從事醫療工作就如同Kakunje(2011)所說，醫療工作除了是個充滿壓力的行業，也是個必須耗費生理、情感與精神的職業。隨著醫病關係日漸複雜及緊張，讓原本就處於高壓狀態的醫療工作更是難以負荷，且病患也無法得到良好的醫療品質。
本研究是以醫護人員為研究對象，探討醫護人員的工作壓力在情緒勞務及幽默感對幸福感間之影響，而本問卷採用便利抽樣及滾雪球抽樣的方式進行調查，最後回收193份有效問卷，並以項目分析、信度分析、探索性因素分析、迴歸分析、層級迴歸分析、T檢定及變異數分析來驗證各研究假說，本研究結果顯示如下：
1.醫護人員的情緒勞務對工作壓力有顯著正向影響。
2.醫護人員的幽默感對工作壓力有顯著負向影響。
3.醫護人員的情緒勞務與幽默感對工作壓力有顯著影響。
4.醫護人員的工作壓力對幸福感有顯著負向影響。
5.醫護人員的情緒勞務對幸福感有顯著負向影響。
6.醫護人員的幽默感對幸福感有顯著正向影響。
7.醫護人員的工作壓力在情緒勞務對幸福感之影響上有顯著中介用。
8.醫護人員的工作壓力在幽默感對幸福感之影響上有顯著中介作用。
9.部分人口統計變項在各研究變項間有顯著差異。
最後本研究提供ㄧ些觀點，並期醫護人員能正視、妥善處理，情緒及工作壓力帶來的影響，以此來維持醫護人員與病患之間的良好互動關係。

Health care is a stressful profession and takes its toll at physical, emotional, and mental levels (Kakunje, 2011). The purpose of this study is to discuss the impacts on the Health Care’s Well-being of Emotional Labor and Humor Sense, and the mediating effect is Job Stress. 
A total of 193 samples of the health care were recruited through snowball sampling and convenience sampling. By implementing item analysis, reliability analysis, exploratory factor analysis, regression analysis, hierarchical regression analysis, T-test and ANOVA. The results of this study can be concluded as the following:
1.There is a significant positive influence on health care’s emotional labor by job stress.
2.There is a significant negative influence on health care’s humor sense by of job stress.
3.There is a significant influence on health care’s emotional labor and humor sense by of job stress.
4.There is a significant negative influence on health care’s job stress by well-being.
5.There is a significant negative influence on health care’s emotional labor by well-being.
6.There is a significant positive influence on health care’s humor sense by well-being.
7.There is a partial mediating effect of job stress on the influence between emotional labor and well-being.
8.There is a partial mediating effect of job stress on the influence between humor sense and well-being.
9.There are significant differences on research variables by some demographic variables.
Finally, this study provides some viewpoints about advising the health care who can properly handle the impact on emotional and work stress in the future. In order to maintain a good relationship with patients.

目錄
目錄	I
圖目錄	III
表目錄	IV
第一章 緒論	1
第一節 研究背景與動機	1
第二節 研究目的	5
第三節 研究流程	6
第二章 文獻探討	7
第一節 情緒勞務	7
第二節 工作壓力	12
第三節 幽默感	14
第四節 幸福感	18
第五節 各變項間之關聯性研究	21
第三章 研究方法	30
第一節 研究架構	30
第二節 研究假設	31
第三節 研究工具	32
第四節 研究對象與範圍	40
第五節 資料分析與方法	40
