Work-family conflict and prolonged fatigue among Japanese married male physicians
Work-family conflict and prolonged fatigue among Japanese married male physicians
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DOI：
10.1007/s00420-011-0613-z
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发表时间：
2011-12-01
影响因子：
3
通讯作者：
Aizawa, Yoshiharu
中科院分区：
文献类型：
--
作者：
Ohta, Hiroshi;Wada, Koji;Aizawa, Yoshiharu
医生的疲劳不仅会危及自身的健康，还会影响患者的安全。这种疲劳可能与工作环境和个人因素（如工作家庭冲突）有关。本研究旨在确定日本已婚男性医生的WFC与长时间疲劳之间的关系。从日本一所医学院毕业的医生们回答了一份邮寄的匿名自我报告问卷。WFC和长时疲劳的评估采用日文WFC量表和个人力量问卷（CIS）。长时间疲劳被定义为CIS总分的上四分位数。WFC量表包括六个维度。总分分为低、中、高水平WFC。采用多元逻辑回归分析来检验WFC与长时间疲劳之间的关系。共有540名男性医生参与问卷调查，并对444名已婚男性医生的数据进行分析。然后根据年龄和工作条件因素对数据进行了调整。长时间疲劳与高应变型工作与家庭干扰（WIF，校正优势比为5.56,95%可信区间为2.55 ~ 12.1）、中等应变型工作与家庭干扰（WIF, 2.53, 1.25 ~ 5.10）、高时间型家庭与工作干扰（FIW, 1.92, 1.08 ~ 3.40）显著相关，与高应变型工作与家庭干扰（FIW, 1.93, 0.98 ~ 3.83）弱相关。雇主应采取措施改善医院的工作条件，并让医生有机会学习如何应对WFC。这些措施最终有助于防止长时间的疲劳。
Fatigue experienced by physicians may not only endanger their own health but may also affect the safety of patients. Such fatigue may be associated with the work environment and personal factors such as work-family conflict (WFC). This study aimed to determine the association between WFC and prolonged fatigue among Japanese married male physicians.Physicians who graduated from a Japanese medical school answered a mailed anonymous self-report questionnaire. For assessment of WFC and prolonged fatigue, the Japanese versions of the WFC scale and the Checklist of Individual Strength questionnaire (CIS) were used. Prolonged fatigue was defined as the upper quartile of total CIS scores. The WFC scale comprises six dimensions. Total scores were divided into tertiles: low, intermediate, and high levels of WFC. A multiple logistic regression analysis was performed to examine the association between WFC and prolonged fatigue.A total of 540 male physicians answered the questionnaire, and the data of 444 married male physicians were analyzed. The data were then adjusted for age and work condition factors. Prolonged fatigue was significantly associated with high strain-based work interference with family (WIF; corrected odds ratio, 5.56; 95% confidence interval, 2.55-12.1), intermediate strain-based WIF (2.53, 1.25-5.10), high time-based family interference with work (FIW; 1.92, 1.08-3.40), and there was a weak association with high strain-based FIW (1.93, 0.98-3.83).Employers should take measures to improve working conditions in hospitals, and give physicians the opportunity to learn how to cope with WFC. These measures could ultimately help prevent prolonged fatigue.