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2005年英国牙科医生压力水平、自我感知健康状况及健康相关行为的调查。

A survey of stress levels, self-perceived health and health-related behaviours of UK dental practitioners in 2005.

作者信息

Kay E J, Lowe J C

机构信息

Peninsula Dental School, Research Way, Tamar Science Park, Plymouth, PL6 8BU.

出版信息

Br Dent J. 2008 Jun 14;204(11):E19; discussion 622-3. doi: 10.1038/sj.bdj.2008.490. Epub 2008 Jun 6.

Abstract

OBJECTIVE

To record stress levels and self-perceived health and health-related behaviours of dentists.

DESIGN AND METHOD

A questionnaire was sent to a random sample of 1,000 BDA members in April 2005. Respondents were questioned about self-perceived general health, medicine and drug use, tobacco and alcohol use, self-perceived general well-being, sexual health, occupational health, physical activity and nutrition. There were also some questions about women's health. Results were compared to a BDA study of dental professionals' health and well-being carried out in 1996.

RESULTS

A response rate of 55% was achieved (545 replies). Two-thirds (67%) of respondents considered themselves in very good or excellent health and 53% were happy and interested in life. Only 42% were free from pain and discomfort and 26% experienced levels of pain that prevented them from taking part in a few or some activities. The majority (86%) had very or fairly stressful lives but most (83%) were either very or somewhat satisfied with their lives. Nearly all respondents (90%) planned to take action to improve their health during the 12 months following the survey: popular actions planned included increasing exercise (58%) and losing weight (42%). Very few respondents used tobacco (4% daily and 4% occasionally) and most (59%) said that only a few of their friends smoked: 36% had no tobacco-using friends. Only 3% of respondents had never had alcohol. The Short Michigan alcohol screening test revealed that 6% of dentists had a drink problem and 9% had alcoholic tendencies. The most common factors contributing to stress at work were patient demands (75%), practice management/staff issues (56%), fear of complaints/litigation (54%) and non-clinical paperwork (54%). More than half (53%) of respondents were relatively inactive during the day but 57% took some form of physical exercise at least 3-4 times per week. Nearly half (49%) of respondents felt that their level of physical activity was very likely or somewhat likely to cause them health problems.

CONCLUSION

In spite of the dramatic recent changes to dentistry, the differences between the results of this study and the results of the research carried out in 1996 are minimal. Claims that dentistry is a dangerously stressful occupation are not justified and dentists seem to be as well and happy as other professional groups. There is however, a slight increase in the use of alcohol. Stress management and personal and professional awareness training should be included in the undergraduate curriculum, so that threats to physical and mental well-being which might occur during a dentist's professional life may be avoided or addressed.

摘要

目的

记录牙医的压力水平、自我认知的健康状况及与健康相关的行为。

设计与方法

2005年4月,向1000名英国牙科协会(BDA)会员的随机样本发放了调查问卷。询问了受访者关于自我认知的总体健康状况、药物使用、烟草和酒精使用、自我认知的总体幸福感、性健康、职业健康、身体活动和营养等方面的问题。还询问了一些关于女性健康的问题。将结果与BDA在1996年开展的一项关于牙科专业人员健康与幸福感的研究进行了比较。

结果

回复率为55%(共545份回复)。三分之二(67%)的受访者认为自己健康状况非常好或极好,53%的人对生活感到快乐且有兴趣。只有42%的人没有疼痛和不适,26%的人经历的疼痛程度使他们无法参加一些活动。大多数(86%)人的生活压力很大或相当大,但大多数(83%)人对自己的生活非常或有点满意。几乎所有受访者(90%)计划在调查后的12个月内采取行动改善健康:计划采取的常见行动包括增加锻炼(58%)和减肥(42%)。很少有受访者使用烟草(4%每天使用,4%偶尔使用),大多数(59%)表示他们只有少数朋友吸烟:36%没有吸烟的朋友。只有3%的受访者从未饮酒。密歇根酒精简易筛查测试显示,6%的牙医有饮酒问题,9%有酗酒倾向。导致工作压力的最常见因素是患者需求(75%)、诊所管理/员工问题(56%)、对投诉/诉讼的恐惧(54%)和非临床文书工作(54%)。超过一半(53%)的受访者白天相对不活跃,但57%的人每周至少进行3 - 4次某种形式的体育锻炼。近一半(49%)的受访者认为他们的身体活动水平很可能或有点可能给他们带来健康问题。

结论

尽管近期牙科领域发生了巨大变化,但本研究结果与1996年开展的研究结果之间的差异极小。声称牙科是一个压力极大的危险职业的说法没有依据,牙医似乎与其他专业群体一样健康且快乐。然而,酒精使用略有增加。本科课程应纳入压力管理以及个人和职业意识培训,以便避免或应对牙医职业生涯中可能出现的对身心健康的威胁。

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