Public Heath and Community Medicine, Faculty of Medicine, Menoufia University.
Psychiatric Nursing, Faculty of Nursing, Menoufia University.
J Occup Health. 2018 Mar 27;60(2):182-191. doi: 10.1539/joh.17-0186-OA. Epub 2017 Dec 28.
Work stress among nurses has increased in recent years due to the demands of clinical nursing.
To investigate psychosocial work stress among nurses using the effort-reward imbalance (ERI) model with assessment malondialdehyde (MDA) as an oxidative stress marker and total antioxidants.
The present study was conducted on 204 registered nurses worked at two tertiary hospitals in Menoufia governorate, Egypt through the period from the 1st of February to the end of July 2016. Two questionnaires were applied including general demographic and occupational histories as well as effort-reward questionnaire. Blood analysis was performed to assess MDA and total antioxidant levels.
ERI was prevalent among the study participants (72.5%). ERI was more prevalent among young married nurses who worked more than 10 years. Nurses that worked at ICUs complained more of ERI (43.2%) while nurses that worked at operation rooms complained more of overcommitment (62.5%). MDA levels were significantly positively correlated with E/R ratios (rho = 0.350, P ≤ 0.001).
Work stress was prevalent among the studied nurses as revealed by the high ERI and MDA levels. Young married female nurses complained more of work stress. ICUs and operating rooms were the most stressful departments at the studied hospitals. Hence, implementing programs and strategies that eliminate stressful working conditions at hospitals is critical to the reduction and prevention of work stress among nurses.
近年来，由于临床护理的需求，护士的工作压力有所增加。
使用努力-回报失衡（ERI）模型评估护士的心理社会工作压力，并以丙二醛（MDA）作为氧化应激标志物和总抗氧化剂来评估。
本研究于 2016 年 2 月 1 日至 7 月结束期间，在埃及 Menoufia 省的两家三级医院对 204 名注册护士进行了研究。应用了两份问卷，包括一般人口统计学和职业史以及努力-回报问卷。进行血液分析以评估 MDA 和总抗氧化剂水平。
研究参与者中 ERI 很普遍（72.5%）。ERI 在年轻已婚且工作超过 10 年的护士中更为普遍。在 ICU 工作的护士抱怨 ERI 更多（43.2%），而在手术室工作的护士则抱怨过度投入（62.5%）。MDA 水平与 E/R 比值呈显著正相关（rho = 0.350，P ≤ 0.001）。
研究护士的 ERI 和 MDA 水平均较高，表明工作压力普遍存在。年轻已婚的女性护士抱怨工作压力更大。ICU 和手术室是研究医院中压力最大的科室。因此，在医院实施消除工作压力的工作条件的方案和策略对于减少和预防护士的工作压力至关重要。