第四章 研究結果	43
第一節 問卷回收與樣本資料分析	43
第二節 項目分析、信度分析及因素分析	48
第三節 研究假設驗證	60
第四節 不同人口統計變項在各變項之差異分析	78
第五節 假設驗證及人口統計變項結果彙整	98
第五章 結論及建議	104
第一節 研究結論與討論	104
第二節 管理意涵	111
第三節 研究限制與未來研究建議	115
參考文獻	117
中文文獻	117
英文文獻	119
附錄 問卷	127

     圖目錄
圖1本研究流程圖	6
圖2 本研究架構	30

     表目錄
表1幽默風格類型表	15
表2情緒勞務之量表	33
表 3工作壓力之量表	35
表 4幽默感之量表	36
表5幸福感之量表	38
表6各構面預試之Cronbach’s α值	43
表7樣本資料之次數分配表	46
表8 項目分析表	49
表9 各構面之Cronbach’s α值	51
表10 各構面之KMO值與Bartlett球形檢定	54
表11 幽默之因素分析與信度分析	55
表12 情緒勞務之因素分析與信度分析	56
表13 工作壓力之因素分析與信度分析	57
表14 幸福感之因素分析與信度分析	58
表15 各變項之相關係數表	60
表16 情緒勞務對工作壓力之迴歸分析表	61
表17 幽默感對工作壓力之迴歸分析表	62
表18 情緒勞務和幽默感對工作壓力之多元迴歸分析表	63
表19 工作壓力對幸福感之迴歸分析表	64
表20 情緒勞務對幸福感之迴歸分析表	65
表21 幽默感對幸福感之迴歸分析表	66
表22 工作壓力在情緒勞務對幸福感之中介效果分析表	67
表23 工作壓力在情緒勞務對工作勝任感之中介效果分析表	68
表24 工作壓力在情緒勞務對工作投入感之中介效果分析表	68
表25 工作壓力在情緒勞務對人際適應性之中介效果分析表	69
表26 焦慮在情緒勞務對幸福感之中介效果分析表	70
表27 時間壓力在情緒勞務對幸福感之中介效果分析表	70
表28 工作壓力在自主調節對幸福感之中介效果分析表	71
表29 工作壓力在表層演出對幸福感之中介效果分析表	72
表30 工作壓力在幽默感對幸福感之中介效果分析表	73
表31 工作壓力在幽默感對工作勝任感之中介效果分析表	74
表32 工作壓力在幽默感對工作投入感之中介效果分析表	74
表33 工作壓力在幽默感對人際適應性之中介效果分析表	75
表34 工作壓力在幽默感對幸福感之中介效果分析表	76
表35 時間壓力在幽默感對幸福感之中介效果分析表	76
表36 不同性別者在各變項之差異分析	79
表37不同年齡者在各變項之差異分析	80
表38不同婚姻狀況者在各變項之差異分析	82
表39 不同教育程度者在各變項之差異分析	84
表40不同工作年資者在各變項之差異分析	86
表41 不同宗教信仰者在各變項之差異分析	89
表42 不同目前主要的工作內容者在各變項之差異分析	91
表43 不同薪資/月者在各變項之差異分析	93
表44不同目前服務的醫療機構層級者在各變項之差異分析	95
表45不同目前服務的醫療機構者在各變項之差異分析	97
表46 假設驗證結果彙整表	98
表47 人口統計變項結果彙整表	100

參考文獻
中文文獻
林英顏(2004)。員工工作投入, 工作壓力與休閒需求關係之研究。 (博士論文, 中國文化大學國際企業管理研究所) 。 Retrieved from http://handle.ncl.edu.tw/11296/ndltd/70507173947850000022
林惠彥、陸洛、吳珮瑀與吳婉瑜。 (2012)。 快樂的員工更有生產力嗎? 組織支持與工作態度之雙重影響。 中華心理學刊、 54(4)、 451-469。 
邱天助。 (2005)。 幽默研究的困境: 一個社會心理學的觀點。 應用心理研究、(27)、 9-13。 
徐瑞珠（譯）(1992)。情緒管理的探索（原作者：Hochschild, AR）。台北市：桂冠。(原著出版年：1983）。
高鳳霞與鄭伯壎。 (2014)。 職場工作壓力: 回顧與展望。 人力資源管理學報、 14(1)、 77-101。 
陳盈穎、 李維綸、 蔡享翰與蔡照文。 (2013)。 護理人員工作壓力、 因應策略與幸福感相關性之探討。 美和學報、 32(2)、 83-97。 
陳國海。 (2005)。 應對幽默量表在 354 名中國大學生中的初步測試。 中國心理衛生雜誌、 19(5)、 307-309。 
劉雅惠與劉偉文。 (2009)。 護理人員情緒勞務、 工作壓力與因應行爲之相關性研究。 醫護科技期刊、 11(2)、 98-115。 
網路資料
王美珍(2012年7月)。要退讓到什麼程度 才算好的護理人員？遠見雜誌，313。取自http://www.gvm.com.tw/Boardcontent_20303_1.html
蔡淑媛(2016年7月12日)。〈中部〉妝髮遭投訴 醫護：專業不容抹殺。自由時報。取 自http://news.ltn.com.tw/news/local/paper/1009906
鄧桂芬(2016年8月22日)。急診暴力竟成醫護的新興職場壓力。聯合影音。取自https://video.udn.com/news/547041
 
英文文獻
Ahmad, A., & Afgan, S. (2016). The relationship of job stress and turnover intention in commercial banks of pakistan by assessing the mediating role of burnout. Journal of Business Strategies, 10(1), 1. 
