洪佳慧HUNG, CHIA-HUI童于豪TUNG, YU-HAOYU-HAOTUNG職能治療學系碩士班2026-03-242025/8/120252025/7/8https://handle.ncl.edu.tw/11296/8wfca4https://scholars.csmu.edu.tw/handle/123456789/6492研究背景與目的：本研究觀察到職能治療專業人員在工作中經常出現倦怠現象，並注意到即使在相對壓力較低的工作環境中，職能治療人員仍可能表現出疲勞、情緒起伏以及壓力感增加的狀態。此現象促使研究者產生探討職業倦怠成因與影響之動機，進而希望透過質性研究深入了解職能治療人員內心真實的感受與經驗。研究方法：本研究採用質性研究方法並用量性資料做為佐證資料。使用立意取樣和滾雪球方法選取7位職能治療專業人員進行深度訪談。研究工具包括半結構式訪談大綱和MBI-GS職業倦怠量表。訪談分為兩輪進行，第一輪按照訪談大綱提問，第二輪針對需要澄清或補充的問題來進行。在量性資料部分，使用MBI-GS職業倦怠量表收集數據。資料分析採用紮根理論方法，通過開放性編碼、主軸編碼和選擇性編碼過程，歸納出主要的主題。研究結果：量化結果：七位受訪者中五位達倦怠標準，尤以情緒耗竭與效能感下降明顯。中年資（5–10年）職能治療人員之倦怠情形較值得注意，職業倦怠程度並未隨年資增加呈線性變化。倦怠症狀涵蓋行為、情緒、心理與生理四面向。質性結果：六大成因包括：1.病患問題與高工時壓力；2.制度與管理支持不足；3.非專業任務干擾；4.缺乏回饋；5.角色模糊與認同困難；6.期待與現實落差。倦怠型態分為：鏈狀（初期）、樹狀（中度）、蜘蛛網狀（高度）。本研究建議之應對策略包含：自我調適、情緒支持、制度資源（使用率低）、價值重建。結論：職業倦怠在臨床治療場域中具高度普遍性，並非單一因子造成的結果，而是多重因素交織的網狀結構。有效的支持策略應重視角色清晰化與專業肯定。建議組織在制度設計與工作分配上貼近臨床需求，以降低醫療人員倦怠風險。Research Background and Purpose:Occupational therapists often experience burnout, even in low-stress environments, displaying fatigue, emotional shifts, and stress. This study aims to explore the causes and impacts of burnout through qualitative insights into therapists’ lived experiences.Method:A qualitative approach, supported by quantitative data, was used. Seven therapists were selected via purposive and snowball sampling for two-round in-depth interviews, guided by a semi-structured outline. The Maslach Burnout Inventory-General Survey (MBI-GS) was used to collect quantitative data. Analysis followed grounded theory, including open, axial, and selective coding.Results:Quantitative:Five of seven participants met burnout criteria, particularly showing emotional exhaustion and reduced efficacy. Mid-career therapists (5–10 years) showed notable burnout, with symptoms spanning behavioral, emotional, psychological, and physical aspects.Qualitative:Six main causes emerged:1.Patient complexity and long hours、2.Poor institutional support、3.Non-professional task overload、4.Lack of feedback、5.Role ambiguity6.Expectation-reality gapBurnout patterns were categorized as linear (early), tree-like (moderate), and web-like (severe). The study suggests that the coping strategies included self-adjustment, emotional support, underused institutional resources, and value realignment.Conclusion:Burnout in occupational therapy is widespread and multifactorial. Role clarity and professional affirmation are key to effective support. Institutions should align policy and workload with clinical realities to mitigate burnout risks.職業倦怠職能治療師質性研究壓力來源應對策略Burnoutoccupational therapistsqualitative researchstressorscoping strategiesthesis