Psychological well-being and psychosocial work environment characteristics among emergency medical and nursing staff
Psychological well-being and psychosocial work environment characteristics among emergency medical and nursing staff
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DOI：
10.1002/smi.1131
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发表时间：
2007-08-01
影响因子：
4.1
通讯作者：
Perez-Hoyos, Santiago
中科院分区：
文献类型：
--
作者：
Escriba-Aguir, Vicenta;Perez-Hoyos, Santiago
本研究的目的是确定心理社会工作环境对心理健康的影响是不同的医生和护士在西班牙急诊科工作。对来自西班牙的945名急诊医生和护士进行了横断面调查。结果变量为SF-36健康调查问卷（SF-36）的两个维度（心理健康、活力）和Maslach的倦怠量表的一个维度（情绪耗竭）测量的心理幸福感。解释变量为根据Karasek和约翰逊的需求控制模型评估的心理社会工作环境，包括心理需求，工作控制，主管社会支持和同事的社会支持的维度。调整后的比值比及其95%可信区间通过逻辑回归计算。医生活力低下、心理健康状况差、情绪衰竭发生率高于护士。暴露于高心理需求增加了医生和护士的活力低下，心理健康状况不佳和高情绪衰竭的可能性。只有医生的工作控制力和同事的社会支持度低与心理健康状况差有关。低工作主管的社会支持增加了医生的不良心理健康和护士的高情绪耗竭的风险。心理社会工作环境对医护人员心理健康的影响存在差异。版权所有（c）2007约翰威利父子有限公司。
The aim of this study was to determine if the effect of psychosocial work environment on psychological well-being was different for doctors and nurses who work in emergency departments in Spain. A cross-sectional survey was carried out among 945 emergency doctors and nurses staff from Spain. The outcome variable was the psychological well-being measured by two dimensions of SF-36 Health Survey (SF-36) (mental health, vitality) and one dimension of Maslach's Burnout Inventory (emotional exhaustion). The explanatory variable was the psychosocial work environment evaluated according to Karasek and Johnson's demand-control model that includes the dimensions of psychological demands, job control, supervisor social support and co-workers' social support. The adjusted odds ratios and their 95 per cent confidence intervals were calculated by logistic regression. The prevalence of low vitality, bad mental health and high emotional exhaustion was higher among doctors than nurses. Exposure to high psychological demands increased the probability of low vitality, bad mental health and high emotional exhaustion among doctors and nurses. Low job control and low co-workers' social support at work were associated with poor psychological well-being only among doctors. Low job supervisors' social support increased the risk of bad mental health among doctors and of high emotional exhaustion among nurses. There is a different effect of psychosocial work environment on psychological well-being between doctors and nurses. Copyright (c) 2007 John Wiley & Sons, Ltd.