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急诊科医护人员与工作相关的焦虑水平及焦虑的潜在原因

Level of Work-Related Anxiety and Potential Causes of Anxiety in Healthcare Workers in the Emergency Department.

作者信息

Dolanbay Turgut, Vural Abdussamed, Altay Mustafa Cihan, Çınaroglu Nesibe Sultan

机构信息

Department of Emergency Medicine, Omer Halisdemir University, School of Medicine, Nigde, Turkey.

Department of Surgical Nursing, Omer Halisdemir University, School of Zubeyde Hanım Health Sciences, Nigde, Turkey.

出版信息

Psychiatry Investig. 2024 Nov;21(11):1299-1307. doi: 10.30773/pi.2024.0265. Epub 2024 Nov 18.

Abstract

OBJECTIVE

The present study evaluated the work-related anxiety scores of healthcare workers in emergency departments (ED) and aimed to determine the factors affecting these scores.

METHODS

The data was obtained through a survey administered to the emergency staff. Beck's Anxiety Inventory (BAI) and the Mini-International Neuropsychiatric Interview (MINI) work anxiety interview were used to predict and determine the type of anxiety experienced by the participants. The survey was administered to 147 volunteers, and questionnaires from 130 participants were included in the study.

RESULTS

It was found that 43.8% of the participants had a BAI score greater than 7. The study results showed a negative correlation and a linear regression model between age and the BAI score. Additionally, the BAI score was significantly higher in female, singles, physicians, those who were dissatisfied with their jobs, and those who were dissatisfied with their salaries (p<0.05). The results also showed that having a history of anxiety disorder or depression, being a physician, and being dissatisfied with one's job were 6.277, 5.583, and 4.005 times higher, respectively, in terms of suspicion of anxiety (p<0.001). In the MINI job anxiety interview, work-related posttraumatic stress disorder (38.6%) was predicted most frequently, and indiscriminative work-related social phobia (5.3%) was predicted least frequently in participants at risk for anxiety according to the BAI score.

CONCLUSION

This study suggests that teaching healthcare workers how to cope with workplace trauma and workplace-related situational phobias can be an effective solution to prevent anxiety disorders in healthcare workers working in ED.

摘要

目的

本研究评估了急诊科医护人员与工作相关的焦虑得分,并旨在确定影响这些得分的因素。

方法

数据通过对急诊工作人员进行的一项调查获得。使用贝克焦虑量表(BAI)和迷你国际神经精神病学访谈(MINI)工作焦虑访谈来预测和确定参与者所经历的焦虑类型。该调查针对147名志愿者进行,研究纳入了130名参与者的问卷。

结果

发现43.8%的参与者BAI得分高于7。研究结果显示年龄与BAI得分之间存在负相关和线性回归模型。此外,女性、单身者、医生、对工作不满意者以及对薪资不满意者的BAI得分显著更高(p<0.05)。结果还表明,有焦虑症或抑郁症病史、身为医生以及对工作不满意者在焦虑怀疑方面分别高出6.277倍、5.583倍和4.005倍(p<0.001)。在MINI工作焦虑访谈中,根据BAI得分处于焦虑风险的参与者中,与工作相关的创伤后应激障碍最常被预测(38.6%),无差别工作相关社交恐惧症最少被预测(5.3%)。

结论

本研究表明,教导医护人员如何应对工作场所创伤和与工作场所相关的情境性恐惧症可能是预防急诊科医护人员焦虑症的有效解决方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d80d/11611459/3b1f1e50537a/pi-2024-0265f1.jpg

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