Dougherty Elizabeth, Pierce Bruce, Ma Clement, Panzarella Tony, Rodin Gary, Zimmermann Camilla
Department of Psychosocial Oncology and Palliative Care, Princess Margaret Hospital, University Health Network, Toronto, Canada.
Am J Hosp Palliat Care. 2009 Apr-May;26(2):105-11. doi: 10.1177/1049909108330027. Epub 2009 Jan 14.
Cancer care professionals work in a stressful environment, but it is not clear what factors contribute to this stress. We surveyed 60 oncology personnel on an inpatient unit and a palliative care unit regarding levels of perceived work stress and its potential contributors. Logistic regression analyses were performed to determine predictors of staff stress. A total of 63% of staff reported experiencing ;;a great deal'' of stress at work, which was predicted by greater perceived workload (odds ratio = 32.2; P < .0001), insufficient time to grieve patients' death (odds ratio = 9.75; P = .0007), lack of institutional support (odds ratio = 0.16; P = .009), perceived lack of resources (odds ratio = 0.06; P = .007), and lack of control over the choice of workplace (odds ratio = 0.10; P = .03). Measures to address work-related stress should be included in the planning of cancer programs.
癌症护理专业人员在压力重重的环境中工作，但尚不清楚哪些因素会导致这种压力。我们对一个住院部和一个姑息治疗科的60名肿瘤学工作人员进行了调查，了解他们感知到的工作压力水平及其潜在影响因素。进行逻辑回归分析以确定工作人员压力的预测因素。共有63%的工作人员报告在工作中经历“很大”的压力，预测因素包括更高的感知工作量（优势比=32.2；P<.0001）、哀悼患者死亡的时间不足（优势比=9.75；P=.0007）、缺乏机构支持（优势比=0.16；P=.009）、感知到缺乏资源（优势比=0.06；P=.007）以及对工作场所选择缺乏控制权（优势比=0.10；P=.03）。应对与工作相关压力的措施应纳入癌症项目的规划中。
