Malakouti Seyed Kazem, Nojomi Marzieh, Salehi Maryam, Bijari Bita
Mental Health Research Centre, Tehran University of Medical Sciences, Tehran, Iran.
Iran J Psychiatry. 2011 Spring;6(2):70-4.
In the last 30 years, ever since the PHC network in Iran has been established, the job duties of Behvarzes (Mental Health Workers in rural areas) have been constantly increasing. The aim of this study was to determine the burnout level, mental health status and the severity of occupational stress among Behvarzes.
All Behvarzes (227) working in areas covered by Iran University of Medical Sciences were considered for participation in the study. Maslach Burnout Inventory, GHQ-12, and Stainmentz questionnaires were used.
The completed questionnaires were returned by 93% of the subjects. The mean score of job stress was in the first percentile (42.8 ± 27.16). 17.6% of the study subjects had moderate to severe level of burnout; 12.3%, 5.3% and 43% of the subjects had abnormal scores on emotional exhaustion, depersonalization and personal subscales respectively; and 28.3% of the cases were suspected to have mental disorders by GHQ.
In spite of increasing assigned jobs to Behvarzes, job stress and burnout are not seriously distressful. Providing more desirable personal accomplishment for Behvarzes by reducing job ambiguity/ conflict, participating in planning new programs, and improving interaction with health authorities may help them to overcome their job related pressure and increasing workload.
在过去30年里，自伊朗初级卫生保健网络建立以来，乡村医生（农村心理健康工作者）的工作职责一直在不断增加。本研究的目的是确定乡村医生的倦怠水平、心理健康状况和职业压力的严重程度。
考虑让所有在伊朗医科大学覆盖地区工作的乡村医生（227名）参与本研究。使用了马氏倦怠量表、一般健康问卷-12和斯坦茨问卷。
93%的受试者返还了填写完整的问卷。工作压力的平均得分处于第一百分位（42.8±27.16）。17.6%的研究对象有中度至重度倦怠水平；分别有12.3%、5.3%和43%的受试者在情感耗竭、去个性化和个人分量表上得分异常；并且根据一般健康问卷，28.3%的病例疑似患有精神障碍。
尽管分配给乡村医生的工作不断增加，但工作压力和倦怠并未造成严重困扰。通过减少工作的模糊性/冲突、参与新计划的规划以及改善与卫生当局的互动，为乡村医生提供更理想的个人成就感，可能有助于他们克服与工作相关的压力和不断增加的工作量。
