Yasuda Norihisa, Shingu Chihiro, Miyagawa Hiroshi, Mori Masakazu, Kitano Takaaki, Noguchi Takayuki
Department of Anesthesiology, Fuculty of Medicine, Oita University, Oita.
Masui. 2008 Jun;57(6):764-7.
In recent years, workload for a doctor has been increasing, because hospital managers are trying to improve the efficiency of management. As a result, many doctors are expected to work harder. We studied how anesthesiologists are stressed by their work, especially on working overnight, using the Profile of Mood States(POMS).
Thirty six anesthesiologists working in our hospital are studied. We asked them to answer POMS questionnaires three times at 8:00 before overnight work, 8:00 and 17:00 the following day.
Mean working time for overnight job is 32 +/- 4.3 hours and mean sleeping time is 3.0 +/- 1.3 hours (mean +/- SD). The Profile of Mood States has six subscores (depression, fatigue, vigor, confusion, tension/anxiety, and anger). After working overnight, fatigue and confusion scores were significantly increased and vigor scores were significantly decreased, compared with the sores at 8.00 before overnight work.
We studied anesthesiologist's stress of working overnight, using the Profile of Mood States. As a result, after overnight work, fatigue, confusion and vigor scores were significantly exacerbated. We speculate that the anesthesiologists are building up so much stress when they work overnight as on call.
近年来,由于医院管理人员试图提高管理效率,医生的工作量不断增加。因此,许多医生被期望更加努力地工作。我们使用情绪状态剖面图(POMS)研究了麻醉医生的工作压力,特别是通宵工作时的压力。
对我院36名麻醉医生进行了研究。我们要求他们在通宵工作前的8:00、次日的8:00和17:00三次回答POMS问卷。
通宵工作的平均工作时间为32±4.3小时,平均睡眠时间为3.0±1.3小时(平均值±标准差)。情绪状态剖面图有六个子分数(抑郁、疲劳、活力、困惑、紧张/焦虑和愤怒)。与通宵工作前8:00的分数相比,通宵工作后,疲劳和困惑分数显著增加,活力分数显著降低。
我们使用情绪状态剖面图研究了麻醉医生通宵工作的压力。结果显示,通宵工作后,疲劳、困惑和活力分数显著加剧。我们推测,麻醉医生在通宵值班工作时积累了如此多的压力。