Falkum Erik, Vaglum Per
DPS Vinderen, Diakonhjemmet Hospital, 0319 Oslo, Norway.
Gen Hosp Psychiatry. 2005 Jul-Aug;27(4):285-91. doi: 10.1016/j.genhosppsych.2005.03.006.
This article examined the associations between occupational stress and interpersonal problems in physicians.
A nationwide representative sample of Norwegian physicians received the 64-item version of the Inventory of Interpersonal Problems (IIP-64) (N=862, response rate=70%) and six instruments measuring occupational stress. Comparison of means, correlation and reliability statistics and multiple regression analyses were applied.
The IIP-64 total score had a significant impact on job satisfaction, perceived unrealistic expectancies, communication with colleagues and nurses and on stress from interaction with patients. Being overly subassertive was related to low job satisfaction. Being overly expressive was linked to the experience of unrealistic expectancies from others and lack of positive feedback, whereas overly competitive physicians tended to have poorer relationships with both colleagues and nurses.
Addressing interpersonal problems in medical school and postgraduate training may be a valuable measure to prevent job stress and promote quality of care.
本文研究了医生职业压力与人际问题之间的关联。
挪威医生的全国代表性样本接受了64项人际问题量表（IIP - 64）（N = 862，回复率 = 70%）以及六项测量职业压力的工具。采用均值比较、相关性和可靠性统计以及多元回归分析。
IIP - 64总分对工作满意度、感知到的不切实际期望、与同事和护士的沟通以及与患者互动产生的压力有显著影响。过度缺乏自信与低工作满意度相关。过度表达与他人不切实际的期望体验和缺乏积极反馈有关，而过度竞争的医生往往与同事和护士的关系较差。
在医学院校和研究生培训中解决人际问题可能是预防工作压力和提高护理质量的一项有价值的措施。
