背景及目的：健康照護是一項高情緒勞務的工作領域，情緒勞務負荷的高低攸關 著工作者的職業倦怠感受和醫療服務品質。本質上，職能治療是一項情緒勞務負 荷較高的職種，但相關研究相當有限。本研究目的在探討 (1) 國內職能治療師在 職場的情緒勞務負荷情形；(2) 影響職能治療師情緒勞務負荷程度的相關因子。 方法：採橫斷式研究設計，使用情緒勞務量表卷蒐集治療師的情緒勞務負荷程度。 共發放500 份問卷，回收率 91.8 %；剔除答題不適者，正式分析412 份。資料分 析使用描述性統計及逐步迴歸分析。 結果: 職能治療師整體的情緒勞務總平均為3.56 ± 0.36（最高得分為5 分），各構 面得分以「互動程度」 (4.12 ± 0.57）最高，其次為「基本情緒表達」(3.86 ± 0.41)， 最低為「情緒的多樣性」(2.80 ± 0.64)。從事小兒領域、中部和北部及在區域醫院 和醫學中心工作者承受較多的情緒勞務負荷；具研究所學歷者則有較低程度的情 緒勞務感受。 結論：我國職能治療師趨向於同意在臨床執業時會感受到情緒勞務。適當地管理 自我情緒勞務是職能治療師執業時的重要能力。建議醫院、職能治療學會和公會 提供情緒教育相關課程，尤其是針對較高情緒勞務執業領域、工作地點之治療師， 協助其發展處理情緒勞務之知能以提升醫療品質。

Background: Health care is an area of work that implies high emotional labor (EL), and the level of EL is related to healthcare practitioners’ job burnout and service quality. Occupational therapists might bear higher level of EL; however, there are limited studies on this topic. The aims of this study were to explore: (1) the load of EL of occupational therapists in Taiwan; (2) the factors that affect their load of EL. Method: This study adopted a cross-sectional design and used Emotional Labor Questionnaire (ELQ) to collect data. The response rate was 91.8% (459/500) and 412 questionnaires were analyzed as valid samples. Descriptive statistics and stepwise regression were used for data analysis. Result: The average ELQ score of occupational therapists was 3.56 ± 0.36 out of a maximum 5.0. Among the different dimensions of EL, “interaction” (4.12 ± 0.57) scored the highest, followed by “basic emotional expression” (3.86 ± 0.41), while “emotional diversity” scored the lowest (2.80 ± 0.64).Therapists who worked in pediatric field, center or northern Taiwan, and area hospital or medical center reported higher load of EL. Therapists with graduate degree expressed lower load of EL. Conclusion: Occupational therapists tended to agree that they were exposed to EL in clinical settings. Proper management of EL is an essential professional skill in occupational therapy practices. It is suggested that hospitals, the Taiwan Occupational Therapy Association and Unions should provide emotional education courses to assist therapists, especially who work in areas and regions with higher level of EL, in obtaining knowledge of managing EL for better care quality.