Adeolu J O, Yussuf O B, Popoola O A
Department of Community Medicine, University College Hospital, Ibadan.
Department of Epidemiology and Medical Statistics, College of Medicine, Ibadan.
Ann Ib Postgrad Med. 2016 Dec;14(2):92-98.
Doctors respond differently to their complex work environment, some find it stimulating while others find it stressful. This study aimed to assess the prevalence and correlates of stress among junior doctors in a teaching hospital in Southwest Nigeria.
A descriptive cross sectional survey of all junior doctors employed at the University College Hospital, Ibadan was carried out. Information was collected with a structured pretested questionnaire from 253 doctors. Descriptive statistics were generated. T-test, chi square and logistic regression analyses were conducted using SPSS version 16. Statistical significance was set at 5%.
Mean age of respondents was 29.9 (±4.1) years, 61.3% were males, 59% had spent less than 5 years in medical practice, and 34.8% were married. Majority (79.4%) were resident doctors. Prevalence of stress, job dissatisfaction and poor mental health were 31.6%, 15.4% and 9.9% respectively. Age, gender, years of medical practice, religion, ethnicity and marital status were not significantly associated with job stress (p>0.05). Doctors who were stressed were more likely to be dissatisfied with their jobs (OR=2.33; CI=1.08-4.04) and to have poor mental health (OR=3.82; CI=1.47-9.95) than those who were not stressed.
The prevalence of stress in this study is high, and job dissatisfaction and poor mental health have been implicated as determinants of stress. As such, there should be an improvement in doctors' welfare, health care facilities and delivery.
医生对其复杂的工作环境反应各异,一些人觉得它具有刺激性,而另一些人则觉得压力很大。本研究旨在评估尼日利亚西南部一家教学医院初级医生的压力患病率及其相关因素。
对伊巴丹大学学院医院所有受雇的初级医生进行了一项描述性横断面调查。通过一份经过预测试的结构化问卷从253名医生那里收集信息。生成了描述性统计数据。使用SPSS 16版进行t检验、卡方检验和逻辑回归分析。统计学显著性设定为5%。
受访者的平均年龄为29.9(±4.1)岁,61.3%为男性,59%的人从事医疗工作不到5年,34.8%已婚。大多数(79.4%)是住院医生。压力、工作不满意和心理健康不佳的患病率分别为31.6%、15.4%和9.9%。年龄、性别、医疗工作年限、宗教、种族和婚姻状况与工作压力无显著关联(p>0.05)。与没有压力的医生相比,有压力的医生更有可能对工作不满意(比值比=2.33;置信区间=1.08 - 4.04),并且心理健康不佳(比值比=3.82;置信区间=1.47 - 9.95)。
本研究中压力的患病率很高,工作不满意和心理健康不佳被认为是压力的决定因素。因此,应改善医生的福利、医疗保健设施和服务。