一项通过 Karasek 问卷评估急诊医护人员工作压力的横断面研究：SEEK 研究。

A cross-sectional study to assess job strain of emergency healthcare workers by Karasek questionnaire: The SEEK study.

作者信息

Bouillon-Minois Jean-Baptiste, Trousselard Marion, Mulliez Aurélien, Adeyemi Oluwaseun John, Schmidt Jeannot, Thivel David, Ugbolue Ukadike Chris, Borel Marjolaine, Moustafa Farès, Vallet Guillaume T, Clinchamps Maëlys, Zak Marek, Occelli Céline, Dutheil Frédéric

机构信息

Université Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress, CHU Clermont-Ferrand, Emergency Department, Clermont-Ferrand, France.

French Armed Forces Biomedical Research Institute, Brétigny-sur-Orge, France.

出版信息

Front Psychiatry. 2023 Jan 5;13:1043110. doi: 10.3389/fpsyt.2022.1043110. eCollection 2022.

DOI:10.3389/fpsyt.2022.1043110

PMID:36684020

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9850106/

Abstract

BACKGROUND

Emergency healthcare workers (eHCWs) are particularly at risk of stress, but data using the gold standard questionnaire of Karasek are scarce. We assessed the level of stress of eHCWs and aimed to compare it with the general population.

METHODS

This is a cross-sectional nationwide study in French Emergency Departments (EDs), using the job-content questionnaire of Karasek, compared with the 25,000 answers in the French general population (controls from the SUMER study). The descriptions of job demand, job control, and social support were described as well as the prevalence of job strain and isostrain. Putative factors were searched using mixed-method analysis.

RESULTS

A total of 166 eHCWs (37.9 ± 10.5 years old, 42% men) from five French EDs were included: 53 emergency physicians and 104 emergency paramedics, compared to 25,000 workers with other occupations. Job demand was highest for physicians (28.3 ± 3.3) and paramedics (25.9 ± 3.8), compared to controls (36.0 ± 7.2; < 0.001). Job control was the lowest for physicians (61.2 ± 5.8) and paramedics (59.1 ± 6.8), compared to controls (70.4 ± 11.7; < 0.001). Mean social support did not differ between groups (23.6 ± 3.4 for physicians, 22.6 ± 2.9 for paramedics, and 23.7 ± 3.6 for controls). The prevalence of job strain was massively higher for physicians (95.8%) and paramedics (84.8%), compared to controls (23.9%; < 0.001), as well as for isostrain (45.1% for physicians, 56.8% for paramedics, and 14.3% for controls, < 0.001). We did not find any significant impact of sociodemographic characteristics on job control, job demand, or social support.

CONCLUSION

Emergency healthcare workers have a dramatic rate of job strain, necessitating urgent promotion of policy to take care of them.

摘要

背景

急诊医护人员（eHCWs）面临着特别高的压力风险，但使用Karasek金标准问卷的数据却很稀少。我们评估了急诊医护人员的压力水平，并旨在将其与普通人群进行比较。

方法

这是一项在法国急诊科进行的全国性横断面研究，使用Karasek工作内容问卷，并与法国普通人群中的25000份回答（来自SUMER研究的对照组）进行比较。描述了工作需求、工作控制和社会支持情况，以及工作紧张和等紧张的患病率。使用混合方法分析寻找可能的因素。

结果

纳入了来自法国五个急诊科的166名急诊医护人员（年龄37.9±10.5岁，42%为男性）：53名急诊医生和104名急诊护理人员，与25000名从事其他职业的人员进行比较。与对照组（36.0±7.2；<0.001）相比，医生（28.3±3.3）和护理人员（25.9±3.8）的工作需求最高。与对照组（70.4±11.7；<0.001）相比，医生（61.2±5.8）和护理人员（59.1±6.8）的工作控制最低。各组之间的平均社会支持没有差异（医生为23.6±3.4，护理人员为22.6±2.9，对照组为23.7±3.6）。与对照组（23.9%；<0.001）相比，医生（95.8%）和护理人员（84.8%）的工作紧张患病率大幅更高，等紧张患病率也是如此（医生为45.1%，护理人员为56.8%，对照组为14.3%，<0.001）。我们没有发现社会人口学特征对工作控制、工作需求或社会支持有任何显著影响。