第六章 結論與建議
第三節 研究限制與未來研究建議
一、本研究僅以台北某一家醫學中心作為收案場所，考量台灣各地區城鄉差異與醫 學層級不同（醫學中心、地區醫院、診所等）可能有資料的偏差，建議往後相 關研究可增加其他醫院資料。
二、本研究為橫斷性研究，收案對象為兩組不同對象，可能因樣本差異對研究結果 有所影響，建議以後研究可進行介入性研究，針對同一群護理人員實際實行 12 小時輪班制度後再進行後續追蹤，可較確立其相關性並可擷取護理人員對於不 同輪班制度變化之感受及適應方式。
三、針對 12 小時輪班制度護理人員疲勞相關研究，建議之後可進行每日工作時數、
睡眠時數與相關疲勞指標變化之研究，並輔以病人照護指標監測，較可釐清長 時間工時對護理人員身心健康與病人安全之影響。
四、本研究中本打算使用「小米手環」當作輪班護理人員客觀睡眠資料測量工具，
但由於廠商無法提供精確的信校度資料，可能會讓收集後的資料推論上有所偏 誤，再加上該手環亦無法測量夜班與大夜班的白天睡眠時數，經費限制也無法 購得有精確信校度資料的腕動計，故經討論後決定移除由小米手環測得知所有 資料，不納入本研究進行分析，建議往後相關研究可利用腕動計來測量睡眠相 關資料能更客觀評估護理人員睡眠品質。
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附錄一 Dr. Winwood 同意授權使用職業型疲憊耗竭復原量表中文版之 email 紀錄
附錄二 臺大醫院研究倫理委員會審查通過公文
附錄二 臺大醫院研究倫理委員會審查通過公文(續)
附錄二 臺大醫院研究倫理委員會審查通過公文(續)
附錄三 成人版睡眠型態偏好量表翻譯內容
1. 試想您感覺最好的規律性，假如您完全可以計劃您的一天，您會何時起床?
□⑤05:00~06:30 □④06:30~07:45 □③07:45~09:45 □②09:45~11:00
□①11:00 ~12:00
2. 試想您感覺最好的規律性，假如您完全可以計劃您的一天，您會何時上床睡 覺?
□⑤20:00~21:00 □④21:00~22:15 □③22:15~00:30 □②00:30~01:45
□①01:45~03:00
□⑤20:00~21:00 □④21:00~22:15 □③22:15~00:45 □②00:45~02:00
□①02:00~03:00
11.當您想在測驗中表現出您最好的實力，而此測驗時間長達 2 小時且會耗費您相 當多的腦力。根據您自己覺得感覺最好的規律性，您會選擇以下哪個考試時 段?
□⑥08:00~10:00 □④11:00~13:00 □②15:00~17:00 □○019:00~21:00 12.如果您於晚上 11 點上床睡覺，您當下的疲累程度為何?
□○0 一點也不覺得累 □②有點累 □③覺得疲累 □⑤非常疲累
附錄三 成人版睡眠型態偏好量表翻譯內容(續)
□④08:00~10:00 □③11:00~13:00 □②15:00~17:00 □①19:00~21:00 16.若您決定要做運動，有朋友建議您每週二次、一次一小時的運動，而且最好在
□④08:00~10:00 □③11:00~13:00 □②15:00~17:00 □①19:00~21:00 16.若您決定要做運動，有朋友建議您每週二次、一次一小時的運動，而且最好在