Impaired mental well-being and psychosocial risk: a cross-sectional study in female nursing home direct staff.
Impaired mental well-being and psychosocial risk: a cross-sectional study in female nursing home direct staff.
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DOI：
10.1136/bmjopen-2014-007190
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发表时间：
2015-03-31
期刊：
影响因子：
2.9
通讯作者：
Charbotel B
中科院分区：
文献类型：
--
作者：
Pélissier C;Fontana L;Fort E;Vohito M;Sellier B;Perrier C;Glerant V;Couprie F;Agard JP;Charbotel B
本研究旨在量化疗养院工作人员所经历的心理健康受损和心理社会压力，并确定根据 12 项一般健康问卷 (GHQ-12) 评估的心理健康受损与根据 Siegrist 的努力/奖励和过度承诺模型评估的心理社会压力之间的关系。法国对 105 家养老院的 2471 名女性员工进行了一项横向研究。通过问卷调查收集了 668 名管家、1454 名护理助理和 349 名护士的个人和职业数据。 36.8% 的参与者 (n=896) 表现出心理健康受损，42.7% (n=1039) 的参与者过度投入，9% (n=224) 的努力/回报失衡。调整个人因素（年龄和私人生活事件）后，过度承诺（患病率（PR）=1.27；95% CI（1.21 - 1.34））和努力-回报失衡（PR=1.19；95% CI（1.12 - 1.27））与心理健康受损显着相关。考虑到努力和奖励水平，在遭受巨大的外在努力和任何类型的低奖励的情况下，心理健康受损的频率最高：自尊，PR = 3.53，95％CI（3.06至4.08）；收益，PR=3.48，95% CI（2.99 至 4.06）；或工作保障，PR=3.30，95% CI（2.88 至 3.78）。过度承诺和努力/回报失衡情况下的参与者心理健康受损的风险最高：PR=3.86，95% CI（3.42 至 4.35）。可以建议对疗养院组织进行一些改变，以减少员工遭受社会心理压力因素的影响。对疗养院工作人员心理健康受损与社会心理压力之间关系的定性研究可以指导预防工作中心理健康受损。
The present study sought to quantify the impaired mental well-being and psychosocial stress experienced by nursing home staff and to determine the relationship between impaired mental well-being assessed on the 12-item General Health Questionnaire (GHQ-12) and exposure to psychosocial stress assessed on Siegrist's effort/reward and overcommitment model. A transverse study was conducted in France on 2471 female employees in 105 nursing homes for the elderly. Personal and occupational data were collected by questionnaire for 668 housekeepers, 1454 nursing assistants and 349 nurses. 36.8% of participants (n=896) showed impaired mental well-being, 42.7% (n=1039) overcommitment and 9% (n=224) effort/reward imbalance. Overcommitment (prevalence ratio (PR)=1.27; 95% CI (1.21 to 1.34)) and effort–reward imbalance (PR=1.19; 95% CI (1.12 to 1.27)) were significantly associated with presence of impaired mental well-being after adjustment for personal factors (age and private life events). Taking effort and reward levels into account, the frequency of impaired mental well-being was highest in case of exposure to great extrinsic effort and low rewards of any type: esteem, PR=3.53, 95% CI (3.06 to 4.08); earnings, PR=3.48, 95% CI (2.99 to 4.06); or job security, PR=3.30, 95% CI (2.88 to 3.78). Participants in situations of overcommitment and of effort/reward imbalance were at the highest risk of impaired mental well-being: PR=3.86, 95% CI (3.42 to 4.35). Several changes in nursing home organisation can be suggested to reduce staff exposure to factors of psychosocial stress. Qualitative studies of the relation between impaired mental well-being and psychosocial stress in nursing home staff could guide prevention of impaired mental well-being at work.
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影响因子：
3.4
作者：
Domenighetti, G;D'Avanzo, B;Bisig, B
通讯作者：
Bisig, B
影响因子：
5.1
作者：
Kikuchi, Y.;Nakaya, M.;Nishi, M.
通讯作者：
Nishi, M.
影响因子：
3.8
作者：
Brodaty, H;Draper, B;Low, LF
通讯作者：
Low, LF
影响因子：
4.2
作者：
Hasson, Henna;Arnetz, Judith E.
通讯作者：
Arnetz, Judith E.
DOI：
10.1186/1745-6673-3-9
发表时间：
2008-04-30
期刊：
Journal of occupational medicine and toxicology (London, England)
影响因子：
--
作者：
Lau, Bjorn
通讯作者：
Lau, Bjorn