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中国医务人员的生活质量及其影响因素。

Quality of life and its influencing factors among medical professionals in China.

机构信息

Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, Fujian, China.

出版信息

Int Arch Occup Environ Health. 2010 Oct;83(7):753-61. doi: 10.1007/s00420-009-0496-4. Epub 2009 Dec 3.

Abstract

PURPOSE

The present study is to evaluate quality of life (QOL) among Chinese medical professionals and explore its main influencing factors.

METHODS

A total of 2,721 medical professionals were selected from two provinces by using stratified cluster sampling method. The Chinese version of Short Form-36 Health Survey (SF-36) was used to measure QOL; Occupation Stress Inventory-Revised Edition (OSI-R) was used for occupational stress and coping resources. Other potential influencing factors for QOL were collected using a structured questionnaire. Multivariate analysis approach was applied to determine the influencing factors for QOL.

RESULTS

QOL in the medical professionals was less desirable in comparison with the general population. Occupational stress, long working hour, occupation (being nurse), department (working in surgery) were unfavorable factors for PCS and MCS, and recreation, performance recognized, drinking and physical activity were protective factors for PCS, while rational coping, recreation, social support, performance recognized, drinking and physical activity were favorable factors for MCS.

CONCLUSIONS

The results suggest that occupational factors, behavioral factors and coping resources, as well as age, play significant roles in QOL in the medical professionals. Accordingly, interventional program designed to target relieving occupational stress, adjusting behavioral habits and increasing coping resources may be useful to improve QOL among medical professionals.

摘要

目的

本研究旨在评估中国医务人员的生活质量(QOL),并探讨其主要影响因素。

方法

采用分层整群抽样方法,从两个省份中抽取了 2721 名医务人员。采用简明 36 健康调查量表(SF-36)中文版评估 QOL;采用职业紧张量表修订版(OSI-R)评估职业紧张和应对资源。使用结构化问卷收集其他可能影响 QOL 的潜在因素。采用多变量分析方法确定影响 QOL 的因素。

结果

与一般人群相比,医务人员的 QOL 较差。职业压力、工作时间长、职业(护士)、科室(外科)是 PCS 和 MCS 的不利因素,而娱乐、工作表现认可、饮酒和体育活动是 PCS 的保护因素,而理性应对、娱乐、社会支持、工作表现认可、饮酒和体育活动是 MCS 的有利因素。

结论

结果表明,职业因素、行为因素和应对资源以及年龄对医务人员的 QOL 有重要影响。因此,旨在缓解职业压力、调整行为习惯和增加应对资源的干预计划可能有助于提高医务人员的 QOL。

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