Department of Psychiatry, Musashino Red Cross Hospital, Tokyo 180-8610, Japan.
Occup Med (Lond). 2010 May;60(3):231-3. doi: 10.1093/occmed/kqp167. Epub 2009 Nov 30.
The mental health of nurses is an important issue.
To examine relationships between effort-reward imbalance (ERI) and depression and anxiety in nurses of a Japanese general hospital.
A self-report survey was conducted among 406 nurses. Work stress was measured using a Japanese version of the ERI scale. Depression and anxiety were assessed by an item of the QOL-26. Logistic regression analysis was used to determine the independent contribution of the effort-reward ratios or overcommitment to the depressive state.
Both higher effort-money ratio and higher overcommitment significantly correlated with the depressive state (OR: 2.75; 95% CI: 1.34-5.66 and OR: 1.27; 95% CI: 1.15-1.41, respectively).
These findings suggest that in addition to effort-money ratio, overcommitment at work is an especially important issue that may be able to be managed in health promotion services for nurses in general hospitals.
护士的心理健康是一个重要问题。
调查日本综合医院护士的努力-回报失衡（ERI）与抑郁和焦虑之间的关系。
对 406 名护士进行了自我报告调查。使用 ERI 量表的日语版本测量工作压力。使用 QOL-26 的一个项目评估抑郁和焦虑。采用逻辑回归分析确定努力-回报比或过度投入对抑郁状态的独立贡献。
高努力-金钱比和高过度投入与抑郁状态显著相关（OR：2.75；95%CI：1.34-5.66 和 OR：1.27；95%CI：1.15-1.41）。
这些发现表明，除了努力-金钱比之外，工作中的过度投入是一个特别重要的问题，这可能可以通过综合医院护士的健康促进服务来管理。