Ashforth, B. E., & Humphrey, R. H. (1993). Emotional labor in service roles: The influence of identity. Academy of Management Review, 18(1), 88-115. 
Bagdasarov, Z., & Connelly, S. (2013). Emotional labor among healthcare professionals: The effects are undeniable. Narrative Inquiry in Bioethics, 3(2), 125-129. 
Bakker, A. B., & Oerlemans, W. (2011). Subjective well-being in organizations. The Oxford Handbook of Positive Organizational Scholarship, , 178-189. 
Banning, M., & Gumley, V. (2013). Case studies of patient interactions, care provision and the impact of emotions: A qualitative study. Journal of Cancer Education, 28(4), 656-661. 
Beehr, T. A., & Newman, J. E. (1978). Job stress, employee health, and organizational effectiveness: A facet analysis, model, and literature review1. Personnel Psychology, 31(4), 665-699. 
Brotheridge, C. M., & Grandey, A. A. (2002). Emotional labor and burnout: Comparing two perspectives of “people work”. Journal of Vocational Behavior, 60(1), 17-39. 
Cann, A., Stilwell, K., & Taku, K. (2010). Humor styles, positive personality and health. Europe’s Journal of Psychology, 6(3), 213-235. 
Cavanaugh, M. A., Boswell, W. R., Roehling, M. V., & Boudreau, J. W. (2000). An empirical examination of self-reported work stress among US managers. Journal of Applied Psychology, 85(1), 65. 
Cooper, C. L., & Marshall, J. (1976). Occupational sources of stress: A review of the literature relating to coronary heart disease and mental ill health. Journal of Occupational Psychology, 49(1), 11-28. 
Dagenais-Desmarais, V., & Savoie, A. (2012). What is psychological well-being, really? A grassroots approach from the organizational sciences. Journal of Happiness Studies, 13(4), 659-684. 
Dean, R. A. K., & Major, J. E. (2008). From critical care to comfort care: The sustaining value of humour. Journal of Clinical Nursing, 17(8), 1088-1095. 
Diener, E. (2000). Subjective Wellbeing: The Science of Happiness and a Proposal for a National Index.American Psychological Association, 55: 34-43. 
Ekman, P. (1972). Universal and cultural differences in facial expressions of emotions. In J. K. Cole (Ed.), Nebraska symposium on motivation, 1971 (pp. 207-283). Lincoln: University of Nebraska Press.
Erickson, R. J., & Ritter, C. (2001). Emotional labor, burnout, and inauthenticity: Does gender matter? Social Psychology Quarterly, , 146-163. 
Gaan, N. (2011). Development of emotional labour scale in indian context. Vision: The Journal of Business Perspective, 15(1), 41-48. 
Geng, Z., Liu, C., Liu, X., & Feng, J. (2014). The effects of emotional labor on frontline employee creativity. International Journal of Contemporary Hospitality Management, 26(7), 1046-1064. 
Grandey, A. (1998). Emotional labor: A concept and its correlates. Paper presented at the First Conference on Emotions in Organizational Life, San Diego, CA.
Grant, A. M., Christianson, M. K., & Price, R. H. (2007). Happiness, health, or relationships? managerial practices and employee well-being tradeoffs. The Academy of Management Perspectives, 21(3), 51-63. 
Hochschild, A. (1983). The Managed Heart University of California Press. Berkely and Los Angeles, California. 
Huang, L., Ahlstrom, D., Lee, A. Y., Chen, S., & Hsieh, M. (2016). High performance work systems, employee well-being, and job involvement: An empirical study. Personnel Review, 45(2), 296-314. 
Isenbarger, L., & Zembylas, M. (2006). The emotional labour of caring in teaching. Teaching and Teacher Education, 22(1), 120-134. 
Jamal, M. (1999). Job stress and employee well-being: A cross-cultural empirical study. Stress and Health, 15(3), 153-158. 
