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肿瘤学工作人员:职业倦怠、工作满意度与压力应对

Oncology staff: burnout, job satisfaction and coping with stress.

作者信息

Guveli Hulya, Anuk Dilek, Oflaz Serap, Guveli Murat Emin, Yildirim Nazmiye Kocaman, Ozkan Mine, Ozkan Sedat

机构信息

Department of Psychosocial Oncology, Istanbul University, Institute of Oncology, Istanbul, Turkey.

Department of Psychiatry, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey.

出版信息

Psychooncology. 2015 Aug;24(8):926-31. doi: 10.1002/pon.3743. Epub 2015 Jan 16.

Abstract

OBJECTIVE

The oncology staff is at high risk for developing psychological disorders and burnout. In this study, we aimed to evaluate their burnout levels, job satisfaction, psychological statement and ways of coping with stress and the relationship between these variables and their sociodemographic and occupational characteristics.

METHODS

Among all health workers at the Istanbul University Institute, of Oncology, 159 were included in the study. A sociodemographic data form, the Maslach Burnout Inventory, the Minnesota Job Satisfaction Questionnaire, the General Health Questionnaire (GHQ) and the Styles of Coping Inventory-Short Form were used to evaluate burnout and its contributing factors.

RESULTS

High levels of 'emotional exhaustion', 'depersonalization' and 'low sense of personal accomplishment' were determined in 30.2%, 8.2% and 44% of all participants, respectively. The variables that affected emotional exhaustion were assessed by logistic regression analysis. Accordingly, the ratio of emotional exhaustion was approximately 10 times higher in those for whom job stress was the most important stress factor compared with those who indicated nonjob stress for each one point increase on the GHQ and depersonalization scores, which were other predictors, with odds ratio (OR) : 1.23, p = 0.006 and OR : 1.67, p < 0.001, respectively. A negative correlation was detected between adaptive coping styles and 'burnout,' and a positive correlation was found between maladaptive coping strategies and exhaustion.

CONCLUSIONS

It is necessary to monitor the psychological status of employees in oncology units with scanning tools such as GHQ to understand their job stress perceptions and to help them develop adaptive coping methods.

摘要

目的

肿瘤学工作人员患心理障碍和职业倦怠的风险很高。在本研究中,我们旨在评估他们的职业倦怠水平、工作满意度、心理状态以及应对压力的方式,以及这些变量与他们的社会人口统计学和职业特征之间的关系。

方法

在伊斯坦布尔大学肿瘤学研究所的所有医护人员中,有159人纳入了本研究。使用社会人口统计学数据表格、马氏职业倦怠量表、明尼苏达工作满意度问卷、一般健康问卷(GHQ)和简易应对方式问卷来评估职业倦怠及其影响因素。

结果

分别在30.2%、8.2%和44%的所有参与者中确定了高水平的“情感耗竭”、“去个性化”和“低个人成就感”。通过逻辑回归分析评估影响情感耗竭的变量。因此,与那些表示非工作压力的人相比,对于工作压力是最重要压力因素的人,每增加一分GHQ得分和去个性化得分(其他预测因素),情感耗竭的比率大约高出10倍,优势比(OR)分别为:1.23,p = 0.006和OR:1.67,p < 0.001。在适应性应对方式与“职业倦怠”之间检测到负相关,在适应不良的应对策略与耗竭之间发现正相关。

结论

有必要使用诸如GHQ等扫描工具监测肿瘤科室员工的心理状态,以了解他们对工作压力的认知,并帮助他们制定适应性应对方法。

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