輪班工作造成生活作息產生失序而對健康產生重大的衝擊，忙碌的工作也會影響身體健康及睡眠型態改變，因此輪班工作的人員可能會罹患代謝症候群之增加危險，甚至從事輪班工作的醫護人員在睡眠品質、身心健康及家庭功能的差異性。本研究從急診室醫護人員的角度切入，並以深入訪談，訪問10位醫護人員。研究中發現，輪班工作，資深醫護人員因為年紀及體力比起年輕者較差，鼓勵年輕資淺的醫護人員可以以包夜班方式。固定一個班別，減少長期輪動，可讓身心處理具有規律性，長期下來可能有助於穩定睡眠品質的提升。除此之外，醫護人員需要找出最符合自己身心放鬆的方式。好的睡眠品質才能提升身心健康，好的睡眠品質，可以提升整體的舒適度，使醫護人員獲得有效的紓解方式，降低睡眠障礙。

Shift work causes disorder in daily life and had a major impact on health. Busy work can also affect physical health and changes in sleep patterns. Therefore, shift workers may be at increased risk of suffering from metabolic syndrome, and even medical staff engaged in shift shifts may have differences in sleep quality, physical and mental health, and family functions. The study was cut from the perspective of emergency room medical staff, and interviewed 10 medical staff through in-depth interviews. The study found that senior medical staff working in shifts were worse than younger ones because of their age and physical strength. Young and junior medical staff were encouraged to hire night shifts. Fixing a class to reduce long-term rotation can make physical and mental processing regular, which may help stabilize the quality of sleep in the long run. In addition, medical staff need to find the best way to relax, and good sleep quality can improve physical and mental health. Good sleep quality can improve overall comfort, enable medical staff to obtain effective relief methods, and reduce sleep disorders.

審 定 書 i
誌 謝 ii
摘 要 iii
ABSTRACT iv
目 錄 v
圖 目 錄 vii
表 目 錄 viii
第一章 緒論 - 1 -
第一節 研究背景與動機 - 1 -
第二節 研究問題與目的 - 3 -
第三節 研究流程 - 4 -
第二章 文獻探討 - 6 -
第一節 急診醫護人員現況與資源保存理論 - 6 -
第二節 醫護人員輪班工作 - 8 -
第三節 有關睡眠品質之探討 - 10 -
第四節 有關身心健康之探討 - 17 -
第三章 研究設計 - 22 -
第一節 研究結構 - 22 -
第二節 研究方法 - 24 -
第三節 研究對象 - 25 -
第四節 研究工具 - 26 -
第五節 資料處理及分析 - 29 -
第四章 研究結果 - 31 -
第一節 急診輪班工作的現況 - 31 -
第二節 急診輪班工作對睡眠品質的影響 - 38 -
第三節 急診輪班工作對身心健康的影響 - 51 -
第五章 結論與建議 - 60 -
第一節 結論 - 60 -
第二節 研究貢獻 - 62 -
第三節 研究建議 - 64 -
第四節 研究限制與未來研究方向 - 66 -
參考文獻 - 67 -
附錄 - 75 -
附錄一 訪談同意書 - 75 -
附錄二 訪談大綱 - 76 -
附錄三 逐字稿 - 78 -

一、中文部分
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陳明晃、艾昌瑞(2003)。急診醫師留任因素與工作滿意度相關性之研究。醫務管理期刊，4(4)，41-58。
陳美玲(2013)。職場輪班工作者睡眠品質之整合分析研究，中台科技大學醫療暨健康產業管理系碩士論文。
陳博紅(2013)。探討急診醫師的工作特性、職場壓力、工作滿足感、以及離職傾向。高雄醫學大學職業安全衛生研究所學位論文。
陳瑞貞（2011）。女性輪班護理人員主客觀睡眠品質及其相關因素探究。國立台北護理健康大學護理系碩士論文。
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陳蓉然(2014)。護理人員同理心、職場疲勞及身心健康之相關研究。美和科技大學健康照護研究所碩士論文。
勞動部（2018）。指定長期夜間工作之勞工為雇主應施行特定項目健康檢查之特定對象總說明。台北: 勞動部
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詹雅婷(2017)。基隆市警察人員健康促進生活型態、壓力知覺及身心健康狀況之研究。長庚科技大學健康照護研究所碩士論文。
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二、英文部分
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