医生紧张反应的影响因素分析  

Factors Associated with Occupational Stress Among Doctors

作　　者：吴辉[1] 迟铁爽[1] 王甲娜[1] 胡宝生[1] 王烈[1] 

机构地区：[1]中国医科大学公共卫生学院社会医学教研室,辽宁沈阳110001

出　　处：《实用预防医学》2009年第5期1384-1386,共3页Practical Preventive Medicine

摘　　要：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 factors associated with occupational stress among doctors, and to improve their physical and mental health. Methods A crosssectional study was conducted from May to July, 2008. The study population comprised 1,635 doctors from twenty hospitals of Liaoning Province. Occupational stress was assessed by Personal Strain Questionnaire （PSQ）, and the multiple linear regression analysis was applied to explore the factors associated with occupational stress. Results The average value of PSQ was 86.91. PSQ was associated with, in the sequence of standardizedcoefficients, role boundary, role insufficiency, social support, responsibility, role overload, self-care, and rational coping after adjustment gender, age, marital status, education, hospital grade, job rank, night shift, and weekly work time. Conclusions Occupational health education and occupational training programs should be taken among doctors for decreas ing occupational stress and improving their physical and mental health and life quality.

关 键 词：医生 职业紧张 任务冲突 任务不适 

分 类 号：R192.3[医药卫生—卫生事业管理]