Department of Psychiatry, Kaohsiung Armed Forces Hospital, Taiwan.
Ind Health. 2013;51(4):443-51. doi: 10.2486/indhealth.2012-0013. Epub 2013 May 2.
This study investigated changes in job strain in female nurses serving in a military hospital system being restructured and the effect of these changes on psychological morbidity and quality of life (QOL). Questionnaire surveys were sent twice to 618 nurses working in three military hospitals in southern Taiwan at the beginning and at follow up a half year later. A Job Content Questionnaire was used to divide subjects into high and low strain groups. The General Health Questionnaire and the WHO QOL Questionnaire were used to assess psychological morbidity and QOL. Four hundred eighteen nurses completed the study. Initially, the high strain group had a greater prevalence of psychological morbidity and lower QOL than the low strain group. At follow up, high strain group did not have a greater prevalence of psychological morbidity, though significant differences in QOL remained. Job control and social support directly affected the QOL (B=0.42, p<0.001; B=0.41, p=0.038, respectively) and the psychological demand affected directly on psychological morbidity (B=0.12, p<0.001). Job control and psychological demand are different aspects in job strain to impact the psychological morbidity and QOL in nurses working in military hospitals in Taiwan.
本研究旨在探讨正在重组的军队医院系统中女性护士工作压力的变化，以及这些变化对心理困扰和生活质量（QOL）的影响。我们向台湾南部的三家军队医院的 618 名护士进行了两次问卷调查，第一次是在开始时，第二次是在半年后的随访时。使用工作内容问卷将研究对象分为高压力组和低压力组。使用一般健康问卷和世界卫生组织生活质量问卷评估心理困扰和生活质量。418 名护士完成了这项研究。最初，高压力组的心理困扰发生率和生活质量均低于低压力组。随访时，高压力组的心理困扰发生率没有更高，但生活质量仍存在显著差异。工作控制和社会支持直接影响生活质量（B=0.42，p<0.001；B=0.41，p=0.038），心理需求直接影响心理困扰（B=0.12，p<0.001）。工作控制和心理需求是影响台湾军队医院护士心理困扰和生活质量的工作压力的两个不同方面。
