Klein Jens, Grosse Frie Kirstin, Blum Karl, Siegrist Johannes, dem Knesebeck Olaf von
Institut für Medizin-Soziolgie, Universitätsklinikum Hamburg-Eppendorf.
Psychother Psychosom Med Psychol. 2010 Sep-Oct;60(9-10):374-9. doi: 10.1055/s-0029-1246173. Epub 2010 Jan 25.
The aim of the study is to analyse the association between psychosocial stress at work and burnout among clinicians in surgery in Germany. For the conceptualisation of work stress the demand-control model (job strain) and the effort-reward imbalance model (ERI) were used. Based on a stratified probability sample a mail survey of 1 311 clinicians from 489 hospitals was conducted. Burnout was measured by the Copenhagen Burnout Inventory. Results of logistic regressions show that both models are significantly associated with burnout (odds ratio job strain: 6.53 (95% confidence interval 4.50-9.46), odds ratio ERI: 5.39 (95% confidence interval 3.94-7.36). Clinicians who are exposed to both, job strain and ERI, have an additionally increased risk. The demand-control model and the effort-reward imbalance model suggest theory-driven interventions for job related health promotion measures which aim for improved working conditions and a decrease of health risks among clinicians in surgery.
该研究的目的是分析德国外科临床医生工作中的心理社会压力与职业倦怠之间的关联。对于工作压力的概念化，使用了需求-控制模型（工作压力）和努力-回报失衡模型（ERI）。基于分层概率样本，对来自489家医院的1311名临床医生进行了邮件调查。职业倦怠通过哥本哈根职业倦怠量表进行测量。逻辑回归结果表明，这两个模型均与职业倦怠显著相关（工作压力的优势比：6.53（95%置信区间4.50 - 9.46），ERI的优势比：5.39（95%置信区间3.94 - 7.36）。同时面临工作压力和ERI的临床医生风险进一步增加。需求-控制模型和努力-回报失衡模型为与工作相关的健康促进措施提出了理论驱动的干预措施，旨在改善工作条件并降低外科临床医生的健康风险。
