a Shenzhen Hospital of Southern Medical University , Shenzhen , China.
b School of Nursing , Guangdong Pharmaceutical University , Guangzhou , China.
Psychol Health Med. 2018 Mar;23(3):304-316. doi: 10.1080/13548506.2017.1361038. Epub 2017 Aug 4.
The present study aimed to investigate the prevalence of fatigue and determine factors associated with fatigue in female medical personnel. Based on a cross-sectional study, a total of 1608 female medical personnel at 54 hospitals in Zhuhai, China were recruited by a multistage stratified cluster sampling method. The Symptoms Checklist-90-Revised and Chalder Fatigue Scale were used to assess psychiatric symptoms and fatigue, respectively. Data regarding demographic, health, and work related variables were also collected. Multivariate logistic regression model was constructed to determine the influencing factors of fatigue. Approximately 83% of participants had experienced fatigue in the past week. The risk of fatigue was higher in aged 30-39 years old than older or younger participants; Longer sleeping time predicted a lower prevalence of fatigue (OR = .35), while tense physician-patient relationship predicted a higher prevalence of fatigue (OR = 1.77). Depression (OR = 1.76) and anxiety (OR = 1.96) were found related to fatigue. Additionally, fatigue was associated with marital status, occupation, health related factors (exercise, regular diet, and health status), and work related factors (hospital rank and turnover intention). These study findings might facilitate development and implementation of targeted interventions and preventive measures.
本研究旨在调查疲劳的患病率，并确定与女性医务人员疲劳相关的因素。基于横断面研究，采用多阶段分层聚类抽样方法，在中国珠海市的 54 家医院招募了 1608 名女性医务人员。使用症状清单 90 修订版和 Chalder 疲劳量表分别评估精神症状和疲劳。还收集了有关人口统计学、健康和工作相关变量的数据。构建多变量逻辑回归模型来确定疲劳的影响因素。大约 83%的参与者在过去一周经历过疲劳。与年龄较大或较小的参与者相比，年龄在 30-39 岁的参与者发生疲劳的风险更高；睡眠时间较长预测疲劳的患病率较低（OR=0.35），而紧张的医患关系预测疲劳的患病率较高（OR=1.77）。抑郁（OR=1.76）和焦虑（OR=1.96）与疲劳有关。此外，疲劳与婚姻状况、职业、健康相关因素（运动、规律饮食和健康状况）以及工作相关因素（医院级别和离职意向）有关。这些研究结果可能有助于制定和实施有针对性的干预措施和预防措施。
