The effect and evaluation on stress management based on medical grounds for medical workers

我们于2004年设计了旨在减轻压力的放松干预计划，并在2个月内对21名医务人员进行了评估。在血液检查中，压力激素水平与干预前相比无明显变化，但简明工作压力问卷(BJSQ)评估的压力反应和POMS的情绪状态均有较好的改善。调查的300家医疗中心的医院护士平均一年带薪休假13.5天。在排除年龄和资历影响的偏相关分析后，我们评估了带薪休假天数与北京健康状况总分和工作压力源总分的关系。带薪假期的长短与压力反应无关，但与BJSQ的量与质呈负相关。通过个人访谈，38名护士的脉搏和血压下降，POMS简明日本版的情绪状态得到了较好的改善，因此，个人访谈的压力管理似乎有助于改善情绪状态。办公室里安装了电动按摩椅，通过测量8名工作人员血压、脉搏、应激激素水平和POMS测试分数的变化来评估按摩放松的效果。唾液嗜铬粒蛋白A水平无明显变化，但POMS的情绪状态有较好的改善。

The relaxation interposition program devised by us in 2004 and aimed at stress reduction was evaluated in 21 medical service workers over 2 months. In the blood examination, the stress hormone level showed no change from the interposition, but the stress reaction evaluated by Brief Job Stress Questionnaire(BJSQ)and mood state by POMS showed good improvement.The mean paid vacation of hospital nurses in 300 medical centers surveyed was 13.5 days in a year. We evaluated the relationship between days of paid vacation, and GHQ total score for health performance and work stressor score in BJSQ, after partial correlation analysis to exclude the influence of age and seniority. The length of paid vacation was not involved in the stress reaction, but was negatively related with the quantitative and qualitative workload in BJSQ. Thus, it seemed that promoting the increase of paid vacation was useful for reducing work-related stress.After personal interviews, the pulse and blood pressure of 38 nurses decreased, and the mood state evaluated with POMS Brief Japan version showed good improvement ; hence, stress management by an individual interview seems useful for the improvement of mood state.An electromotive-type massage chair was installed in the office, and the effect of relaxation by massage was evaluated by measuring alterations in blood pressure, pulse, stress hormone level, and POMS test score in eight staff members. The chromogranin A level in saliva showed no change, but the mood state by POMS showed good improvement.