. J., & Ferguson, S. A. (2015). Fighting fire and fatigue: Sleep quantity and quality during multi-day wildfire suppression. Ergonomics, 1–9. https://doi.org/10.1080/00140139.2015.1105389
Walker, S. N., Sechrist, K. R., & Pender, N. J. (1987). The Health-Promoting Lifestyle Profile: Development and psychometric characteristics. Nursing Research, 36(2), 76–81.
Walker, S. N., Sechrist, K. R., & Pender, N. J. (1995). Health Promotion Model—Instruments to Measure Health Promoting Lifestyle: Health-Promoting Lifestyle Profile [HPLP II] (Adult Version). http://deepblue.lib.umich.edu/handle/2027.42/85349
Whitehead, L. (2009). The Measurement of Fatigue in Chronic Illness: A Systematic Review of Unidimensional and Multidimensional Fatigue Measures. Journal of Pain and Symptom Management, 37(1), 107–128. https://doi.org/10.1016/j.jpainsymman.2007.08.019
Widiyanto, H., & Nasri, S. M. (2024). Factors Affecting Work Fatigue in Firefighters. International Journal of Social Health, 3(6), 389–397. https://doi.org/10.58860/ijsh.v3i6.206
Wohlgemuth, K. J., Conner, M. J., Tinsley, G. M., Palmer, T. B., & Mota, J. A. (2024). Strategies for Improving Firefighter Health On-Shift: A Review. Journal of Functional Morphology and Kinesiology, 9(2), 105. https://doi.org/10.3390/jfmk9020105
World Health Organization. (1978). Declaration of Alma-Ata. World Health Organization. Regional Office for Europe. https://apps.who.int/iris/handle/10665/347879
World Health Organization. (1986). Ottawa Charter for Health Promotion. 5 p.-5 p.
World Health Organization. (2005). Constitution of the World Health Organization.