Effort-reward imbalance and depressive state in nurses

Effort-reward imbalance and depressive state in nurses
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DOI:
10.1093/occmed/kqp167
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发表时间:
2010-05-01
影响因子:
5.1
通讯作者:
Nishi, M.
Nishi, M.
中科院分区:
医学4区
文献类型:
--
作者:
Kikuchi, Y.;Nakaya, M.;Nishi, M.

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目的探讨日本某综合医院护士努力报酬失衡(ERI)与抑郁焦虑的关系。方法对406名护士进行自我报告调查。工作压力是用日本版的ERI量表测量的。采用QOL-26中的一个条目评估抑郁和焦虑。结果较高的努力报酬比和较高的过度承诺与抑郁状态显著相关(OR:2.75;95%CI:1.34~5.66;OR:1.27;95%CI:1.15~1.41)。结论在综合医院护士健康促进服务中,除了努力报酬比外,工作过度承诺是一个特别重要的问题,可以加以管理。
Aims To examine relationships between effort-reward imbalance (ERI) and depression and anxiety in nurses of a Japanese general hospital.Methods A self-report survey was conducted among 406 nurses. Work stress was measured using a Japanese version of the ERI scale. Depression and anxiety were assessed by an item of the QOL-26. Logistic regression analysis was used to determine the independent contribution of the effort-reward ratios or overcommitment to the depressive state.Results Both higher effort-money ratio and higher overcommitment significantly correlated with the depressive state (OR: 2.75; 95% CI: 1.34-5.66 and OR: 1.27; 95% CI: 1.15-1.41, respectively).Conclusions These findings suggest that in addition to effort-money ratio, overcommitment at work is an especially important issue that may be able to be managed in health promotion services for nurses in general hospitals.