Work stress and workload of full-time anesthesiologists in acute care hospitals in Japan
Work stress and workload of full-time anesthesiologists in acute care hospitals in Japan
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DOI：
10.1007/s00540-008-0736-x
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发表时间：
2009-05-01
影响因子：
2.8
通讯作者：
Imanaka, Yuichi
中科院分区：
文献类型：
--
作者：
Kawasaki, Kazuyoshi;Sekimoto, Miho;Imanaka, Yuichi
与欧洲和北美相比，日本每个人口的麻醉师人数较少。虽然越来越多的人担心辛勤工作会导致麻醉师疲劳，并可能危及患者安全，但工作量和身体压力以及工作人员支持对医生压力的影响尚未详细评估。为了解日本麻醉医师的工作环境、麻醉工作量和职业紧张状况，对日本麻醉医师协会的1010名成员进行了问卷调查。收集383名专职麻醉医师的背景资料、工作环境、手术麻醉职责、工作压力等资料，采用线性回归分析方法评价工作压力与背景、环境、麻醉职责的关系（应答率43.9%）。平均每周总麻醉时间为23.6 h。日本劳动者的平均工作压力得分为100分时，工作压力得分为114.3 ± 30.2（平均值± SD）。工作压力得分与“工作年限”显著相关（以经验< 10年为参考; 10-19年：beta =-0.18，P = 0.02，千分之一20年：β =-0.15，P = 0.04），“千分之一日元500张床位的医院”（以标有千分之一货币符号的医院299张病床作为参考; β = 0.15，P = 0.04），“每周麻醉总时间”（β = 0.18，P.02），“麻醉师管理的估计年度病例数”线性回归分析（R（2）= 0.12）结果表明，麻醉医师的工作压力与工作负荷及其他因素有关，而与无支持压力（β = 0.12，P = 0.04）及无支持压力（β = 0.21，P < 0.01）有关。
The number of anesthesiologists per population in Japan is small compared with that in Europe and North America. While there is a growing concern that hard work causes anesthesiologists' fatigue and may compromise patient safety, the workload and physical stress, as well as the impact of staff support on physicians' stress have not been assessed in detail. The goal of this study was to evaluate the working environment, anesthesia workload, and occupational stress of anesthesiologists in Japan.A questionnaire survey was performed targeting 1010 members of the Japanese Society of Anesthesiologists working as anesthesiologists affiliated with acute care hospitals in Japan. Data on background information, working environment, operation anesthesia duties, and stress were collected, and the relationship of work stress with background, environment, and anesthesia duties was evaluated by linear regression analysis.Responses were obtained from 383 full-time anesthesiologists (response rate, 43.9%). The total anesthesia time per week was 23.6 h on average. The work stress score was 114.3 +/- 30.2 (mean +/- SD) when the average workers' work stress score in Japan was 100. The work stress score was significantly associated with "years of experience" (with experience < 10 years considered as the reference; 10-19 years: beta = -0.18, P = 0.02, a parts per thousand yen20 years: beta = -0.15, P = 0.04), "hospital with a parts per thousand yen500 beds" (with a hospital with a parts per thousand currency sign 299 beds considered as the reference; beta = 0.15, P = 0.04), "total time of anesthesia per week" (beta = 0.18, P.02), "estimated annual cases managed by an anesthesiologist" (beta = 0.12, P = 0.04) and "no-support stress" (beta = 0.21, P < 0.01) on linear regression analysis (R(2) = 0.12).Our results provide a quantitative assessment of the duties of anesthesiologists and show that work stress among anesthesiologists is related to workload and other factors.