深圳市医务人员职业紧张与生命质量关系
|
摘要
目的调查深圳市医务人员职业紧张和生命质量现状。方法采用分层随机抽样方法,以深圳市4家医疗机构的992名医务人员为研究对象。采用《职业紧张量表》《SF-36量表》对其职业紧张及生命质量进行调查。结果深圳市48. 8%的医务人员存在高职业紧张反应。多元逐步回归分析结果显示,工种、文化程度、职业紧张反应、个体应对资源、工龄、工作时间均是生命质量生理内容综合测量的影响因素(P <0. 05),年龄、职业紧张反应、个体应对资源、工龄、工作时间、性别均是生命质量心理内容综合测量的影响因素(P <0. 05)。结论职业紧张是深圳市医务人员生理健康和心理健康的影响因素,高职业紧张反应和缺乏应对资源均可降低生命质量。
Objective To investigate the current status of occupational stress and quality of life( QOL) in medical staffs of Shenzhen City. Methods A total of 992 medical stuffs from 4 hospitals of Shenzhen City were selected as study subjects by using the stratified random sampling method. The Occupational Stress Inventory Revised Edition and SF-36 Questionnaire were used to investigate the occupational stress and QOL. Results The rate of high occupational strain in medical staffs of Shenzhen is 48. 8%. According to the results of multivariate stepwise regression analysis,the influencing factors for physical component summary of QOL were profession,education,occupational strain,personal coping resource,length of service and work hours( P < 0. 05). The influencing factors of mental component summary of QOL were age,occupational strain,personal coping resource,length of service,work hours and gender( P < 0. 05). Conclusion Occupational stress is a factor influencing the physical and mental health of medical staffs in Shenzhen City. High occupational stress and lack of coping resources can reduce the QOL.
Objective To investigate the current status of occupational stress and quality of life( QOL) in medical staffs of Shenzhen City. Methods A total of 992 medical stuffs from 4 hospitals of Shenzhen City were selected as study subjects by using the stratified random sampling method. The Occupational Stress Inventory Revised Edition and SF-36 Questionnaire were used to investigate the occupational stress and QOL. Results The rate of high occupational strain in medical staffs of Shenzhen is 48. 8%. According to the results of multivariate stepwise regression analysis,the influencing factors for physical component summary of QOL were profession,education,occupational strain,personal coping resource,length of service and work hours( P < 0. 05). The influencing factors of mental component summary of QOL were age,occupational strain,personal coping resource,length of service,work hours and gender( P < 0. 05). Conclusion Occupational stress is a factor influencing the physical and mental health of medical staffs in Shenzhen City. High occupational stress and lack of coping resources can reduce the QOL.
引文
[1]YONG M,NASTERLACK M,PLUTO R P,et al.Occupational stress perception and its potential impact on work ability[J].Work,2013,46(3):347-354.
[2]NABE-NIELSEN K,GARDE A H,ALBERTSEN K,et al.The moderating effect of work-time influence on the effect of shift work:a prospective cohort study[J].Int Arch Occup Environ Health,2011,84(5):551-559.
[3]WU S,ZHU W,LI H,et al.Quality of life and its influencing factors among medical professionals in China[J].Int Arch Occup Environ Health,2010,83(7):753-761.
[4]刘洪芳,梁鑫浩.精神科护士心理弹性与职业紧张之间的相关研究[J].精神医学杂志,2018,31(3):217-220.
[5]宁丽,张勇,关素珍,等.某医院医务人员肌肉骨骼疾患与睡眠质量、职业紧张相关性分析[J].中国职业医学,2017,44(6):740-744.
[6]陈星.我国医护人员职业紧张及其影响因素研究进展[J].职业与健康,2016,32(15):2140-2142.
[7]朱燕波,王琦,陈柯帆.一般人群健康相关生命质量的预测因素[J].中华行为医学与脑科学杂志,2009,18(3):254-259.
[8]李健,兰亚佳,王治明,等.职业紧张量表(OSI)信度与效度验证[J].中华劳动卫生职业病杂志,2001,19(3):190-193.
[9]刘文慧,靳雅丽,张灶钦,等.劳动密集型企业女工职业紧张反应影响因素分析[J].中国职业医学,2017,44(6):758-765.
[10]张琴,兰亚佳,陈红梅.职业紧张与职业生命质量的关系研究[J].四川大学学报(医学版),2011,42(4):540-543.
[11]杨新伟,刘泽军,赵培青,等.技术人员、科学研究人员职业紧张常模及应用表研制[J].卫生研究,2006,35(6):781-784.
[12]李鲁,王红妹,沈毅.SF-36健康调查量表中文版的研制及其性能测试[J].中华预防医学杂志,2002,36(2):109-113.
[13]魏艳萍,滕军燕,苏丰鸣,等.河南省直公务员生存质量现状及影响因素研究[J].现代预防医学,2016,43(3):411-414.
[14]GAMSIZ BILGIN N,MERT E,SEZGIN M.Evaluation of the effects of disabilities due to traffic accidents on the quality of life using SF-36health survey[J].Acta Orthop Traumatol Turc,2012,46(3):168-173.
[15]丛建妮,黄小敏,赵拥军.基于半参数回归模型的大学生生命质量研究[J].中国卫生统计,2016,33(5):814-816.
[16]高茹茹,杨晓琳,张冬梅,等.医护人员职业紧张对生活质量的影响[J].中国医学创新,2012,9(9):89-91.
[17]魏小妹,李大登.重症监护室护士慢性疲劳综合征与职业紧张的相关性[J].职业与健康,2015,31(11):1450-1452.
