Mishra Badrinarayan, Mehta Sc, Sinha Nidhi Dinesh, Shukla Sushil Kumar, Ahmed Nadeem, Kawatra Abhishek
Department of Community Medicine, Pravara Institute of Medical Sciences, PMT, Loni, Maharashtra, India.
Indian J Community Med. 2011 Jan;36(1):39-44. doi: 10.4103/0970-0218.80792.
Healthcare providers being over-worked and under staffed are prone to poor mental health. Unhealthy work place compounds it further.
This study was aimed at to assess the mental health status of a medical university employee with special reference to work place stressors.
A cross-sectional study was designed and carried out at a Rural Health University.
Both the General Health Questionnaire (GHQ)-12 and Holmes-Rahe Scale were used to evaluate 406 participants.
Multivariate analysis, correlation, and ANOVA by SPSS 11.0.
The minimum age of the participant was 19 years and the maximum 64 years, with an average age at 35.09 years. On the GHQ scale 239(58.9%) recorded psychiatric morbidity out of which 201(49.5%) had moderate and 38(9.3%) severe morbidity. Doctors were the highest stressed group (P ≤ 0.04). Prominent work environmental stressors were poor departmental reorganization, lack of cohesiveness in department, difficult superiors and juniors (P ≤ 0.001, Pearson correlation). Stressors associated with work organization and work nature were: noninvolvement in departmental decision making and lack of proper feedback; along with; work load, lack of clarity in job, and a erratic work schedule (P ≤ 0.001 on Pearson correlation). Harassment, favoritism, discrimination, and lack of self-expression (P ≤ 0.003) were other factors responsible for work dissatisfaction.
A high stress level was detected in the study population. The principal stressors were work environment related. Poor work culture was found to lead to job dissatisfaction among majority.
医疗保健提供者工作过度且人员不足，容易出现心理健康问题。不健康的工作场所会使情况进一步恶化。
本研究旨在评估一所医科大学员工的心理健康状况，并特别关注工作场所压力源。
在一所农村卫生大学设计并开展了一项横断面研究。
使用一般健康问卷（GHQ）-12和霍姆斯-拉赫量表对406名参与者进行评估。
使用SPSS 11.0进行多变量分析、相关性分析和方差分析。
参与者的最小年龄为19岁，最大年龄为64岁，平均年龄为35.09岁。在GHQ量表上，239人（58.9%）有精神疾病，其中201人（49.5%）为中度，38人（9.3%）为重度。医生是压力最大的群体（P≤0.04）。突出的工作环境压力源包括部门重组不佳、部门缺乏凝聚力、上级和下级难相处（P≤0.001，Pearson相关性）。与工作组织和工作性质相关的压力源有：不参与部门决策、缺乏适当反馈；以及工作量、工作内容不明确和工作时间表不稳定（Pearson相关性P≤0.001）。骚扰、偏袒、歧视和缺乏自我表达（P≤0.003）是导致工作不满的其他因素。
研究人群中检测到较高的压力水平。主要压力源与工作环境有关。发现不良的工作文化导致大多数人对工作不满。
