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急诊科感染 COVID-19 的医师和护士的职业压力及其影响因素:一项横断面研究。

Occupational stress of physicians and nurses in emergency departments after contracting COVID-19 and its influencing factors: a cross-sectional study.

机构信息

Emergency Medicine Center, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan, China.

Research Unit of Island Emergency Medicine, Chinese Academy of Medical Sciences, Hainan Medical University, Haikou, Hainan, China.

出版信息

Front Public Health. 2023 May 18;11:1169764. doi: 10.3389/fpubh.2023.1169764. eCollection 2023.

Abstract

BACKGROUND

Occupational stress is one of the major occupational health hazards globally. This study investigated the current situation of and factors influencing the occupational stress of physicians and nurses in emergency departments (EDs) after contracting coronavirus disease (COVID-19).

METHODS

An online questionnaire survey was conducted among physicians and nurses in EDs in China between January 5 and 8, 2023. A general descriptive analysis of variables was conducted, the differences in the occupational stress of physicians and nurses in EDs with different characteristics were analyzed using the chi-square test, and factors influencing occupational stress were investigated using generalized ordinal logistic regression.

RESULTS

Of the 1924 physicians and nurses in EDs who contracted COVID-19, 64.71% considered their occupational stress high or very high, with overly intense work as the primary stressor. Those with ≥ 10 years of work tenure, working in tertiary hospitals and with higher professional titles were more stressed, while females, nurses, those with a master's degree or higher, and those who continued to work after contracting COVID-19 were less stressed. There were differences in the predictors of occupational stress between physicians and nurses.

CONCLUSION

China's physicians and nurses in EDs had high occupational stress after contracting COVID-19. Attention should be given to the occupational mental health of physicians and nurses in EDs, and training on the prevention and treatment of COVID-19 infection should be strengthened.

摘要

背景

职业压力是全球主要的职业健康危害之一。本研究调查了在感染冠状病毒病 (COVID-19) 后,急诊科医生和护士的职业压力现状及影响因素。

方法

2023 年 1 月 5 日至 8 日,采用在线问卷调查法对中国急诊科的医生和护士进行调查。对变量进行一般描述性分析,采用卡方检验分析不同特征的医生和护士职业压力的差异,采用广义有序逻辑回归分析影响职业压力的因素。

结果

在感染 COVID-19 的 1924 名急诊科医生和护士中,64.71%认为自己的职业压力高或非常高,工作强度过大是主要的压力源。工作年限≥10 年、工作于三级医院和具有较高职称的医生和护士压力更大,而女性、护士、具有硕士及以上学历和感染 COVID-19 后继续工作的医生和护士压力更小。医生和护士职业压力的预测因素存在差异。

结论

中国感染 COVID-19 的急诊科医生和护士职业压力较高。应关注急诊科医生和护士的职业心理健康,并加强 COVID-19 感染的预防和治疗培训。

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