Tianan Yang, Associate Professor, School of Management and Economics, Beijing Institute of Technology, Beijing, China.
Run Lei, Postgraduate Student, School of Management and Economics, Beijing Institute of Technology, Beijing, China.
Am J Health Behav. 2020 Nov 1;44(6):765-779. doi: 10.5993/AJHB.44.6.3.
It is unclear whether poor health is a contributing factor or a consequence of burn-out. We aimed to explore the relationship among job stress, physical health, mental health, burnout, and coping strategies among health professionals using a moderated mediation model. Health professionals in Taiwan were invited using a stratified and probability proportional to size sampling. A structure equation model (SEM) was used to examine relationships among job stress, burnout, and physical/mental health. The bootstrapping approach for moderated mediation analysis was then used to explore the role of coping strategies. Totally 935 health professionals participated. The SEM model revealed that job stress was inversely associated with physical and mental health. The direct association between job stress and burn-out was insignificant. Moderated mediation analysis revealed that job stress influenced burnout through physical health and mental health, and that the coping strategy of support-seeking moderated the indirect effect only through mental health. Support-seeking is a good coping strategy for health professionals to buffer the harmful effects of job stress on mental health.
健康状况不佳是倦怠的促成因素还是结果尚不清楚。我们旨在使用调节中介模型来探讨台湾卫生专业人员的工作压力、身体健康、心理健康、倦怠和应对策略之间的关系。使用分层和按比例概率抽样邀请台湾的卫生专业人员参加。结构方程模型（SEM）用于检验工作压力、倦怠和身体健康/心理健康之间的关系。然后使用引导式中介分析方法来探讨应对策略的作用。共有 935 名卫生专业人员参加。SEM 模型表明，工作压力与身体健康和心理健康呈负相关。工作压力与倦怠之间的直接关联并不显著。调节中介分析表明，工作压力通过身体健康和心理健康影响倦怠，寻求支持的应对策略仅通过心理健康调节间接效应。寻求支持是卫生专业人员缓冲工作压力对心理健康的有害影响的一种良好应对策略。
