Prosser D, Johnson S, Kuipers E, Dunn G, Szmukler G, Reid Y, Bebbington P, Thornicroft G
Garlands Hospital, North Lakeland Health Care NHS Trust, Carlisle, UK.
Soc Psychiatry Psychiatr Epidemiol. 1999 Jun;34(6):295-300. doi: 10.1007/s001270050147.
This study examines whether the adoption of a more community based model in an inner city psychiatry service is accompanied by increasing "burnout", deteriorating mental health and decreasing job satisfaction amongst staff.
Questionnaires were sent annually for 3 consecutive years to all mental health staff working in three adult mental health sectors in inner London. Main outcome measures were the 12-item General Health Questionnaire, Maslach Burn-out Inventory and a general job satisfaction measure.
There was no significant change over time in the outcome measures, once confounding by job and demographic variables was examined. Being based in the community was associated with higher GHQ-12 scores (P = 0.02) when compared to in-patient staff over the 3 years.
These results suggested that working in the community may be more stressful than working in in-patient services. However, there was no evidence to suggest that levels of stress are increasing over time, either in community-based or hospital-based staff.
本研究探讨在市中心精神病服务中采用更基于社区的模式是否会伴随着工作人员“职业倦怠”增加、心理健康恶化以及工作满意度下降。
连续三年每年向伦敦市中心三个成人心理健康部门的所有心理健康工作人员发放问卷。主要结局指标为12项一般健康问卷、马氏职业倦怠量表和一项一般工作满意度指标。
在对工作和人口统计学变量进行混杂因素检验后,结局指标随时间无显著变化。与住院部工作人员相比,在这三年中,在社区工作与更高的GHQ - 12得分相关(P = 0.02)。
这些结果表明,在社区工作可能比在住院部服务压力更大。然而,没有证据表明基于社区或医院的工作人员的压力水平随时间增加。