Lehmann Anja I, Rodgers Stephanie, Calabrese Pasquale, Kamm Christian P, Wyl Viktor von, Bauer Georg F
Public and Organizational Health, Epidemiology, Biostatistics, and Prevention Institute, University of Zurich, Zurich, Switzerland.
Chronic Disease Epidemiology, Epidemiology, Biostatistics, and Prevention Institute, University of Zurich, Zurich, Switzerland.
Stress Health. 2021 Dec;37(5):940-948. doi: 10.1002/smi.3054. Epub 2021 Apr 27.
Considering the Job Demands-Resources (JD-R) model, this study investigated the relation between job demands, job resources and turnover intention among persons with multiple sclerosis (pwMS) as an example of chronic disease. We hypothesized that job demands and job resources are related to turnover intention, as mediated by work engagement, burnout, and MS-related work difficulties. Moreover, we assumed that MS-related work difficulties mediate the relationship between job demands/job resources and burnout and between job resources and work engagement. Using cross-sectional data (N = 360) of pwMS from the Swiss MS Registry, structural equation modelling was applied. The results confirm the JD-R model can be related to turnover intention among pwMS. Moreover, MS-related work difficulties mediated the relationship between job demands and burnout, between job resources and work engagement, and between job resources and burnout. The findings suggest that there may be benefit in applying and adapting the JD-R model for people with a chronic disease such as MS. This group of people might benefit from the promotion of job resources and a reduction in job demands, leading to changes in work engagement, burnout, and MS-related work difficulties and thus to an increased likelihood to stay at work.
基于工作需求-资源（JD-R）模型，本研究以多发性硬化症患者（pwMS）这一慢性病群体为例，调查了工作需求、工作资源与离职意向之间的关系。我们假设工作需求和工作资源与离职意向相关，工作投入、倦怠和与多发性硬化症相关的工作困难在其中起中介作用。此外，我们认为与多发性硬化症相关的工作困难在工作需求/工作资源与倦怠之间以及工作资源与工作投入之间起中介作用。利用瑞士多发性硬化症登记处的多发性硬化症患者横断面数据（N = 360），应用结构方程模型进行分析。结果证实，JD-R模型与多发性硬化症患者的离职意向相关。此外，与多发性硬化症相关的工作困难在工作需求与倦怠之间、工作资源与工作投入之间以及工作资源与倦怠之间起中介作用。研究结果表明，将JD-R模型应用于多发性硬化症等慢性病患者并进行调整可能会有好处。这类人群可能会从工作资源的提升和工作需求的减少中受益，这会导致工作投入、倦怠以及与多发性硬化症相关的工作困难发生变化，从而增加继续工作的可能性。
