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[目的]评估医务人员职业紧张水平及其影响因素。[方法]整群随机抽取1200名医务人员,填写工作内容问卷与付出-回报失衡问卷,有效问卷1128份。[结果]被调查医务人员分别以工作内容问卷及付出-回报失衡问卷分级职业紧张,职业紧张程度高者分别为916人与262人,分别占81.2%与23.2%;工作内容问卷分析,家庭人均月收入<1000元人民币与1000~3000元人民币者职业紧张程度高于>3000元人民币者(P<0.05),OR分别为4.34与1.95(P<0.05);倒班作业医务人员职业紧张程度高于不需要倒班的医务人员(P<0.05),OR为2.54;付出-回报失衡问卷分析,家庭人均月收入<1000元人民币者职业紧张程度高于>3000元人民币者(P<0.05),OR为3.29;二级与三级医院医务人员职业紧张程度高于一级医院医务人员(P<0.05),OR分别为2.70与1.98;护士职业紧张程度高于其他医务人员(P<0.05),OR为2.50;每周工作40~60h及>60h的医务人员职业紧张程度高于<40h的医务人员(P<0.05),OR分别为2.55与6.83。[结论]医务人员属于职业紧张人群,主要影响因素包括家庭人均月收入、医院级别、工种、每周工作时间、倒班作业等,制定相关的卫生调节政策,可缓解他们的工作压力,更好地保护该职业人群的健康。
[Objective] To assess the occupational stress level of medical staff and its influencing factors. [Methods] The cluster randomly selected 1,200 medical staff, fill in the content of the questionnaire and pay work - return imbalance questionnaires, valid questionnaires 1128 copies. [Results] The surveyed medical staff classified occupational stress respectively according to questionnaire of work content and pay-return imbalance questionnaire. Occupational stress was higher among 916 and 262 respectively, accounting for 81.2% and 23.2% respectively. The content of the questionnaire survey, ORs were 4.34 and 1.95 respectively (P <0.05), job-related stressors were lower than 1000 yuan (P <0.05), job-related occupational stress was lower than (P <0.05), OR was 2.54; pay-return imbalance questionnaire analysis, the average monthly household income of less than 1,000 yuan was higher than 3000 yuan occupational stress (P <0.05), OR 3.29; the occupational stress level of medical personnel in secondary and tertiary hospitals was higher than that of primary hospital staff (OR = 2.70 and 1.98 respectively); the occupational stress level of nurses was higher than that of other medical staff (OR <0.05) 2.50; the occupational stress level of medical staff who worked 40-60h and> 60h per week was higher than that of <40h (P <0.05), OR was 2.55 and 6.83 respectively. [Conclusion] The medical staffs belong to the occupational stress population. The main influencing factors include the per capita monthly household income, the hospital level, the type of work, the working hours per week, the shift work and so on, and formulating the relevant health regulation policies to relieve their work pressure and better Protect the health of this occupational group.