唐山市外科医生职业紧张状况分析  

Occupational Stress of Surgeon in Tangshan

作　　者：郑维国[1] 李晓云[2] 金玉兰[3] 陈通[1] 姚三巧[3] 白玉萍[3] 沈福海[3] 蒋守芳[3] 

机构地区：[1]河北联合大学附属医院(唐山),中国063000 [2]唐山市协和医院 [3]河北联合大学公共卫生学院

出　　处：《中国健康心理学杂志》2012年第12期1804-1806,共3页China Journal of Health Psychology

基　　金：唐山市科技局课题(10140201A-8)

摘　　要：目的评价外科医生职业紧张程度。方法采用职业紧张问卷(OSI)对唐山市9所医院外科医生237名和辅助科室医生163名进行测试,并调查其年龄、性别、文化程度、工龄等一般情况。数据分别用χ2检验、t检验、协方差分析、逐步回归模型进行分析。结果外科医生组工作控制、工作需求、工作危险、工作责任、物理环境得分高于对照组(F=7.285,4.523,4.209,5.937,20.972;P<0.05);工作冲突、角色紧张得分低于对照组(F=33.334,10.874;P<0.001);外科医生组社会支持、应付策略与自尊感得分高于对照组(F=11.326,14.821,9.864,P<0.01;);外科医生组心身症状、每日紧张感、负性情绪得分高于对照组(F=4.357,15.289,4.108;P<0.05),正性情绪得分低于对照组,差异具有统计学意义(F=2.152,P<0.05)。外科医生紧张反应的主要影响因素有工作角色紧张、工作前景不明确、工作危险性大、工作冲突多、应付策略少、社会支持不力和物理环境差。结论外科医生紧张程度较高,心身症状多、每日紧张感较强及负性情绪多。Objective To assess occupational stress of surgeon.Methods A total of 237 surgeons and 163 controls coming from assistant departments of nine hospitals in a city were measured using job stress questionnaire,and their demography information including age,sex,educational level,length of service were also investigated.Data were analyzed using χ2 test,t-test,analysis of covariance and stepwise regression.Results The scores of job control,job demands,job hazards,job responsibilities and physical environment of surgeons were higher than those of the controls,while job-person conflict,job role strain scores were lower than those of controls（P0.05）.The scores of social support,coping strategies and self-esteem of surgeons were higher than those of controls（P0.05）.The scores of mental health,psychosomatic symptoms,daily stress,negative emotion of surgeons were higher than those of controls,but positive emotion score was lower than that of controls（P0.05）.The main factors influencing surgeons＇ occupational stress included job role strain,uncertain job future,great job conflicts,less coping strategies,less social support and less physical environment.Conclusion Surgeons have high job strain,which lead to more psychosomatic symptoms,more strong sense of daily stress and more negative emotions.

关 键 词：外科医生 职业紧张 紧张因素 缓解因素 

分 类 号：R192.3[医药卫生—卫生事业管理]