Ebrahimi Sedigheh, Kargar Zahra
Department of Medical Ethics, Shiraz University of Medical Sciences, Shiraz, Iran.
Ann Occup Environ Med. 2018 Aug 8;30:51. doi: 10.1186/s40557-018-0262-8. eCollection 2018.
Occupational stress and its related psychological strain is a concern among resident doctors that may affect patient care adversely. Residents face many stresses because of their high job demands in delivery of hospital care. They are often subject to work load and pressure due to direct involvement with patients, prolonged working hours, poor job opportunities and low support. Their multiple educational and clinical roles can also affect their performance and quality of personal or professional life. The aim of this study was to evaluate the occupational stress among residents of various medical specialties.We aimed to explore the reasons of occupational stress in residents' life and determine how we can enhance the stress-coping strategies and create more suitable conditions.
This cross-sectional analytical-descriptive study was conducted on all medical residents with various specialties in Shiraz University of Medical Sciences. Data was collected using Osipow occupational stress questionnaire and analyzed by SPSS software version 17.
The response rate was 88.8%. The average stress score of all residents was 156.35 out of 250. The highest and lowest average stress scores belonged to gynecology and dermatology specialties, respectively. The highest average score of the stress factors was related to the workload with the score of 35.09 of 50 (moderate to severe stress). The total stress score had a significant relationship with age ( = 0.030) and sex ( = 0.009) as well as lack of time to get the needed healthy meals ( = 0.047), high work hours ( < 0.01), surgical specialties ( < 0.01) and on call shift ( < 0.01).
Since most of the stressors were related to the workload, interventions such workload reduction, education about occupational stress and its management, promoting interpersonal relations and more supportive measures are recommended.
职业压力及其相关的心理紧张是住院医生所关注的问题，可能会对患者护理产生不利影响。住院医生由于在提供医院护理方面工作要求高，面临许多压力。他们因直接接触患者、工作时间延长、工作机会少和支持不足而经常承受工作量和压力。他们的多种教育和临床角色也会影响其个人或职业生活的表现和质量。本研究的目的是评估各医学专科住院医生的职业压力。我们旨在探究住院医生生活中职业压力的原因，并确定如何加强压力应对策略，创造更适宜的条件。
本横断面分析描述性研究针对设拉子医科大学所有不同专科的住院医生开展。使用奥西波职业压力问卷收集数据，并通过SPSS 17版软件进行分析。
应答率为88.8%。所有住院医生的平均压力得分为250分中的156.35分。平均压力得分最高和最低的分别是妇科和皮肤科专科。压力因素的最高平均得分与工作量相关，得分为50分中的35.09分（中度至重度压力）。总压力得分与年龄（=0.030）、性别（=0.009）以及缺乏时间获取所需健康饮食（=0.047）、工作时间长（<0.01）、外科专科（<0.01）和值班（<0.01）存在显著关系。
由于大多数压力源与工作量有关，建议采取减少工作量、开展职业压力及其管理的教育、促进人际关系以及更多支持性措施等干预措施。
