Araújo Tânia M, Aquino Estela, Menezes Greice, Santos Cristiane Oliveira, Aguiar Lia
Núcleo de Epidemiologia, Universidade Estadual de Feira de Santana, Feira de Santana, BA, Brasil.
Rev Saude Publica. 2003 Aug;37(4):424-33. doi: 10.1590/s0034-89102003000400006. Epub 2003 Aug 20.
To evaluate the association between psychological demand and job control and demand with psychological distress among nurses.
A cross-sectional study included 502 female nurses working in a public hospital at the city of Salvador, state of Bahia, Brazil. The Demand-Control Model proposed by Karasek to evaluate the association between job control-demand and psychological distress was adopted. The SRQ-20 was used to measure psychological distress.
The prevalence of psychological distress was 33.3%, ranging from 20.0% among lady nurses to 36.4%, among nurse assistants. Strong dose-response gradients were observed between demand and psychological distress and the negative association between job control and psychological distress. Prevalence of psychological distress was higher (PR=2.6; 95% CI: 1.81-3.75) among professionals in high-strain jobs (high demand, low control) when compared to professionals in low-strain jobs (low demand, high control), after adjustment by potential confounders in a logistic multiple regression model.
Study findings reinforce the relevance of intervening in the organizational structure in order to increase control upon job and adjust the levels of psychological demands.
评估护士的心理需求与工作控制之间的关联以及需求与心理困扰之间的关系。
一项横断面研究纳入了502名在巴西巴伊亚州萨尔瓦多市一家公立医院工作的女性护士。采用Karasek提出的需求 - 控制模型来评估工作控制 - 需求与心理困扰之间的关联。使用SRQ - 20来测量心理困扰。
心理困扰的患病率为33.3%，从护士长中的20.0%到助理护士中的36.4%不等。在需求与心理困扰之间观察到强烈的剂量反应梯度，以及工作控制与心理困扰之间的负相关。在逻辑多元回归模型中通过潜在混杂因素进行调整后，与低压力工作（低需求、高控制）的专业人员相比，高压力工作（高需求、低控制）的专业人员心理困扰的患病率更高（PR = 2.6；95% CI：1.81 - 3.75）。
研究结果强化了干预组织结构以增加工作控制并调整心理需求水平的相关性。
