Occupational and Environmental Epidemiology & NetTeaching Unit, Institute and Clinic for Occupational, Social and Environmental Medicine, University Hospital, LMU, Ziemssenstr. 1, 80336, Munich, Germany.
Department of Nursing, Faculty of Health Sciences, Istanbul Bilgi University, Dolapdere Kampus, Hacıahmet Mahallesi, Pir Hüsamettin Sokak No: 20, 34440, Beyoğlu/ Istanbul, Turkey.
BMC Public Health. 2020 Nov 4;20(1):1658. doi: 10.1186/s12889-020-09769-0.
Work-related stress and its detrimental effects on human health have rapidly increased during the past several years. It causes many different stress reactions, related diseases and unhealthy behavior among workers, but especially women workers. Thus, the aim of this study was to examine the effects of the work-related stress model based Workplace Mental Health Promotion Programme on the job stress, social support, reactions, salivary immunoglobulin A and Cortisol levels, work absenteeism, job performance and coping profiles of women workers.
This study had a "pre-test post-test non-equivalent control groups" design and included 70 women workers (35 in each study group) selected by randomized sampling from two factories. The programme was delivered as an intervention including 12 weeks of follow-up. Reminder messages, videos, and WhatsApp texts were used at the follow-up stage. The research measurements were; the assessment form, the Brief Job Stress Questionnaire, the Brief Coping Profile Scale, salivary ELISA kits, and a self-reported check-list.
There were no differences in sociodemographic characteristics, general health or working conditions between the Intervention and control groups(p > .05). Three months after the intervention, there was a significant decrease in job stress(p ≤ .001), physical and mental reactions' scores(p ≤ .001) and work absenteeism(p < .05), and there was an increase in job performance(p < .05), social support(p ≤ .001) among the intervention group. The programme showed positive effects on coping profiles(p < .05). After the intervention salivary-cortisol and IgA levels showed a statistically significant decrease(p < .05). A majority of effect sizes were very large (η > .14).
Work-ProMentH was found to be effective and useful in job stress management and promotion of effective coping profiles. It enables its users to holistically assess worker stress and to plan and examine intervention programmes via a systematic approach. There is a need for more empirical studies that may support the data of the present study, but it is thought that the intervention can be maintained for the long-term. We recommend that occupational health professionals at workplaces should consider using this model-based cost-effective intervention, which seems easy and practical to apply in real-life situations.
ISRCTN registration ID: ISRCTN14333710 (2020/10/03, retrospective registration).
在过去的几年中，与工作相关的压力及其对人类健康的不利影响迅速增加。它会导致工人，尤其是女性工人产生许多不同的压力反应，相关疾病和不健康行为。因此，本研究的目的是检验基于工作场所心理健康促进计划的与工作相关的压力模型对女性工人的工作压力，社会支持，反应，唾液免疫球蛋白 A 和皮质醇水平，工作缺勤，工作绩效和应对方式的影响。
本研究采用“前测-后测非等效对照组”设计，从两家工厂中通过随机抽样选择了 70 名女性工人（每组 35 名）。该方案作为一项干预措施提供，包括 12 周的随访。在随访阶段使用提醒消息，视频和 WhatsApp 文本。研究测量包括：评估表，简要工作压力问卷，简要应对方式量表，唾液 ELISA 试剂盒和自我报告清单。
干预组和对照组在社会人口统计学特征，一般健康状况或工作条件方面无差异（p>.05）。干预后三个月，工作压力（p≤.001），身心反应评分（p≤.001）和工作缺勤率（p<.05）显着降低，而工作绩效（p<.05），社会支持（p≤.001）有所增加。该方案对应对方式有积极影响（p<.05）。干预后，唾液皮质醇和 IgA 水平显着下降（p<.05）。大多数效应大小均非常大（η>.14）。
Work-ProMentH 被发现可有效管理工作压力并促进有效的应对方式，因此非常有用。它使用户能够通过系统的方法全面评估工人的压力，并计划和检查干预计划。需要更多的实证研究来支持本研究的数据，但可以认为该干预措施可以长期维持。我们建议工作场所的职业健康专业人员应考虑使用这种基于模型的具有成本效益的干预措施，该措施在现实情况下似乎易于实施且实用。
ISRCTN 注册号：ISRCTN83664057（2020/10/03，回顾性注册）。
