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医院内外应激感知和安定类药物使用情况的比较:一项横断面研究。

Comparison of perception of stress and consumption of anxiolytics in hospital and out-hospital conditions: a cross-sectional study.

机构信息

Faculty of Health Studies, University of Rijeka, Rijeka, Croatia.

Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia.

出版信息

Front Public Health. 2024 Feb 19;12:1339246. doi: 10.3389/fpubh.2024.1339246. eCollection 2024.

DOI:10.3389/fpubh.2024.1339246
PMID:38439753
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10911040/
Abstract

BACKGROUND

The workplace is a place where medical workers are exposed to extreme stress, particularly during medical emergencies or events of epidemic or pandemic proportions. Anxiolytic therapy is often used to overcome professional challenges. Deepening knowledge about the prevalence of the use of anxiolytics and the perception of stress among medical workers enables the timely recognition of problems and the preparation of measures to improve the working conditions and quality of life of medical workers. The study's primary objective was to investigate whether there were differences in the usage of anxiolytics among healthcare professionals in and out of the hospital. In addition to the main objective, there are other objectives that have been established: To examine whether there are statistically justified differences in stress perceptions between hospital and outpatient healthcare professionals; 2. To examine the stress factors in the workplace in both hospital and outpatient settings. To compare the frequency of taking anxiolytics with respect to various variables (age, seniority, occupation and level of education); 4. determines the impact of working conditions on stress perception and life satisfaction in healthcare professionals. The design of research: Cross-sectional research.

MATERIALS AND METHODS

The research involved 159 healthcare professionals in Slavonski Brod: 96 employees of the General Hospital "Dr. Josip Benčević" and 63 employees of the Health Center and the Institute for Emergency Medicine of Brodsko-Posavina County. Respondents were able to participate in the study by filling out questionnaires online. The questionnaire was designed to be voluntary and anonymous and contained 53 questions.

RESULTS

Statistically significant differences were shown in the perception of stress, which is greater in hospital staff, than in the difference between stressors in the workplace, where hospital staff showed higher values in all categories, but three factors are more significant differences: "Organization of the workplace and financial issues," "Conflicts and communication at work" and "Professional and intellectual requirements." There are significant differences in the frequency of using anxiolytics with the assistance of a psychiatrist. Working conditions have a much greater impact on the perception of stress and life satisfaction in hospital staff, while in hospital staff only a weak link between the perception of stress and life satisfaction is expressed. Anxiolytics are consumed by 27.10% of hospital workers and 23.80% of outside-the-hospital workers.

CONCLUSION

The consumption of anxiolytic drugs by healthcare professionals in hospital and outpatient conditions does not make a significant difference, but they do have statistically significant differences in their perception of stress.

摘要

背景

工作场所是医务人员面临极端压力的地方,尤其是在医疗紧急情况或发生流行病或大流行时。通常使用抗焦虑疗法来克服专业挑战。加深对医务人员使用抗焦虑药和压力感知的认识,可以及时发现问题,并准备措施改善医务人员的工作条件和生活质量。本研究的主要目的是调查医务人员在医院内外使用抗焦虑药是否存在差异。除了主要目标外,还有其他既定目标:1. 研究医院和门诊医护人员的压力感知是否存在统计学差异;2. 研究医院和门诊工作场所的压力因素;3. 比较各种变量(年龄、资历、职业和教育水平)下使用抗焦虑药的频率;4. 确定工作条件对医护人员压力感知和生活满意度的影响。研究设计:横断面研究。

材料与方法

该研究涉及斯拉沃尼亚布罗德的 159 名医疗保健专业人员:96 名员工来自约瑟夫·贝内维奇综合医院,63 名员工来自布罗德-波萨维纳县的医疗中心和急诊医学研究所。调查对象可以通过在线填写问卷参与研究。问卷设计为自愿和匿名的,共包含 53 个问题。

结果

在压力感知方面存在显著差异,医院工作人员的压力感知更大,而在工作场所压力源方面的差异较小,医院工作人员在所有类别中均显示出更高的数值,但有三个因素的差异更为显著:“工作场所的组织和财务问题”、“工作中的冲突和沟通”以及“专业和智力要求”。在使用抗焦虑药物方面,有精神科医生协助的情况下存在显著差异。工作条件对医院工作人员的压力感知和生活满意度的影响更大,而在医院工作人员中,压力感知与生活满意度之间仅存在微弱联系。抗焦虑药物的使用率在医院工作人员中为 27.10%,在非医院工作人员中为 23.80%。

结论

在医院和门诊条件下,医疗保健专业人员对抗焦虑药物的使用没有显著差异,但在压力感知方面存在统计学差异。

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BMC Nurs. 2024 Jan 31;23(1):81. doi: 10.1186/s12912-023-01695-x.
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Prevalence of mental disorders and high rates of absenteeism from work among healthcare professionals in Slovenia: a retrospective study.斯洛文尼亚医护人员精神障碍的流行率和高旷工率:一项回顾性研究。
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