Chan Caryn Mei Hsien, Wan Ahmad Wan Azman, Yusof Mastura Md, Ho Gwo Fuang, Krupat Edward
Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia E-mail :
Asian Pac J Cancer Prev. 2015;16(16):6895-8. doi: 10.7314/apjcp.2015.16.16.6895.
We aimed to explore whether levels of patient-centredness, job satisfaction and psychological distress varied between oncology nurses and doctors.
In a cross-sectional study using self-administered questionnaires, a total of 24 nurses and 43 doctors were assessed for patient-centredness, psychological distress, and job satisfaction using the Patient-Practitioner Orientation Scale, Hospital Anxiety and Depression Scale, and Job Satisfaction Scale. Data were analysed using descriptive statistics, independent samples t-test and MANCOVA, with p<0.05 considered significant.
Overall response rate was 95.6% (43/45) for physicians and 85.7% (24/28) for nurses. Even after adjusting for known covariates, our principal finding was that doctors reported greater psychological distress compared to nurses (p=0.009). Doctors also reported lower job satisfaction compared to nurses (p = 0.017), despite higher levels of patient-centredness found in nurses (p=0.001). Findings may be explained in part by differences in job characteristics and demands.
Mental health is an important concern not just in cancer patients but among healthcare professionals in oncology.
我们旨在探讨以患者为中心的程度、工作满意度和心理困扰水平在肿瘤学护士和医生之间是否存在差异。
在一项使用自填式问卷的横断面研究中，共有24名护士和43名医生使用患者 - 从业者导向量表、医院焦虑抑郁量表和工作满意度量表对以患者为中心的程度、心理困扰和工作满意度进行评估。使用描述性统计、独立样本t检验和多变量协方差分析对数据进行分析，p<0.05被认为具有统计学意义。
医生的总体回复率为95.6%（43/45），护士为85.7%（24/28）。即使在对已知协变量进行调整后，我们的主要发现是，与护士相比，医生报告的心理困扰程度更高（p = 0.009）。尽管护士的以患者为中心程度更高（p = 0.001），但与护士相比，医生报告的工作满意度也更低（p = 0.017）。这些发现部分可能由工作特征和需求的差异来解释。
心理健康不仅是癌症患者关注的重要问题，也是肿瘤学医护人员关注的重要问题。
