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[压力指数:医疗环境中压力与职业倦怠风险评估的建议方法]

[The stress index: proposed method for risk assessment of stress and burnout in health care settings].

作者信息

Lucchini R, Facco P, Trombini E, Franceschini R, Taccia R, Alessio L

机构信息

Cattedra di Medicina del Lavoro, Università degli Studi di Brescia.

出版信息

G Ital Med Lav Ergon. 2003 Jul-Sep;25 Suppl(3):219-21.

PMID:14979158
Abstract

To assess the risk from exposure to stress and burnout in health care workers, a pilot study was planned to compare and integrate the information based on the risk evaluation obtained through different parameters that can be quantified and elaborated to produce a numerical index, called the "Stress Index", and the subjective symptoms from the individual workers. For these purposes, three internationally validated questionnaires were administered: the Job Content Questionnaire, the State-Trait Anxiety Inventory and the Maslach Burnout Inventory. The study considered six different Units from three divisions of Internal Medicine of a large public hospital in Northern Italy, and a total group of 228 health care workers employed in the six units. The results showed an association between the Stress Index scores and the scores from the questionnaires. In particular, in the two units with the highest levels of the index, a significantly higher unbalance between job demand and decision latitude was observed, together with the highest levels of state and trait anxiety and of depersonalization, indicating higher burnout levels.

摘要

为评估医护人员暴露于压力和职业倦怠的风险,计划开展一项试点研究,以比较并整合基于不同参数获得的风险评估信息,这些参数可进行量化和细化以生成一个数值指数,即“压力指数”,以及个体工作人员的主观症状。为此,发放了三份国际验证的问卷:工作内容问卷、状态-特质焦虑量表和马氏职业倦怠量表。该研究考察了意大利北部一家大型公立医院内科三个科室的六个不同单元,以及在这六个单元工作的总共228名医护人员。结果显示压力指数得分与问卷得分之间存在关联。特别是,在指数水平最高的两个单元中,观察到工作需求与决策自由度之间存在明显更高的失衡,同时状态焦虑、特质焦虑和去人格化水平也最高,表明职业倦怠程度更高。

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