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与工作相关的社会心理因素、对工作条件的担忧以及男女急救人员的健康投诉。

Work-related psychosocial factors, worry about work conditions and health complaints among female and male ambulance personnel.

作者信息

Aasa Ulrika, Brulin Christine, Angquist Karl-Axel, Barnekow-Bergkvist Margareta

机构信息

Centre for Musculoskeletal Research, University of Gävle, Umeå, Sweden.

出版信息

Scand J Caring Sci. 2005 Sep;19(3):251-8. doi: 10.1111/j.1471-6712.2005.00333.x.

Abstract

This study aimed at investigating the relationships between work-related psychosocial factors, worry about work conditions and health complaints (sleeping problems, headache and stomach symptoms) among female and male ambulance personnel. Out of 4000 ambulance personnel in Sweden, 1500 (300 female and 1200 male personnel) were randomly selected. They answered a questionnaire including items on self-reported health complaints, individual characteristics, work-related psychological demands, decision latitude, social support and worry about work conditions. Twenty-five per cent of the female and 20% of the male ambulance personnel reported two or more health complaints sometimes or often. According to the demand-control-support questionnaire, ambulance personnel reported a generally positive psychosocial work environment, although psychological demands were associated with sleeping problems, headache and stomach symptoms among both female and male ambulance personnel. Another factor that was significantly associated with health complaints among both genders was worry about work conditions. When worry about work conditions was added to the regression models, this variable took over the role from psychological demands as a predictor for health complaints among the female ambulance personnel. The prevalence of sleeping problems, headache and stomach symptoms were significantly associated with psychological demands among both female and male ambulance personnel. Notably, worry about work conditions seems to be an important risk factor for health complaints. This suggests that worry about work conditions should not be neglected when considering risk factors among ambulance personnel.

摘要

本研究旨在调查瑞典男女急救人员工作相关的社会心理因素、对工作条件的担忧与健康问题(睡眠问题、头痛和胃部症状)之间的关系。在瑞典4000名急救人员中,随机抽取了1500人(300名女性和1200名男性)。他们回答了一份问卷,内容包括自我报告的健康问题、个人特征、工作相关的心理需求、决策自由度、社会支持以及对工作条件的担忧。25%的女性和20%的男性急救人员报告有时或经常出现两种或更多的健康问题。根据需求 - 控制 - 支持问卷,急救人员报告总体上有积极的社会心理工作环境,尽管心理需求与男女急救人员的睡眠问题、头痛和胃部症状都有关联。另一个与男女健康问题都显著相关的因素是对工作条件的担忧。当在回归模型中加入对工作条件的担忧时,这个变量取代了心理需求,成为女性急救人员健康问题的预测因素。男女急救人员中,睡眠问题、头痛和胃部症状的患病率与心理需求显著相关。值得注意的是,对工作条件的担忧似乎是健康问题的一个重要风险因素。这表明在考虑急救人员的风险因素时,对工作条件的担忧不应被忽视。

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