胡蓮珍HWU, LIEN-JEN吳運德WU, YUN-DEYUN-DEWU護理學系碩士班2026-10-282026-08-1620262026-07-21https://handle.ncl.edu.tw/11296/h63qg7https://scholars.csmu.edu.tw/handle/123456789/34790背景:護理人員長期處於高壓、高負荷的臨床環境,面臨人力配置不足、輪班作息混亂，以及醫療暴力等職場威脅,屬職業倦怠高風險族群，不僅影響其身心健康，更威脅病人安全與照護品質。隨著社會型態轉變，寵物逐漸成為現代生活中重要的情感支持來源。既有文獻指出，寵物依附有助於緩解職場壓力、降低職業倦怠並提升心理健康。然而，目前寵物依附對護理族群的相關實證研究仍相當有限，特別是在職業倦怠與心理健康之間的中介效應，尚未得到充分驗證。研究目的:本研究旨在探討護理人員職業倦怠、寵物依附與心理健康三者之間的關聯，並進一步檢驗寵物依附在職業倦怠與心理健康之間所扮演的中介角色。研究方法:採橫斷式研究，以方便取樣蒐集全國飼養寵物之臨床護理人員資料，有效問卷136份。研究工具包括寵物依附量表、職場倦怠量表及華人健康量表。資料分析涵蓋描述性統計、獨立樣本 T 檢定、單因子變異數分析、皮爾森積差相關及中介效果驗證。研究結果:護理人員寵物依附總分數為 91.54 ± 11.04，普遍認同寵物是家庭的一部分。職業倦怠總平均分數為 44.22 ± 22.26。心理健康方面，以焦慮與擔憂症狀最為常見，其次為憂鬱，且常以睡眠障礙、頭痛等身體化症狀呈現。其相關性，職業倦怠與心理健康症狀呈顯著正相關，即倦怠程度愈高，心理健康症狀愈多；寵物依附與心理健康症狀呈顯著正相關，即依附程度愈高，心理健康反而愈差；此外，寵物依附與職業倦怠呈正向趨勢但未達顯著；進一步路徑分析顯示，寵物依附在職業倦怠與心理健康之間的中介效果未達統計顯著。結論與建議:整體而言，護理人員的職業倦怠確實加重了心理健康負擔，其寵物依附並未如預期發揮緩衝效果，反而與心理健康症狀呈正相關，中介效果亦未獲支持；顯示緩解護理人員的心理困擾仍須仰賴組織結構面的根本改善，如合理人力配置、輪班制度調整及提供多元心理支持資源，才是降低職業倦怠與維護心理健康更直接有效的途徑，至於寵物依附與心理健康間的潛在關係，仍有待未來研究進一步釐清。Background:Nursing professionals work in high-pressure clinical environments marked by inadequate staffing, disrupted shifts, and workplace violence, placing them at high risk for occupational burnout, which compromises mental health and threatens patient safety and care quality. Pets have become an important source of emotional support, and pet attachment is reported to relieve workplace stress, reduce burnout, and improve mental health. However, empirical evidence among nurses remains limited, and its mediating role between burnout and mental health has not been sufficiently examined.Purpose:This study examined associations among occupational burnout, pet attachment, and mental health in nurses, and tested the mediating role of pet attachment between burnout and mental health.Methods:A cross-sectional design was used; 136 valid questionnaires were collected nationwide from pet-owning clinical nurses via convenience sampling. Instruments included the Pet Attachment Scale, Occupational Burnout Scale, and Chinese Health Questionnaire. Data were analyzed using descriptive statistics, independent-samples t-tests, one-way ANOVA, Pearson correlation, and mediation analysis.Results:Nurses' mean pet attachment score was 91.54 ± 11.04, with most regarding pets as family members; mean burnout score was 44.22 ± 22.26. Anxiety and worry were the most prominent symptoms, followed by depression and somatic symptoms such as sleep disturbance and headache. Burnout was significantly correlated with mental health symptoms; pet attachment was also significantly correlated with mental health symptoms, indicating higher attachment was associated with poorer mental health. Pet attachment showed a positive but non-significant trend with burnout, and its mediating effect on mental health was not statistically significant.Conclusion and Suggestions:In conclusion, burnout substantially increased nurses' mental health burden; pet attachment did not buffer this effect and instead correlated positively with symptoms, with no significant mediation. Alleviating psychological distress requires structural improvements such as adequate staffing, shift adjustments, and diverse psychological support. The relationship between pet attachment and mental health warrants further research.護理人員寵物依附職業倦怠心理健康中介效果nursespet attachmentoccupational burnoutmental healthmediation effectthesis