| Summary: | 碩士 === 國防醫學院 === 公共衛生學研究所 === 94 === People with intellectual disabilities (ID) may experience poorer health and have greater difficulties in finding and paying for an appropriate health care. Institutional staffs are important assets and central to the provision of high-quality services to people with ID, but it has become clear that they will experience high stress and burnout which can negative impact on the service quality. Stress may affect both the well-being of the staff and the the person with IDs. High levels of staff turnover have long been recognized as a major problem in services for people with ID. The present study recruited 1,024 staffs working in the disability institutions caring for people with ID, a self-report questionnaire that measured work-based stressors based on two models: Demand-Control-Support model and Effort-reward imbalance model, and it also exams self-perceived health status of the staffs. The main results showed that, characteristics of the staffs such as female, those who felt work-training unsatisfied, high effort/low reward and over-commitment status, low job control/high psychological demands (high strain group) with low social support, unsatisfied with the job, felt burnout, poorer health may lead to high working stress and predict poorer physical and psychological health. Finally, the present study makes many suggestions for the individual staff, institutional managers and the administrative authorities to improve the working health for the institutional staffs.
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