Institute of Occupational Health, Rouen University Hospital, France; Inserm, U1142, LIMICS, laboratoire d'informatique médicale et d'ingénierie des connaissances en e-Santé, Sorbonne université, Paris, France; Université de Rouen - Normandie, Rouen, France.
Institute of Occupational Health, Rouen University Hospital, France; Inserm, U1142, LIMICS, laboratoire d'informatique médicale et d'ingénierie des connaissances en e-Santé, Sorbonne université, Paris, France; Université de Rouen - Normandie, Rouen, France.
Rev Epidemiol Sante Publique. 2022 Apr;70(2):59-65. doi: 10.1016/j.respe.2022.02.002. Epub 2022 Mar 23.
To describe psychosocial constraints and mental health of hospital workers, and to identify the psychosocial constraints significantly associated with mental health difficulties, especially in two groups: caregivers and other hospital workers.
Data about working conditions and health status collected by the Evrest National observatory in 2018-2019 during occupational health consultation were used. Psychosocial constraints and mental health among caregivers, other hospital workers and non-hospital workers were described.
There were 1251 hospital workers (843 caregivers, 408 other hospital workers) and 25 129 other workers. Intensity and working time (time pressure, extra working time, missing or shortening a meal), and ethical dilemmas (not having the means to ensure high-quality work, too rapidly handling a procedure that would require more painstaking care) were significantly more reported by the caregivers than by the other hospital workers (50.8% vs 44.2%, 43.4% vs 32.5%, 47.2% vs 17.2%, 21.4% vs 16.4% and 41.5% vs 29.0% respectively). Prevalence of psychological distress was not significantly higher for caregivers (12.3%) than for other hospital workers (12.4%) but was significantly higher than for other workers (7.3%). For caregivers, factors significantly associated with psychological distress were time pressure (Odds Ratio adjusted on sociodemographic factors (OR) = 2.33 CI95% [1.35-4.04]), "difficulties to reconcile private life and work life" (OR = 2.95 [1.54-5.69]), "work not recognized in the professional setting" (OR = 1.89 [1.08-3.31]) and "fear of losing one's job" (OR = 2.98 [1.53-5.8]). For other hospital workers, they were "difficulties to reconcile private life and work life (OR = 2.76 [1.04-7.30]), "insufficient possibilities of mutual aid" (OR = 2.85 [1.24-6.53] and "not having the means to ensure high-quality work" (OR = 3.42 [1.62-7.21]).
Factors significantly associated with psychological distress were not the same for caregivers and other hospital workers, nor were they the most frequently reported. Detailed description of the constraints according to group of workers could help to develop a high-priority preventive program regarding psychosocial risk factors.
描述医院工作人员的心理社会限制和心理健康状况，并确定与心理健康困难显著相关的心理社会限制因素，尤其是在以下两个群体中：护理人员和其他医院工作人员。
使用 2018-2019 年职业健康咨询期间埃夫雷斯国家观察站收集的关于工作条件和健康状况的数据。描述了护理人员、其他医院工作人员和非医院工作人员的心理社会限制和心理健康状况。
共有 1251 名医院工作人员（843 名护理人员，408 名其他医院工作人员）和 25129 名其他工作人员。强度和工作时间（时间压力、额外工作时间、错过或缩短用餐时间）以及道德困境（没有手段确保高质量的工作、快速处理需要更细致护理的程序），在护理人员中报告的比例明显高于其他医院工作人员（分别为 50.8%、43.4%、47.2%、21.4%和 41.5%，44.2%、32.5%、17.2%、16.4%和 29.0%）。护理人员的心理困扰患病率（12.3%）与其他医院工作人员（12.4%）相比没有显著升高，但明显高于其他工作人员（7.3%）。对于护理人员，与心理困扰显著相关的因素是时间压力（调整后的社会人口因素比值比（OR）=2.33[95%CI95%（1.35-4.04]）、“难以调和私人生活和工作生活”（OR=2.95[1.54-5.69]）、“工作在专业环境中不受认可”（OR=1.89[1.08-3.31]）和“担心失业”（OR=2.98[1.53-5.8]）。对于其他医院工作人员，他们是“难以调和私人生活和工作生活（OR=2.76[1.04-7.30]）”、“相互援助的可能性不足”（OR=2.85[1.24-6.53]）和“没有手段确保高质量的工作”（OR=3.42[1.62-7.21]）。
与心理困扰显著相关的因素在护理人员和其他医院工作人员中并不相同，也不是最常报告的因素。根据工作人员群体详细描述限制因素，可以帮助制定针对心理社会危险因素的高优先级预防计划。
