苏州市医务人员工作压力现状及应对方式  

Current status and coping style of work stress among medical staff in Suzhou city

作　　者：卢惠娟[1] 张意志[2] 殷琼花[3] 袁小娟[4] 

机构地区：[1]苏州大学附属第一医院高级诊疗体检中心,江苏苏州215006 [2]苏州大学附属第一医院临床教学办公室 [3]苏州大学附属第一医院重症医学科 [4]苏州大学附属第一医院骨科

出　　处：《中国公共卫生》2016年第12期1684-1688,共5页Chinese Journal of Public Health

摘　　要：目的了解江苏省苏州市医务人员工作压力现状及压力应对方式。方法采用多阶段随机分层整群抽样方法,于2015年1—12月对苏州市4 930名医务工作者工作压力与应对方式进行调查,分析医务人员工作压力水平及压力应对方式情况。结果有效问卷4 718份,有效回收率为95.70%;苏州市医务人员工作压力平均得分(26.58±6.07)分,>25分者2 829人,占59.96%;性别、学历、岗位、所在科室、收入、所在医院级别不同的医务人员,健康危险压力比例差异均有统计学意义(均P<0.01);中文知觉压力量表(CPSS)均值与医务人员性别、学历、岗位、收入、所在医院级别等因素有关(均P<0.05);性别、学历、岗位、收入、所在医院级别等因素不同的医务人员,积极应对方式得分均不同(均P<0.05);性别、学历、岗位、所在医院级别不同的医务人员,消极应对方式得分不同(均P<0.05);CPSS评分与积极应对方式评分呈负相关(r=-0.492,P=0.021)、与消极应对方式评分呈正相关(r=0.177,P=0.030),差异均有统计学意义。结论苏州市医务人员工作压力较大,且受压力应对方式的影响。Objective To investigate current situation and coping style of work stress among medical personnel in Suzhou city of Jiangsu province. Methods A self-administered questionnaire survey on work stress and coping style to the stress was conducted with a general questionnaire and the Chinese Perceived Stress Scale （CPSS） among 4 930 medical staff recruited with multi-stage stratified random cluster sampling in Suzhou city between January and December 2015. Results Of all the participants,4 718 answered the questionnaires validly, with a response rate of 95.70%. The average score of work stress was 26. 58 ± 6. 07 for all the participants and 2 829 （59. 96% ） participants had the work stress score of greater than 25. The level of stress with potential health hazards differed significantly by gender, education, job title,income,working section, and working hospital among the participants （all P 〈 0. 05 ）. The CPSS score of the medical staff was related to their gender, education,job title,income, and the grade of working hospital （all P 〈 0. 05 ）. The positive coping style score was related to gender, education,job title, income, and the grade of working hospital （all P 〈0. 05）. The score of negative coping style differed by gender, education,job title, and the grade of working hospi- tal. There was a significant reverse correlation between CPSS score and active coping style score （ r = - 0. 492, P = 0. 021 ） and a significant positive correlation between CPSS score and negative coping style （ r = 0. 177, P = 0. 030 ）. Conclusion High work stress existed and the stress was influenced by coping style among medical staff in Suzhou city.

关 键 词：医务人员 工作压力 应对方式 

分 类 号：R195.4[医药卫生—卫生统计学]