Kakunje, A. (2011). Stress among health care professionals-the need for resiliency. Online Journal of Health and Allied Sciences, 10(1). 
Kim, T., Lee, D., & Wong, N. Y. S. (2016). Supervisor humor and employee outcomes: The role of social distance and affective trust in supervisor. Journal of Business and Psychology, 31(1), 125-139. 
Kubie, L. S. (1971). The destructive potential of humor in psychotherapy. American Journal of Psychiatry, 127(7), 861-866. 
Kuiper, N. A., Martin, R. A., & Olinger, L. J. (1993). Coping humour, stress, and cognitive appraisals. Canadian Journal of Behavioural Science/Revue Canadienne Des Sciences Du Comportement, 25(1), 81. 
Lee, D. (2015). The impact of leader's humor on employees' creativity: The moderating role of trust in leader. Seoul Journal of Business, 21(1), 59. 
Leist, A. K., & Müller, D. (2013). Humor types show different patterns of self-regulation, self-esteem, and well-being. Journal of Happiness Studies, 14(2), 551-569. 
Liu, Y., Perrewé, P. L., Hochwarter, W. A., & Kacmar, C. J. (2004). Dispositional antecedents and consequences of emotional labor at work. Journal of Leadership & Organizational Studies, 10(4), 12-25. 
Long, D. L., & Graesser, A. C. (1988). Wit and humor in discourse processing. Discourse Processes, 11(1), 35-60. 
Malik, S., & Noreen, S. (2015). Perceived organizational support as a moderator of affective well-being and occupational stress among teachers. Pakistan Journal of Commerce and Social Sciences, 9(3), 865-874. 
Margolis, B. L., Kroes, W. H., & Quinn, R. P. (1974). Job stress: An unlisted occupational hazard. Journal of Occupational and Environmental Medicine, 16(10), 659-661. 
Martin, R. A. (1996). The situational humor response questionnaire (SHRQ) and coping humor scale (CHS): A decade of research findings. Humor-International Journal of Humor Research, 9(3-4), 251-272. 
Martin, R. A. (1998). Approaches to the sense of humor: A historical review. The Sense of Humor: Explorations of a Personality Characteristic, , 15-60. 
Martin, R. A., & Lefcourt, H. M. (1983). Sense of humor as a moderator of the relation between stressors and moods. Journal of Personality and Social Psychology, 45(6), 1313. 
Martin, R. A., & Lefcourt, H. M. (1984). Situational humor response questionnaire: Quantitative measure of sense of humor. Journal of Personality and Social Psychology, 47(1), 145. 
Martin, R. A., Puhlik-Doris, P., Larsen, G., Gray, J., & Weir, K. (2003). Individual differences in uses of humor and their relation to psychological well-being: Development of the humor styles questionnaire. Journal of Research in Personality, 37(1), 48-75. 
Mathur, G., Nathani, N., & Sarvate, S. (2013). An emotional antecedent to stress at work in health care. Advances in Management and Applied Economics, 3(1), 1. 
Mesmer-Magnus, J., Glew, D. J., & Viswesvaran, C. (2012). A meta-analysis of positive humor in the workplace. Journal of Managerial Psychology, 27(2), 155-190. 
Morris, J. A., & Feldman, D. C. (1996). The dimensions, antecedents, and consequences of emotional labor. Academy of Management Review, 21(4), 986-1010. 
O'Keefe, L. C., Brown, K. C., & Christian, B. J. (2014). Policy perspectives on occupational stress. Workplace Health & Safety, 62(10), 432-438. 
Page, K. (2005). Subjective wellbeing in the workplace (Doctoral dissertation, Deakin University).
Parker, D. F., & DeCotiis, T. A. (1983). Organizational determinants of job stress. Organizational Behavior and Human Performance, 32(2), 160-177. 
Professor Rodoula H. Tsiotsou and Professor Jochen Wirtz, Associate, Mathies, C., Chiew, T. M., & Kleinaltenkamp, M. (2016). The antecedents and consequences of humour for service: A review and directions for research. Journal of Service Theory and Practice, 26(2), 137-162. 
Professor Rodoula H. Tsiotsou and Professor Jochen Wirtz, Associate, Mathies, C., Chiew, T. M., & Kleinaltenkamp, M. (2016). The antecedents and consequences of humour for service: A review and directions for research. Journal of Service Theory and Practice, 26(2), 137-162. 
