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目的探讨医生紧张反应的影响因素,改善医生身心健康水平。方法采用横断面调查方法,于2008年5-7月随机抽取辽宁省20所医院的1635名医生进行问卷调查。职业紧张量表(OSI-R)中的个体紧张反应问卷(PSQ)评价医生紧张反应,应用多元线性回归分析探讨紧张反应的影响因素。结果医生PSQ平均分值为86.91。按照多元线性回归分析标准化系数的顺序,调整性别、年龄、婚姻状况、教育背景、医院等级、职务、夜班、每周工作时间后,医生紧张反应的影响因素为:任务冲突、任务不适、社会支持、责任感、任务过重、自我保健、理性处理。结论应加强医生的健康教育项目及职业教育项目,提高医生的个体应对能力,降低职业紧张,促进医生身心健康水平,提高生命质量。
Objective To explore the influencing factors of doctors’ tense reaction and to improve their physical and mental health. Methods By means of cross-sectional survey, 1635 doctors from 20 hospitals in Liaoning Province were randomly selected from May-July 2008 to conduct questionnaire survey. Occupational stress test (OSI-R) questionnaire (PSQ) to assess the tension of the doctor response, the use of multiple linear regression analysis of the impact of stress response factors. Results The average score of physician PSQ was 86.91. According to the multiple linear regression analysis of the order of standardized coefficients, the influencing factors of doctor’s nervous response after adjusting gender, age, marital status, education background, hospital grade, job title, night shift and weekly working time were: task conflict, discomfort of task, social support , Responsibility, overwork, self care, rational handling Conclusion Physicians’ health education programs and vocational education programs should be strengthened to improve their individual coping ability, reduce occupational stress, promote their physical and mental health, and improve their quality of life.