上海市某区社区卫生服务中心医务人员职业紧张现状调查  

Cross-sectional Investigation on Occupational Stress among Health Professionals in Community Health Service Centers of a District in Shanghai

作　　者：谢震宇[1,2] 杨黎明[1] 戴俊明[2] 黄云彪[1] 王宇[1] 陈波[2] 金泰廙[2] 

机构地区：[1]上海市浦东新区疾病预防控制中心,上海200136 [2]复旦大学公共卫生学院,上海200032

出　　处：《环境与职业医学》2010年第3期146-149,共4页Journal of Environmental and Occupational Medicine

摘　　要：[目的]评价社区卫生服务中心医务人员职业紧张水平。[方法]由调查员向440名社区卫生服务中心医务人员发放工作内容问卷,采用统一讲解问卷内容与填写要求、当场交卷的方式调查。对问卷填写不足80%者予以剔除,收回有效问卷426份。[结果]此次调查的社区卫生服务中心医务人员中职业紧张程度高者有311名(73.0%);30～45岁年龄段医务人员职业紧张程度高于45岁以上年龄段医务人员(P<0.05),OR为2.22;家庭人均月收入在1000～3000元人民币的医务人员职业紧张程度高于3000元人民币以上的医务人员(P<0.05),OR为1.70;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1.51。[结论]社区卫生服务中心医务人群属于职业紧张较高的人群,主要的影响因素包括年龄、家庭收入水平、倒班作业等,制定相关的卫生政策,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 status of the occupational stress among health professionals in community health service centers of a district in Shanghai. [ Methods ] Four hundred and forty KARASEK＇s job content questionnaires（ JCQ ） were given to the health professionals and 426 of them finished the questionnaire, giving the response rate of 96.8%. [ Results ] Three hundred and eleven health professionals were found to have high level of occupational stress （ 74.5% ）. Higher occupational stress was found among 30-45 age group（ OR = 2.22, comparing with over 45 age group ）, family income between 1 000 and 3 000 Chinese Yuan group （ OR = 1.70, comparing with the group of family income over 3 000 Chinese Yuan ）, and rotating shift necessary group（ OR = 1.51, comparing with unnessary group ）. [ Conclusion ] Health professionals in Shanghai community health service centers had higher occupational stress, which was mainly influenced by job category, age, family income, working hours per week, and rotating shift system. Better health policies are necessary to relieve their working stress for better protection of their health.

关 键 词：社区卫生服务中心 医务人员 职业紧张 工作内容问卷 

分 类 号：R13[医药卫生—劳动卫生]