Hemmati Farhad, Dabbaghi Fatemeh, Mahmoudi Ghahraman
Research, Hospital Administration Research Center, Sari Branch, Islamic Azad University, Sari, Iran.
Hospital Administration Research Center, Sari Branch, Islamic Azad University, Sari, Iran.
BMC Health Serv Res. 2020 Sep 29;20(1):906. doi: 10.1186/s12913-020-05761-x.
Health tourism or treatment tourism is one of threatening fields that causes (added s) increase in prevalence of job stress and illnesses among hospital staff of providing health tourism services (HSPHT). The aim of this study is to determine the prevalence of job stress and illnesses among hospitals staff of providing health tourism services in touristic cities as Tehran and Shiraz in Iran.
This cross-sectional, descriptive-analytical study was carried out among the staff of 10 hospitals providing health tourism services in cities of Tehran and Shiraz, Iran, in 2019. In these hospitals, 1250 staff were chosen by cluster sampling method from each job task as doctor, nurse, office worker, and paramedical and cleaner worker. Also, 1100 staff working in other general hospitals (non-HSPHTS) were selected as the control sample. Then, the demographic information and prevalence of job stress were gathered by Osipow job stress questionnaire and the illnesses were accumulated by self-reporting questionnaire. Finally, data were analyzed in SPSS 20 software. Chi-square and Pearson's parametric tests were used in the study.
Prevalence of illnesses among HSPHTS was more than that in general hospitals (P < 0.05). The most prevalent illnesses were respiratory (11.08%), digestive (9.2%), and cutaneous (9.04%), respectively. Also, the prevalence of job stress among HSPHTS was more than that in general hospitals (P < 0.05). There was a significant relationship between prevalence of illnesses and job stress among the staff of hospitals and the increase in the number of visited tourists in the hospitals providing health tourism services.
Results of the study showed that the prevalence of job stress (%33.76) and illnesses (%43.66) among the HSPHTS was respectively 2 and 2.6 times more than that among the staff of general hospitals. Thus, it is necessary to observe sanitary actions and considerations more seriously in these hospitals.
健康旅游或治疗旅游是一个具有威胁性的领域，会导致提供健康旅游服务的医院工作人员（HSPHT）的工作压力和疾病患病率上升。本研究的目的是确定伊朗德黑兰和设拉子等旅游城市中提供健康旅游服务的医院工作人员的工作压力和疾病患病率。
2019年，在伊朗德黑兰和设拉子市的10家提供健康旅游服务的医院工作人员中开展了这项横断面描述性分析研究。在这些医院中，通过整群抽样方法从医生、护士、办公室工作人员、辅助医疗人员和清洁工人等每个工作岗位中选取了1250名工作人员。此外，选取了1100名在其他综合医院（非HSPHTS）工作的人员作为对照样本。然后，通过奥西波工作压力问卷收集人口统计学信息和工作压力患病率，并通过自我报告问卷累积疾病情况。最后，在SPSS 20软件中对数据进行分析。本研究使用了卡方检验和皮尔逊参数检验。
HSPHTS的疾病患病率高于综合医院（P < 0.05）。最常见的疾病分别是呼吸道疾病（11.08%）、消化系统疾病（9.2%）和皮肤疾病（9.04%）。此外，HSPHTS的工作压力患病率高于综合医院（P < 0.05）。在提供健康旅游服务的医院中，医院工作人员的疾病患病率和工作压力与就诊游客数量的增加之间存在显著关系。
研究结果表明，HSPHTS的工作压力患病率（33.76%）和疾病患病率（43.66%）分别是综合医院工作人员的2倍和2.6倍。因此，有必要在这些医院更认真地遵守卫生措施和注意事项。
