Stress at work and mental health status among female hospital workers.
Stress at work and mental health status among female hospital workers.
复制标题
女医院工作人员的工作压力和心理健康状况。
DOI：
--
复制
发表时间：
1990
期刊：
影响因子：
--
通讯作者：
Paris N Bonnet
中科院分区：
文献类型：
--
作者：
M. Estryn;M. Kaminski;E. Peigne;N. Bonnet;E. Vaichere;C. Gozlan;S. Azoulay;M. Giorgi;Villejuif Cédex;Assistance Publique;du Travail;Paris N Bonnet
对1505名女性医院工作人员的工作条件与心理健康状况之间的关系进行了研究：43%为护士，32%为辅助人员，7%为辅助人员; 13%为其他合格的卫生保健人员，主要是护士长; 5%从事直接卫生保健以外的职业; 63%的人在上午工作，20%在下午，17%在夜班。数据收集在每年例行医疗访问的职业健康从业者，使用自填问卷和临床评估。考虑了五项健康指标：一般健康问卷（GHQ）得分高;疲劳;睡眠障碍;使用抗抑郁药、安眠药或镇静剂;临床评估时诊断为精神病。定义了工作压力的四个指标：工作压力、心理负荷、内部培训和讨论不足、日程紧张。采用多元Logistic回归分析，控制职业类型、轮班、在医院工作的年数、每天上班的交通时间、年龄、婚姻状况、孩子数量和搬家意愿。睡眠障碍主要与轮班和日程安排造成的压力有关。对于所有其他精神健康损害的指标，特别是高GHQ分数，调整后的比值比显着增加的工作压力，精神负荷和紧张的水平，由于时间表。在旨在改善医院工作人员工作条件的干预措施中，应考虑过度累积压力因素与心理健康之间的关联证据。
Relations between working conditions and mental health status of female hospital workers were studied in a sample of 1505 women: 43% were nurses, 32% auxiliaries, and 7% ancillary staff; 13% were other qualified health care staff, mainly head nurses; 5% had occupations other than direct health care; 63% worked on the morning, 20% on the afternoon, and 17% on the night shift. Data were collected at the annual routine medical visit by the occupational health practitioner, using self administered questionnaires and clinical assessments. Five health indicators were considered: a high score to the general health questionnaire (GHQ); fatigue; sleep impairment; use of antidepressants, sleeping pills, or sedatives; and diagnosis of psychiatric morbidity at clinical assessment. Four indices of stress at work were defined: job stress, mental load, insufficiency in internal training and discussion, and strain caused by schedule. The analysis was conducted by multiple logistic regression, controlling for type of occupation, shift, number of years of work in hospital, daily travel time to work, age, marital status, number of children, and wish to move house. Sleep impairment was mostly linked to shift and strain due to schedule. For all other indicators of mental health impairment and especially high GHQ scores, the adjusted odds ratios increased significantly with the levels of job stress, mental load, and strain due to schedule. This evidence of association between work involving an excessive cumulation of stress factors and mental wellbeing should be considered in interventions aimed at improving the working conditions of hospital workers.