探討中部某醫療體系所屬員工之工作壓力、休閒活動參與與留任意願之現況

本研究以中部某醫療體系員工為對象，採橫斷式問卷調查法收集有效樣本292份。研究工具包括個人背景資料、工作壓力量表、休閒活動參與廣度與頻次調查，以及留任意願量表。統計分析方法涵蓋描述性統計、皮爾森積差相關分析與階層迴歸分析。皮爾森相關分析結果顯示，工作壓力與休閒活動參與呈現顯著負相關。工作壓力與留任意願亦呈顯著負相關。此外，休閒活動參與與留任意願呈現顯著正相關。階層迴歸分析進一步揭示，員工的工作壓力主要受醫院層級、職務類別與職位等工作特性影響，其中地區醫院員工相較醫學中心員工感受到更高的工作壓力；護理與醫技人員的壓力亦顯著高於行政人員，顯示醫院層級與職務性質對壓力感受具有明顯影響；此外，擔任中高階主管的員工，其工作壓力則相對低於未擔任主管職者。研究亦發現，休閒活動參與有顯著負向預測工作壓力，而工作壓力有顯著負向影響留任意願，表示休閒活動參與愈積極，其工作壓力愈低，而工作壓力愈低，留任意願會愈高。然而，休閒活動參與對工作壓力與留任意願二者間之負向關係之調節效果未達顯著。此外，特定類型休閒活動，如社群互動、戶外遊憩與體育運動，與工作壓力呈負向相關，與留任意願呈正向相關，顯示此類活動可能與紓解壓力及提升留任意願存在潛在關聯。本研究結果可作為醫療機構規劃員工支援措施與留任策略之參考，並建議後續研究納入質性訪談，以深入探討醫療人員的壓力來源與因應機制。

This study targeted employees from a medical system in central Taiwan and adopted a cross-sectional survey method, collecting a total of 292 valid responses. The research instruments included personal background information, a work stress scale, a leisure activity participation frequency and type questionnaire, and an intention to stay scale. Statistical analyses included descriptive statistics, Pearson’s correlation analysis, and hierarchical regression analysis.Results of Pearson’s correlation analysis showed that work stress was significantly negatively correlated with leisure activity participation and intention to stay, while leisure activity participation was significantly positively correlated with intention to stay. Hierarchical regression analysis further revealed that employees’ work stress was mainly influenced by job characteristics such as hospital level, job category, and position. Specifically, employees at regional hospitals experienced significantly higher levels of work stress than those at medical centers; nursing and medical technical staff reported higher stress than administrative personnel, indicating that hospital level and job nature significantly impact perceived stress. Furthermore, employees in mid- to high-level supervisory positions experienced lower stress compared to those without supervisory roles.The study also found that leisure activity participation significantly and negatively predicted work stress, and work stress significantly and negatively predicted intention to stay. This suggests that the more actively employees participate in leisure activities, the lower their perceived work stress, and the lower their stress, the higher their intention to stay. However, the moderating effect of leisure activity participation on the negative relationship between work stress and intention to stay was not statistically significant. Additionally, specific types of leisure activities—such as social interaction, outdoor recreation, and sports—were negatively correlated with work stress and positively correlated with intention to stay, suggesting that these activities may be potentially relevant for stress relief and enhancing intention to stay.The findings of this study can serve as a reference for medical institutions in developing employee support measures and retention strategies. Future research is recommended to incorporate qualitative interviews to gain deeper insights into the sources of stress and coping mechanisms among healthcare workers.