Public administration; studies conducted by M.M. sloan et al on public administration recently reported.(2014). Politics & Government Week, , n/a. Retrieved from http://search.proquest.com.ezproxy.lib.tku.edu.tw/docview/1524629409?accountid=14237 
Pugh, S. D., Groth, M., & Hennig-Thurau, T. (2011). Willing and able to fake emotions: A closer examination of the link between emotional dissonance and employee well-being. Journal of Applied Psychology, 96(2), 377. 
Rafaeli, A., & Sutton, R. I. (1989). The expression of emotion in organizational life. Research in Organizational Behavior, 11(1), 1-42. 
Roberts, M. L., & Wortzel, L. H. (1979). New life-style determinants of women's food shopping behavior. The Journal of Marketing, , 28-39. 
Romero, E. J., & Pearson, T. R. (2004). The relationship between humor and group productivity: An exploratory study. Journal of Management Research, 4(1), 53. 
Ruzungunde, V. S., Murugan, C., & Hlatywayo, C. K. (2016). The influence of job stress on the components of organisational commitment of health care personnel in the eastern cape province south africa. The International Business & Economics Research Journal (Online), 15(5), 219. 
Salilih, S. Z., & Abajobir, A. A. (2014). Work-related stress and associated factors among nurses working in public hospitals of addis ababa, ethiopia: A cross-sectional study. Workplace Health & Safety, 62(8), 326. 
Sauter, S., Murphy, L., Colligan, M., Swanson, N., Hurrell, J., & Scharf, F. (1999). Stress… at work (DHHS publication no. 99-101). Cincinnati, OH: National Institute for Occupational Safety and Health.(Available also at Http://www.Cdc.gov/niosh/jobstres.Html), 
Sidle, S. D.(2000)。Humor as emotional labor. (Ph.D., DePaul University). ProQuest Dissertations and Theses, Retrieved from http://search.proquest.com.ezproxy.lib.tku.edu.tw/docview/304673447?accountid=14237 
Siu, O. L., Cheung, F., & Lui, S. (2015). Linking positive emotions to work well-being and turnover intention among hong kong police officers: The role of psychological capital. Journal of Happiness Studies, 16(2), 367-380. 
Smith, J. W., & Khojasteh, M. (2014). Use of humor in the workplace. International Journal of Management & Information Systems (Online), 18(1), 71. 
Terry, D. J., Nielsen, M., & Perchard, L. (1993). Effects of work stress on psychological well‐being and job satisfaction: The stress‐buffering role of social support. Australian Journal of Psychology, 45(3), 168-175. 
Türker, A. (2016). Duygusal zeka ve duygusal emegin satis performansina etkisi: Acenta temsilcileri üzerine bir uygulama/effect of emotional intelligence and emotional labor on sales performance: An application to agency representatives. Is, Güc: Endüstri Iliskileri Ve Insan Kaynaklari Dergisi, 18(1), 76-96. Retrieved from http://search.proquest.com.ezproxy.lib.tku.edu.tw/docview/1788718666?accountid=14237 
Vejleskov, H. (2001). A distinction between" small humor" and" great humor" and its relevance to the study of children's humor. Humor: International Journal of Humor Research.
Vivona, B. D. (2014). Humor functions within crime scene investigations: Group dynamics, stress, and the negotiation of emotions. Police Quarterly, 17(2), 127-149. 
Warr, P.(1987). Work, unemployment, and mental health. Oxford University Press. 
Wooten, P. (1996). Humor: An antidote for stress. Holistic Nursing Practice, 10(2), 49-56. 
Wright, T. A., & Cropanzano, R. (2000). Psychological well-being and job satisfaction as predictors of job performance. Journal of Occupational Health Psychology, 5(1), 84. 
Wright, T. A., & Hobfoll, S. E. (2004). Commitment, psychological well-being and job performance: An examination of conservation of resources (COR) theory and job burnout. Journal of Business and Management, 9(4), 389. 
Zapf, D. (2002). Emotion work and psychological well-being: A review of the literature and some conceptual considerations. Human Resource Management Review, 12(2), 237-268. 
Zheng, X., & Jin, J. (2016). Study on influence factors of Employee’s job-related well-being of telecom operators.