Boya Fatma Ozyaman, Demiral Yücel, Ergör Alp, Akvardar Yildiz, De Witte Hans
Konak Health District, Izmir, Turkey.
Ind Health. 2008 Dec;46(6):613-9. doi: 10.2486/indhealth.46.613.
Dramatic changes in workplace structure and environment have increased the importance of psychosocial factors and job insecurity in working life. Job insecurity is shown to have a negative impact on mental and physical health. Health care transformation in Turkey increases the threat of job insecurity for many workers in the health care sector. Therefore the aim of this cross-sectional study was to determine the effects of perceived job insecurity on perceived depression and anxiety in nurses working in the private health sector in Izmir, Turkey. There were 16 private hospitals in Izmir of which 11 accepted to participate. Perceived quantitative (5 items) and qualitative (4 items) job insecurity were measured by means of structured questionnaires. The hospital anxiety and depression scale was used to evaluate subjective anxiety and depression. Job strain was assessed by the Demand-Control-Support Questionnaire. Chi2 and logistic regression tests were used for analysis. A total number of 462 nurses were surveyed. Perceived anxiety (OR: 2.2, 95% CI: 1.2-3.9) and depression (OR: 2.5, 95% CI: 1.6-4.1) were significantly associated with qualitative job insecurity. Similarly quantitative job insecurity was associated with perceived anxiety (OR: 3.4, 95% CI: 1.9-6.2) and depression (OR: 2.2, 95% CI: 1.4-5.6) in nurses. It has been concluded that qualitative and quantitative job insecurity significantly affected perceived anxiety and depression levels in nurses working in private hospitals. Prevention oriented research is needed for policy development.
工作场所结构和环境的巨大变化增加了社会心理因素和工作不安全感在工作生活中的重要性。研究表明，工作不安全感会对身心健康产生负面影响。土耳其的医疗保健转型增加了医疗保健部门许多工作人员面临工作不安全感的威胁。因此，这项横断面研究的目的是确定在土耳其伊兹密尔私立医疗部门工作的护士中，感知到的工作不安全感对感知到的抑郁和焦虑的影响。伊兹密尔有16家私立医院，其中11家同意参与研究。通过结构化问卷测量感知到的定量（5项）和定性（4项）工作不安全感。使用医院焦虑和抑郁量表评估主观焦虑和抑郁。通过需求-控制-支持问卷评估工作压力。采用卡方检验和逻辑回归检验进行分析。共对462名护士进行了调查。感知到的焦虑（比值比：2.2，95%置信区间：1.2 - 3.9）和抑郁（比值比：2.5，95%置信区间：1.6 - 4.1）与定性工作不安全感显著相关。同样，定量工作不安全感与护士感知到的焦虑（比值比：3.4，95%置信区间：1.9 - 6.2）和抑郁（比值比：2.2，95%置信区间：1.4 - 5.6）相关。研究得出结论，定性和定量的工作不安全感显著影响了私立医院护士感知到的焦虑和抑郁水平。政策制定需要开展以预防为导向的研究。
