Department of Plastic and Reconstructive Surgery, Surgery Clinic, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina.
Psychiatr Danub. 2019 Dec;31(Suppl 5):796-804.
Stress at work is a specific type of stress arising from the work environment. Stress of the medical staff has been investigated in recent years by the medical institutions of different countries. The aim of this study was to examine the stress levels in medical staff of Department of Cardiac Surgery and Center of emergency medicine (CEM) in the Clinical settings, and to compare them.
We conducted a cross-sectional study which included 55 patients between 21 and 50 years of age. The study group consisted of 30 employees from the Department of Cardiac Surgery of Mostar University Clinical Hospital, while the control group comprised 25 employees from the CEM. Research instruments were the Occupational Stress Questionnaire for Hospital Health Care Workers (OSQ-HHCW), General Health Questionnaire (GHQ 28) and a Stress MGMT-TEST A.
The subjects from the control group had significantly higher stress experience in "bombing" with new information (p=0.028), unavailability of literature (p=0.039), poor communication with superiors (p<0.001), conflicts with patients (p=0.042) and inappropriate public criticism (p=0.007). The highest stress level showed F1 group of stressors, concerning the organization of work and funding. CEM employees had statistically significantly higher level of stress on public criticism and lawsuits compared to the study group (p=0.013), as well as higher score on the anxiety/insomnia subscale (p<0.001), social dysfunction scale (p=0.002) and on the depression subscale (p<0.001).
Stressors from the group of organizational factors have proven to be the most common stressors in both groups. However, in some areas within the impact of workplace stress, CEM employees had significantly greater vulnerability compared to employees of the Department of cardiac surgery. Further studies are needed to establish the frequency and intensity of stress among health professionals, and to clearly determine the risk factors for its development.
工作压力是一种特定类型的压力，源于工作环境。近年来，不同国家的医疗机构都对医务人员的压力进行了调查。本研究旨在检查临床环境中心血管外科和急救中心（CEM）医务人员的压力水平，并对其进行比较。
我们进行了一项横断面研究，纳入了 55 名年龄在 21 至 50 岁之间的患者。研究组包括 30 名来自莫斯塔尔大学临床医院心血管外科的员工，对照组包括 25 名来自 CEM 的员工。研究工具包括医院医护人员职业压力问卷（OSQ-HHCW）、一般健康问卷（GHQ-28）和压力 MGMT-TEST A。
对照组的受试者在“轰炸”新信息（p=0.028）、文献不可用（p=0.039）、与上级沟通不畅（p<0.001）、与患者冲突（p=0.042）和不适当的公众批评（p=0.007）方面的压力体验显著更高。F1 组的压力源与工作组织和资金有关，压力水平最高。与研究组相比，CEM 员工在公众批评和诉讼方面的压力明显更高（p=0.013），焦虑/失眠亚量表（p<0.001）、社会功能障碍量表（p=0.002）和抑郁亚量表（p<0.001）得分也更高。
来自组织因素组的压力源已被证明是两组中最常见的压力源。然而，在工作场所压力的某些方面，CEM 员工比心血管外科员工更容易受到影响。需要进一步的研究来确定卫生专业人员的压力频率和强度，并明确确定其发展的风险因素。
