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伊朗东北部马什哈德地区农村卫生工作者的职业压力

Occupational Stress among Rural Health Workers in Mashhad District, Northeast Iran.

作者信息

Nasiripour Aa, Raeissi P, Shabanikiya Hr

机构信息

School of Management, Health Administration Department, Islamic Azad University, Science and Research Branch, Tehran, Iran.

出版信息

J Res Health Sci. 2009 Jun 28;9(1):21-9.

PMID:23344143
Abstract

BACKGROUND

This study explores the level of Occupational Stress and main sources of occupational and personal stress among Rural Health Workers (RHW) of the health network of Mashhad district.

METHODS

The first part of the Occupational Stress Inventory (OSI) (called the Occupational Roles Questionnaire (ORQ)) was used to measure the Rural Health Workers occupational stress (N=172). A number of extra questions were also added to measure their specific sources of stress. The questionnaires were distributed among RHW in a meeting held in the Health District Center in the city of Mashhad.

RESULTS

The mean score of stress for the investigated subjects on OSI and all of its dimensions was within the normal range. On some dimensions such as role overload and role ambiguity however, about 40% of the Health Workers had middle to sever stress. Type of employment, distance of the village to the nearest city, number and combination of Health Workers in rural health clinics showed to have a significant impact on the RHW stress as well.

CONCLUSION

As the RHW Job is concerned, role overload and role ambiguity are the main sources of stress, which may have an adverse effect on the quality of their services. Type of employment, distance of the village to the nearest city, number and combination of Health Workers at the health center also put pressure on RHW that need to be taken under consideration in planning for improving RHW quality of work Life.

摘要

背景

本研究探讨了马什哈德地区卫生网络中乡村卫生工作者(RHW)的职业压力水平以及职业和个人压力的主要来源。

方法

使用职业压力量表(OSI)的第一部分(称为职业角色问卷(ORQ))来测量乡村卫生工作者的职业压力(N = 172)。还添加了一些额外的问题来测量他们特定的压力来源。问卷在马什哈德市卫生区中心举行的一次会议上分发给乡村卫生工作者。

结果

被调查对象在OSI及其所有维度上的压力平均得分在正常范围内。然而,在一些维度上,如角色过载和角色模糊,约40%的卫生工作者有中度至重度压力。就业类型、村庄到最近城市的距离、乡村卫生诊所中卫生工作者的数量和组合也对乡村卫生工作者的压力有显著影响。

结论

就乡村卫生工作者的工作而言,角色过载和角色模糊是压力的主要来源,这可能会对他们的服务质量产生不利影响。就业类型、村庄到最近城市的距离、卫生中心卫生工作者的数量和组合也给乡村卫生工作者带来压力,在规划改善乡村卫生工作者工作生活质量时需要考虑这些因素。

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