[18]努尔比亚木·艾合提,陈珍,木亚沙尔·吾吉,等.2017年新疆乌鲁木齐市6所三甲医院女性医务人员慢性病患病情况与职业紧张因素的相关研究[J].职业与健康,2018,34(5):672-675.
[19]路亚柯,梁肖,平智广,等.职业紧张增加影响抑郁发生的Meta分析[J].环境与职业医学,2018,35(9):830-834.
[20]LEKA S,HASSARD J,YANAGIDA A.Investigating the impact of psychosocial risks and occupational stress on psychiatric hospital nurses'mental well-being in Japan[J].J Psychiatr Ment Health Nurs,2012,19(2):123-131.
[21]朱伟,江青松,王治明.医务人员职业紧张对生命质量的影响[J].郑州大学学报(医学版),2008,43(3):468-472.
[22]陈丽,金国忠,顾怡勤,等.上海市闵行区医务人员职业生命质量与职业紧张关系[J].中国职业医学,2018,45(2):202-205.
[23]朱陶,张树山,兰亚佳.南充市三甲医院医务人员职业生命质量与职业紧张的关系研究[J].实用预防医学,2016,23(2):151-153.
[24]颜萍,何娟,黄阿美,等.新疆护理人员生活质量与社会支持现状及相关性研究[J].中国医院管理,2016,36(6):74-76.
[2]NABE-NIELSEN K,GARDE A H,ALBERTSEN K,et al.The moderating effect of work-time influence on the effect of shift work:a prospective cohort study[J].Int Arch Occup Environ Health,2011,84(5):551-559.
[3]WU S,ZHU W,LI H,et al.Quality of life and its influencing factors among medical professionals in China[J].Int Arch Occup Environ Health,2010,83(7):753-761.
[4]刘洪芳,梁鑫浩.精神科护士心理弹性与职业紧张之间的相关研究[J].精神医学杂志,2018,31(3):217-220.
[5]宁丽,张勇,关素珍,等.某医院医务人员肌肉骨骼疾患与睡眠质量、职业紧张相关性分析[J].中国职业医学,2017,44(6):740-744.
[6]陈星.我国医护人员职业紧张及其影响因素研究进展[J].职业与健康,2016,32(15):2140-2142.
[7]朱燕波,王琦,陈柯帆.一般人群健康相关生命质量的预测因素[J].中华行为医学与脑科学杂志,2009,18(3):254-259.
[8]李健,兰亚佳,王治明,等.职业紧张量表(OSI)信度与效度验证[J].中华劳动卫生职业病杂志,2001,19(3):190-193.
[9]刘文慧,靳雅丽,张灶钦,等.劳动密集型企业女工职业紧张反应影响因素分析[J].中国职业医学,2017,44(6):758-765.
[10]张琴,兰亚佳,陈红梅.职业紧张与职业生命质量的关系研究[J].四川大学学报(医学版),2011,42(4):540-543.
[11]杨新伟,刘泽军,赵培青,等.技术人员、科学研究人员职业紧张常模及应用表研制[J].卫生研究,2006,35(6):781-784.
[12]李鲁,王红妹,沈毅.SF-36健康调查量表中文版的研制及其性能测试[J].中华预防医学杂志,2002,36(2):109-113.
[13]魏艳萍,滕军燕,苏丰鸣,等.河南省直公务员生存质量现状及影响因素研究[J].现代预防医学,2016,43(3):411-414.
[14]GAMSIZ BILGIN N,MERT E,SEZGIN M.Evaluation of the effects of disabilities due to traffic accidents on the quality of life using SF-36health survey[J].Acta Orthop Traumatol Turc,2012,46(3):168-173.
[15]丛建妮,黄小敏,赵拥军.基于半参数回归模型的大学生生命质量研究[J].中国卫生统计,2016,33(5):814-816.
[16]高茹茹,杨晓琳,张冬梅,等.医护人员职业紧张对生活质量的影响[J].中国医学创新,2012,9(9):89-91.
[17]魏小妹,李大登.重症监护室护士慢性疲劳综合征与职业紧张的相关性[J].职业与健康,2015,31(11):1450-1452.
[18]努尔比亚木·艾合提,陈珍,木亚沙尔·吾吉,等.2017年新疆乌鲁木齐市6所三甲医院女性医务人员慢性病患病情况与职业紧张因素的相关研究[J].职业与健康,2018,34(5):672-675.
[19]路亚柯,梁肖,平智广,等.职业紧张增加影响抑郁发生的Meta分析[J].环境与职业医学,2018,35(9):830-834.
[20]LEKA S,HASSARD J,YANAGIDA A.Investigating the impact of psychosocial risks and occupational stress on psychiatric hospital nurses'mental well-being in Japan[J].J Psychiatr Ment Health Nurs,2012,19(2):123-131.
[21]朱伟,江青松,王治明.医务人员职业紧张对生命质量的影响[J].郑州大学学报(医学版),2008,43(3):468-472.
[22]陈丽,金国忠,顾怡勤,等.上海市闵行区医务人员职业生命质量与职业紧张关系[J].中国职业医学,2018,45(2):202-205.
[23]朱陶,张树山,兰亚佳.南充市三甲医院医务人员职业生命质量与职业紧张的关系研究[J].实用预防医学,2016,23(2):151-153.
[24]颜萍,何娟,黄阿美,等.新疆护理人员生活质量与社会支持现状及相关性研究[J].中国医院管理,2016,36(6):74-76.