Poissonnet C M, Iwatsubo Y, Cosquer M, Quera Salva M A, Caillard J F, Veron M
Service de Médecine de Prévention, Hôpital des Gardiens de la Paix, Paris, France.
J Hum Ergol (Tokyo). 2001 Dec;30(1-2):387-91.
This study was designed to investigate the effects of work schedules on the health of hospital workers at the Assistance Publique-Hôpitaux de Paris (AP-HP). Out of 40 hospitals, 17 volunteered to participate in this study. The Standard Shiftwork Index and a questionnaire concerning physicians' work schedules were used. Ten thousand questionnaires were distributed anonymously to hospital workers between March and April 1999. Professional categories comprised head nurses, nurses, nursing auxiliaries, hospital agents, midwives and full time physicians. Departments included internal and geriatric medicine, general paediatrics, orthopaedic and general surgery, operating and emergency rooms, and anaesthesiology and intensive care units. 3250 questionnaires were returned. Demographics for the respondents were: 79.2% female, average age 38.1 +/- 9.1 years old. Eleven work schedules were identified. One fourth of the personnel had fixed morning work schedules. The highest level of job satisfaction was found in personnel working in paediatrics while dissatisfaction was strongest in the gerontology and, emergency room personnel. General Health Questionnaire (GHQ) scores were high for head nurses, operating room nurses and junior doctors as well as for personnel with rotating and flexible shifts. This study will be used to make recommendations concerning the reduction of working time for French hospital workers.
本研究旨在调查工作时间表对巴黎公立医院集团（AP-HP）医院工作人员健康的影响。在40家医院中，有17家自愿参与本研究。使用了标准轮班指数和一份关于医生工作时间表的问卷。1999年3月至4月间，向医院工作人员匿名发放了10000份问卷。职业类别包括护士长、护士、护理辅助人员、医院工作人员、助产士和全职医生。科室包括内科和老年医学科、普通儿科、骨科和普通外科、手术室和急诊室，以及麻醉科和重症监护病房。共收回3250份问卷。受访者的人口统计学特征为：女性占79.2%，平均年龄38.1±9.1岁。确定了11种工作时间表。四分之一的工作人员有固定的上午工作时间表。儿科工作人员的工作满意度最高，而老年医学科和急诊室工作人员的不满情绪最强。护士长、手术室护士、初级医生以及轮班和灵活排班的工作人员的一般健康问卷（GHQ）得分较高。本研究将用于就减少法国医院工作人员的工作时间提出建议。
