Jia S F, Tian H E, Wang Y, Zhou L P, Zhang L, Xu S H, Liu L, Tian J H
School of Public Health, Southeast University, Nanjing 210009, China.
General Surgery Department of Nanjing Integrated Traditional Chinese and Western, Medicine Hospital Affiliated to Nanjing University of Traditional Chinese Medicine, Nanjing 210014, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2020 Mar 20;38(3):199-202. doi: 10.3760/cma.j.cn121094-20180914-00398.
To explore the status quo of occupational stress and its influencing factors of nursing staff for orphaned and disabled children in Nanjing, and to put forward measures for adverse reactions to occupational stress, so as to ensure the psychological health of this occupational population. From February to May 2017, 236 nursing assistants for orphans and disabled children in Nanjing social welfare home were selected by cluster sampling method. The occupational stress index(occupational stress indictor, OSI) was used to investigate occupational stress response and occupational stress factors. Partial correlation and multiple linear regression were used for statistical analysis. The scores of job satisfaction, mental health and depressive symptoms in occupational stress reaction were (43. 99±6. 83) , (36. 09±4. 59) and (17. 31±2. 44) re- spectively. In terms of job satisfaction, work monotony, logic and compound change were the contributing fac- tors (<0. 05) , task strategy and task control were negative factors (<0. 05) ; on mental health, opportunities were raised and participation in decision-making Self-esteem, technology utilization, environmental control, time management, task strategy and support of colleagues as contributing factors (<0. 05) , ambition and role conflicts as negative factors (<0. 05) ; on depression, work input, participation Decision-making, promotion opportunities and behavioral characteristics were protective factors (<0. 05 ) . Occupational stress among caregivers of orphans and disabled children cannot be ignored. Occupational stress reaction is serious. Occupational stress factors should be reduced and individual stress coping ability should be enhanced.
为探究南京市孤残儿童护理人员职业压力现状及其影响因素,提出应对职业压力不良反应的措施,以保障该职业群体的心理健康。2017年2月至5月,采用整群抽样法选取南京市社会福利院236名孤残儿童护理员。采用职业压力指数(occupational stress indictor,OSI)调查职业压力反应及职业压力因素,进行偏相关和多元线性回归统计分析。职业压力反应中工作满意度、心理健康和抑郁症状得分分别为(43.99±6.83)、(36.09±4.59)和(17.31±2.44)。在工作满意度方面,工作单调性、逻辑性和复合变化为促成因素(<0.05),任务策略和任务控制为消极因素(<0.05);在心理健康方面,机会增加、参与决策、自尊、技术利用、环境控制、时间管理、任务策略和同事支持为促成因素(<0.05),抱负和角色冲突为消极因素(<0.05);在抑郁方面,工作投入、参与决策、晋升机会和行为特征为保护因素(<0.05)。孤残儿童照料者的职业压力不容忽视,职业压力反应严重,应减少职业压力因素,增强个体压力应对能力。