芬兰麻醉医师的待命压力。

On-call stress among Finnish anaesthetists.

作者信息

Lindfors P M, Nurmi K E, Meretoja O A, Luukkonen R A, Viljanen A-M, Leino T J, Härmä M I

机构信息

Senior Anaesthetist, Department of Anaesthesia and Intensive Care Medicine, Helsinki University Central Hospital, PO Box 340, 00029 HUS, Helsinki, Finland.

出版信息

Anaesthesia. 2006 Sep;61(9):856-66. doi: 10.1111/j.1365-2044.2006.04749.x.

DOI:10.1111/j.1365-2044.2006.04749.x

PMID:16922752

Abstract

We investigated on-call stress and its consequences among anaesthetists. A questionnaire was sent to all working Finnish anaesthetists (n = 550), with a response rate of 60%. Four categories of on-call workload and a sum variable of stress symptoms were formed. The anaesthetists had the greatest on-call workload among Finnish physicians. In our sample, 68% felt stressed during the study. The most important causes of stress were work and combining work with family. The study showed a positive correlation between stress symptoms and on-call workload (p = 0.009). Moderate burnout was present in 18%vs 45% (p = 0.008) and exhaustion in 32% and 68% (p = 0.015), in the lowest vs highest workload category, respectively. The symptoms were significantly associated with stress, gender, perceived sleep deprivation, suicidal tendencies and sick leave. Being frequently on call correlates with severe stress symptoms and these symptoms are associated with sick leave.

摘要

我们调查了麻醉医生的值班压力及其后果。向所有在职的芬兰麻醉医生（n = 550）发放了一份问卷，回复率为60%。形成了四类值班工作量以及压力症状的总和变量。麻醉医生在芬兰医生中值班工作量最大。在我们的样本中，68%的人在研究期间感到有压力。压力的最重要原因是工作以及工作与家庭兼顾。研究表明压力症状与值班工作量之间存在正相关（p = 0.009）。在工作量最低与最高的类别中，分别有18%对45%（p = 0.008）出现中度职业倦怠，32%对68%（p = 0.015）出现精疲力竭。这些症状与压力、性别、感知到的睡眠剥夺、自杀倾向和病假显著相关。频繁值班与严重的压力症状相关，且这些症状与病假有关。