沈阳市医护人员职业紧张和生命质量状况调查

A Cross-Sectional Study on Occupational Stress and Quality of Life among Medical Staff in Shenyang

  • 摘要:
    目的 对沈阳市级以上医院的医护人员进行调查,评价其职业紧张和生命质量状况,为制定医护人员健康保护措施,提高其生命质量提供科学依据。

    方法 采用整群随机抽样方法,抽取2所沈阳市级以上医院345名医护人员,采用职业紧张量表(OSI-R)和生命质量量表(SF-36)对医护人员进行调查,应用t检验和方差分析比较不同特征医护人员个体紧张程度和生命质量的差异,并采用协方差分析方法探讨个体紧张程度和生命质量之间的关系。

    结果 ≤ 35岁医护人员个体紧张程度较其他年龄组高(P<0.05);女性医护人员个体紧张程度较男性高(P<0.05);护士的个体紧张反应较医生高(P<0.05);夜班较多的医护人员个体紧张反应较夜班少者高(P<0.05)。医护人员生命质量的生理维度得分随年龄增长而下降;医护人员中女性与男性相比,其生命质量较差(P<0.05);夜班越多,医护人员生命质量越差(P<0.05);医护人员个体紧张反应与生命质量间存在明显的线性关系(P<0.01),紧张反应程度越高,生命质量越差。

    结论 职业紧张是影响医护人员生命质量的重要因素之一。

     

    Abstract:
    Objective To investigate and evaluate the status of occupation stress and quality of life among medical staff of Shenyang hospitals above municipal level, and to provide basis for making health protection measures and improving their quality of life.

    Methods A total of 345 staff from 2 Shenyang hospitals above municipal level were selected by cluster and random sampling. Occupational Stress Inventory-Revised (OSI-R) and 36-Item Short Form Health Survey (SF-36) were used for interview. Statistical analyses were performed using t-test and variance analysis for comparison of stress and quality of life under various factors, and covariance analysis for correlation evaluation between stress and quality of life.

    Results Significantly higher scores of personal strains were found among the staff under 35 years of age, females, nurses, and the medical staff working more night shifts (P<0.05). The scores of physical health domain in quality of life in the medical staff decreased with age. The male participants showed higher quality of life than the females (P<0.05); the same result was found in the medical staff having less night shifts. A significantly negative correlation between personal strain and quality of life was also found (P<0.01).

    Conclusion Occupational stress is one of the important risk factors that affect quality of life of medical staff.

     

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