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日本医护人员的职业压力

Occupational stress among healthcare workers in Japan.

作者信息

Ito Shinya, Fujita Shigeru, Seto Kanako, Kitazawa Takefumi, Matsumoto Kunichika, Hasegawa Tomonori

机构信息

Department of Social Medicine, Toho University School of Medicine, Tokyo, Japan.

出版信息

Work. 2014;49(2):225-34. doi: 10.3233/WOR-131656.

DOI:10.3233/WOR-131656
PMID:23803438
Abstract

BACKGROUND

High distress levels in healthcare workers in Japan may deteriorate safe service provision.

OBJECTIVE

To clarify job stress of healthcare workers, we compared Brief Job Stress Questionnaire (BJSQ) scores among physicians, nursing staff and administrative workers.

METHODS

Healthcare workers (n=9,137) in 20 hospitals in Japan were asked to answer BJSQ. BJSQ is job stress questionnaire to measure "Job Stressors", "Stress Responses" and "Social Supports".

RESULTS

The "Total Health Risk" of the healthcare workers was 10% higher than the national average. While the physicians felt the stress of the quantitative and qualitative job overload, they had support from supervisors and coworkers and showed mild "Stress Responses". The nursing staff felt the stress of the quantitative and qualitative job overload at the same level as the physicians, but they did not have sufficient support from supervisors and coworkers, and showed high "Stress Responses". The administrative workers did not have sufficient support from supervisors and coworkers, but they experienced less stress as measured by the quantitative and qualitative job overload than the physicians or the nursing staff and showed moderate "Stress Responses".

CONCLUSIONS

Further studies are needed to clarify the mechanisms and the influence of other factors to the stress trait in healthcare workers.

摘要

背景

日本医护人员的高压力水平可能会使安全服务的提供恶化。

目的

为了阐明医护人员的工作压力,我们比较了医生、护理人员和行政人员的简短工作压力问卷(BJSQ)得分。

方法

日本20家医院的医护人员(n = 9137)被要求回答BJSQ。BJSQ是一种工作压力问卷,用于测量“工作压力源”、“压力反应”和“社会支持”。

结果

医护人员的“总体健康风险”比全国平均水平高10%。虽然医生感受到了工作数量和质量过载带来的压力,但他们得到了上级和同事的支持,并表现出轻微的“压力反应”。护理人员感受到的工作数量和质量过载带来的压力与医生相同,但他们没有得到上级和同事足够的支持,并表现出较高的“压力反应”。行政人员没有得到上级和同事足够的支持,但他们在工作数量和质量过载方面感受到的压力比医生或护理人员小,并表现出中等程度的“压力反应”。

结论

需要进一步研究以阐明医护人员压力特征的机制以及其他因素的影响。

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