Wada Koji, Arimatsu Mayuri, Yoshikawa Toru, Oda Susumu, Taniguchi Hatsumi, Higashi Toshiaki, Aizawa Yoshiharu
Department of Preventive Medicine and Public Health, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan.
Int Arch Occup Environ Health. 2008 Oct;82(1):59-66. doi: 10.1007/s00420-008-0307-3. Epub 2008 Mar 11.
Fatigue among physicians could affect patients' safety and physicians' health. Fatigue could be caused by unfavorable working conditions. However, there have been no studies on the working conditions and fatigue among physicians in Japan. The objective of this study was to determine the factors on working conditions associated with prolonged fatigue among physicians in Japan.
A questionnaire was mailed to physicians who graduated from one of the medical schools in Japan and who have had more than 3 years of experience in clinical practice. They were asked to assess 10 different aspects of their working conditions using a 5-point Likert scale. Prolonged fatigue was measured using the checklist of individual strength questionnaire. Multiple regression analysis was used to examine the multivariate relationship between the variables and prolonged fatigue. Data from 377 men and 101 women were analyzed in this study.
For both male and female physicians, a harder workload was positively associated and better career satisfaction was negatively associated with prolonged fatigue. Prolonged fatigue was negatively associated with better relationships with other physicians and staff for male physicians and less personal time for female physicians. The adjusted variance in prolonged fatigue related to exposure variables was 26 and 29% in men and in women, respectively.
The result of this study suggested that it is desirable to take these factors into consideration in the management of prolonged fatigue among physicians in Japan.
医生疲劳可能会影响患者安全及医生自身健康。疲劳可能由不利的工作条件引起。然而，日本尚未有关于医生工作条件与疲劳状况的研究。本研究的目的是确定与日本医生长期疲劳相关的工作条件因素。
向毕业于日本某医学院且有超过3年临床实践经验的医生邮寄问卷。要求他们使用5点李克特量表对工作条件的10个不同方面进行评估。使用个人力量问卷清单来测量长期疲劳。采用多元回归分析来检验变量与长期疲劳之间的多变量关系。本研究分析了377名男性和101名女性的数据。
对于男性和女性医生而言，工作量越大与长期疲劳呈正相关，职业满意度越高与长期疲劳呈负相关。对于男性医生，与其他医生和工作人员关系越好与长期疲劳呈负相关；对于女性医生，个人时间越少与长期疲劳呈负相关。与暴露变量相关的长期疲劳调整方差在男性和女性中分别为26%和29%。
本研究结果表明，在日本医生长期疲劳管理中考虑这些因素是可取的。
