Department of Social Medicine, School of Public Health, China Medical University, Shenyang, China.
Party Committee Office, Shengjing Hospital of China Medical University, Shenyang, China.
J Adv Nurs. 2020 May;76(5):1151-1161. doi: 10.1111/jan.14312. Epub 2020 Feb 24.
Chronic fatigue syndrome is an agnogenic disease worldwide. Nurses are at a high risk of chronic fatigue syndrome. However, no research has been done to examine the associations of workplace violence, organizational support, and occupational stress with chronic fatigue syndrome among Chinese nurses. This study aimed to examine effects of these factors on chronic fatigue syndrome in this occupational group.
Cross-sectional. All participants voluntarily completed a questionnaire survey.
The study was conducted in Liaoning province from December 2017-January 2018. Self-administered questionnaires were distributed to 1,200 nurses, including Effort-Reward-Imbalance, Workplace Violence Scale, Survey of Perceived Organizational Support, together with age, gender, marital status, education levels, physical activities, job rank, monthly income, and weekly working hours. Complete responses were obtained from 1,080 (90%) participants. Chronic fatigue syndrome was diagnosed by doctors according to the Centers for Disease Control and Prevention criteria. Multivariable logistic regression was performed to examine these independent risk factors.
The prevalence of chronic fatigue syndrome was 6.76%. The results of logistic regression analysis showed that nurses who experienced serious higher levels of overcommitment, workplace violence and less organizational support were more likely to be classified as chronic fatigue syndrome.
There was a high prevalence of chronic fatigue syndrome. Lower workplace violence, more organizational support and lower overcommitment could be effective resources for reducing chronic fatigue syndrome.
Workplace violence, organizational support, and occupational stress were related to chronic fatigue syndrome, which helped to explain why Chinese nurses suffered higher prevalence of chronic fatigue syndrome. Overcommitment explained chronic fatigue syndrome better than Effort/Reward Ratio, so intrinsic stress played a more critical role than extrinsic stress in chronic fatigue syndrome. Chinese nurses suffered serious sleep disorders and impairment of concentration and memory. These symptoms might also attribute to serious occupational stress, unsafe and unsupportive working environment. Creating a safe and supportive working environment, relieving intrinsic occupational stress should be considered as an institutional strategy to early prevent chronic fatigue syndrome.
慢性疲劳综合征是一种全球性的疑难病症。护士患慢性疲劳综合征的风险较高。然而，目前尚未有研究调查工作场所暴力、组织支持和职业压力与中国护士慢性疲劳综合征之间的关系。本研究旨在探讨这些因素对该职业群体慢性疲劳综合征的影响。
横断面研究。所有参与者均自愿完成问卷调查。
本研究于 2017 年 12 月至 2018 年 1 月在辽宁省进行。向 1200 名护士发放了自我管理问卷，包括工作投入-回报失衡量表、工作场所暴力量表、感知组织支持量表，同时还包括年龄、性别、婚姻状况、教育程度、体育活动、职称、月收入和每周工作时间。共获得 1080 名（90%）参与者的完整回复。慢性疲劳综合征由医生根据美国疾病控制与预防中心的标准进行诊断。采用多变量逻辑回归分析来检验这些独立的危险因素。
慢性疲劳综合征的患病率为 6.76%。逻辑回归分析结果表明，经历严重程度较高的过度投入、工作场所暴力和较少组织支持的护士更有可能被归类为慢性疲劳综合征。
慢性疲劳综合征的患病率较高。较低的工作场所暴力、更多的组织支持和较低的过度投入可能是降低慢性疲劳综合征的有效资源。
工作场所暴力、组织支持和职业压力与慢性疲劳综合征有关，这有助于解释为什么中国护士的慢性疲劳综合征患病率较高。过度投入比投入/回报比更能解释慢性疲劳综合征，因此内在压力在慢性疲劳综合征中比外在压力起着更关键的作用。中国护士遭受严重的睡眠障碍以及注意力和记忆力受损。这些症状也可能归因于严重的职业压力、不安全和不支持性的工作环境。创造一个安全和支持性的工作环境，缓解内在职业压力应被视为早期预防慢性疲劳综合征的制度策略。
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