儿科医护人员健康危险性压力影响因素分析  

Influencing factors of health risk stress among pediatric medical staf

作　　者：杜婵苹 陈婷婷[1] 郑雅婷[1] DU Chanping;CHEN Tingting;ZHENG Yating(Guangdong Women and Children Hospital,Guangzhou,Guangdong 511442,China)

机构地区：[1]广东省妇幼保健院,广东广州511442

出　　处：《中国职业医学》2024年第6期661-664,670,共5页China Occupational Medicine

基　　金：广东省医学科研基金指令性课题(C2024037,C2021026)。

摘　　要：目的分析儿科医护人员知觉压力水平和健康危险性压力(HRS)状况,以及HRS的影响因素。方法采取方便抽样方法,选择广东省妇幼保健院685名儿科医护人员为研究对象,采用中文版《知觉压力量表》(CPSS)调查其知觉压力水平,计算HRS检出情况。结果研究对象CPSS平均得分为(33.2±8.4)分;HRS检出率为68.6%(470/685)。多因素logistic回归分析结果显示,年龄、文化程度、工作岗位和职称均为儿科医护人员检出HRS的独立影响因素(P值均<0.01);其中,年龄为35~<45岁组人群检出HRS的风险高于年龄<35岁组[比值比(OR)及其95%置信区间(95%CI)为2.449(1.558~3.849),P<0.01];文化程度为大学专科、大学本科和硕士组人群检出HRS的风险均低于博士组[OR及其95%CI分别为0.171(0.069~0.427)、0.206(0.090~0.471)、0.249(0.118~0.524),P值均<0.01];儿科医生检出HRS的风险高于儿科护士[OR及其95%CI为5.545(3.268~9.409),P<0.01];初级和中级职称组儿科医护人员检出HRS的风险均高于副高/正高级职称组[OR及其95%CI分别为4.382(1.793~10.711)、4.586(1.886~11.151),P值均<0.01]。结论儿科医护人员知觉压力处于较高水平,HRS状况不容乐观;年龄、文化程度、工作岗位和职称均是检出HRS的影响因素。Objective To analyze the perceived stress level and health risk stress(HRS)status of pediatric medical staff,and its influencing factors.Methods A total of 685 pediatric medical staff from Guangdong Women and Children Hospital were selected as the study subjects using the convenience sampling method.The Chinese Perceived Stress Scales(CPSS)was used to evaluate their perceived stress level,and the HRS detection rate was calculated.Results The average CPSS score was(33.2±8.4)points.The detection rate of HRS was 68.6%(470/685).The result of multivariate logistic regression analysis showed that age,education level,job position and professional title were independent influencing factors for HRS in pediatric medical staff(all P<0.01).The risk of HRS was higher in the staff in age group of 35-<45 years than that in the age group of<35 years[odds ratio(OR),95%confidence interval(95%CI)was 2.449(1.558-3.849),P<0.01].The risk of HRS in the staff in education groups of college,bachelor and master's degree was lower than those in doctoral degree group[OR and 95%CI were 0.171(0.069-0.427),0.206(0.090-0.471)and 0.249(0.118-0.524),respectively,all P<0.01].Pediatricians had a higher risk of HRS than pediatric nurses[OR and 95%CI was 5.545(3.268-9.409),P<0.01].Medical staff with primary and intermediate professional titles had a higher risk of HRS than those with associate/senior titles[OR and 95%CI were 4.382(1.793-10.711)and 4.586(1.886-11.151),respectively,both P<0.01].Conclusion The perceived stress of pediatric medical staff was at a relatively high level,and the situation regarding HRS is concerning.Age,educational level,job position,and professional title are risk factors of HRS.

关 键 词：儿科 医护人员 知觉压力 健康危险性压力 影响因素 

分 类 号：R135.99[医药卫生—劳动卫生]