School of Public Health, College of Public Health and Nutrition, Taipei Medical University, Taipei, Taiwan.
J Formos Med Assoc. 2013 Oct;112(10):608-15. doi: 10.1016/j.jfma.2013.05.009. Epub 2013 Jun 25.
BACKGROUND/PURPOSE: Work-related fatigue among medical personnel is a major concern for patient safety, however heavy on-call duty is common in many hospitals. The purpose of this study was to investigate the prevalence of self-reported work-related fatigue and its associated factors.
A cross-sectional survey of 1833 participants was conducted in two hospitals in Taipei City, Taiwan, using a self-administered questionnaire. Participants reported their demographic characteristics, health-related behavior, health status and symptoms, and work-related fatigue during the past 3 months.
The prevalence of work-related fatigue among the 1833 participants was 30.9%. Younger participants (20-29 years old) were more likely to report work-related fatigue than older participants (40-65 years old) [adjusted odds ratio (aOR) = 1.55, 95% confidence interval (CI) = 1.18-2.01]. Physicians, nurses, and medical technicians were more likely to report work-related fatigue symptoms than administrative personnel (aOR = 2.30, 95% CI = 1.57-2.79; aOR = 2.83, 95% CI = 1.87-3.99; and aOR = 2.01, 95% CI = 1.12-3.06, respectively). Those who drank coffee more than five times a week were more likely to report work-related fatigue than those who did not drink coffee at all (aOR = 2.53, 95% CI = 1.25-1.93). Participants with poor and very poor self-reported health were more likely to report work-related fatigue (aOR = 1.80, 95% CI = 1.26-2.38) than those who reported that their health was fair, good, or very good.
We identified factors associated with work-related fatigue among hospital workers in Taipei City. These findings can be applied toward on-the-job training and the development of preventive measures for occupational safety in general hospitals.
背景/目的：医务人员的工作相关疲劳是患者安全的主要关注点，但许多医院的值班任务都很繁重。本研究的目的是调查自我报告的工作相关疲劳及其相关因素的患病率。
在台湾台北市的两家医院进行了一项横断面调查，共纳入 1833 名参与者，使用自我管理问卷进行调查。参与者报告了他们的人口统计学特征、与健康相关的行为、健康状况和症状，以及过去 3 个月的工作相关疲劳情况。
在 1833 名参与者中，有 30.9%报告工作相关疲劳。与年龄较大的参与者（40-65 岁）相比，年轻参与者（20-29 岁）更有可能报告工作相关疲劳（调整后的优势比[aOR] = 1.55，95%置信区间[CI] = 1.18-2.01）。医生、护士和医疗技术人员比行政人员更有可能报告工作相关疲劳症状（aOR = 2.30，95%CI = 1.57-2.79；aOR = 2.83，95%CI = 1.87-3.99；aOR = 2.01，95%CI = 1.12-3.06，分别）。每周饮用咖啡超过 5 次的参与者比从不喝咖啡的参与者更有可能报告工作相关疲劳（aOR = 2.53，95%CI = 1.25-1.93）。自我报告健康状况较差和非常差的参与者比报告健康状况一般、良好或非常好的参与者更有可能报告工作相关疲劳（aOR = 1.80，95%CI = 1.26-2.38）。
我们确定了与台北市医院工作人员工作相关疲劳相关的因素。这些发现可应用于在职培训和一般医院职业安全的预防措施的制定。
