Akinsulore A, Adegbenro C A, Balogun Y A, Elekwachi G, Babalola O O, Akinlua F M
Department of Mental Health,Obafemi Awolowo University,Ile-Ife, Osun State,Nigeria.
Department of Community Health,Obafemi Awolowo University,Ile-Ife, Osun State,Nigeria.
West Afr J Med. 2020 Apr-Jun;37(2):145-151.
Medical doctors are prone to stress and utilize a variety of coping strategies. This study aims to measure the level of perceived stress and its relationship with coping strategies among doctors working in a tertiary hospital in Ile-Ife, Nigeria.
A cross-sectional, descriptive study using a self-administered questionnaire containing Perceived Stress Scale (PSS) and Brief COPE Scale to assess perceived stress and coping strategies among different cadres of doctors. Out of the 217 questionnaires distributed, 185 completed copies were analysed.
Most of the respondents were less than 35 years (mean = 33.6 ±6.21) and the rate of perceived stress was 43.2%. The mean scores of Perceived Stress Scale and Brief COPE were 23.08 (±6.58) and 59.46 (±12.05). Socio-demographic factors significantly associated with perceived stress were age less than 35 years, being single, working in the hospital and years of practice less than 5 years and being house-officer or registrar (p< .001). Respondent that were not stressed reported significant higher mean scores in active coping and positive reframing but lower mean scores in humor (p< .05). Also, they reported significant lower mean scores in maladaptive coping and its subscales (p<.003). Perceived stress had a significant negative correlation with active coping (p=.017) and positive correlation with maladaptive coping and all its subscales (p< .006). Only age of respondents significantly predicted perceived stress among respondents (p = .003).
There is high level of stress among a sample of Nigerian doctors. Hence, there is a need for stress management program among them.
医生容易产生压力，并采用多种应对策略。本研究旨在测量尼日利亚伊费市一家三级医院医生的感知压力水平及其与应对策略的关系。
采用横断面描述性研究，使用包含感知压力量表（PSS）和简易应对方式问卷的自填式问卷，评估不同职称医生的感知压力和应对策略。在发放的217份问卷中，对185份完整问卷进行了分析。
大多数受访者年龄小于35岁（平均=33.6±6.21），感知压力发生率为43.2%。感知压力量表和简易应对方式问卷的平均得分分别为23.08（±6.58）和59.46（±12.05）。与感知压力显著相关的社会人口学因素包括年龄小于35岁、单身、在医院工作、执业年限小于5年以及担任住院医师或住院总医师（p<0.001）。未感到压力的受访者在积极应对和积极重新评价方面的平均得分显著较高，但在幽默方面的平均得分较低（p<0.05）。此外，他们在消极应对及其子量表方面的平均得分也显著较低（p<0.003）。感知压力与积极应对呈显著负相关（p=0.017），与消极应对及其所有子量表呈正相关（p<0.006）。只有受访者的年龄显著预测了受访者的感知压力（p = 0.003）。
尼日利亚医生样本中的压力水平较高。因此，他们需要开展压力管理项目。
