初级卫生保健中心牙医的压力与压力源：一项定量、相关性和横断面研究。

Stress and Stressors Among PHCC Dentists: A Quantitative, Correlational, and Cross-Sectional Study.

作者信息

Abbas Kholoud Z, Alyafei Najat A, Tayyem Arwa S, Zakarya Mohammad R, Al Mudahka Hamad R, Abdel-Salam Abdel-Salam G, Mohammed Hashim A

机构信息

Dentistry Department, Primary Health Care Corporation, Doha P.O. Box 26555, Qatar.

Preventive Health Directorate, Primary Health Care Corporation, Doha P.O. Box 26555, Qatar.

出版信息

Int J Environ Res Public Health. 2024 Nov 27;21(12):1581. doi: 10.3390/ijerph21121581.

DOI:10.3390/ijerph21121581

PMID:39767423

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11675760/

Abstract

(1) Background: Dentistry is innately stressful and demanding. However, the extent of perceived chronic stress and the contributing factors within the dental practice at Primary Health Care Corporation (PHCC) in Qatar are largely unknown. (2) Methods: This study is quantitative, hypothesis-testing, correlational, and cross-sectional, using a simple random sample of all PHCC dentists (168 general dentists and 47 specialist dentists). A cross-sectional survey with electronic consent was performed using demographic and professional information, the Perceived Stress Scale (PSS)-10 to evaluate chronic stress, and the Job Stress Inventory (JSI) to assess job stress factors. (3) Results: The response rate was 49.3%. PHCC dentists demonstrated above-average perceived stress (mean = 18.08, SD = 5.84), with a significant relationship with age ( = 0.01). Overall job stress was average (mean = 2.45, SD = 1.18). All job factors demonstrated a significant and positive correlation with perceived stress (r = 0.472-0.555, < 0.001). (4) Conclusion: About 70% of the dentists experienced high levels of chronic stress that decreased with age; 65.4% of this stress was attributed to job-related factors, primarily those involving patients (β = 0.341, < 0.001). This study highlights the impact of health system reforms on stress levels among dental professionals in primary care settings.

摘要

(1) 背景：牙科工作本质上压力大且要求高。然而，卡塔尔初级卫生保健公司（PHCC）牙科诊所内感知到的慢性压力程度及其影响因素在很大程度上尚不清楚。(2) 方法：本研究为定量、假设检验、相关性和横断面研究，对所有PHCC牙医（168名普通牙医和47名专科牙医）采用简单随机抽样。使用人口统计学和专业信息、感知压力量表（PSS）-10评估慢性压力以及工作压力量表（JSI）评估工作压力因素，进行了一项电子同意的横断面调查。(3) 结果：回复率为49.3%。PHCC牙医表现出高于平均水平的感知压力（均值 = 18.08，标准差 = 5.84），与年龄存在显著关系（= 0.01）。总体工作压力为平均水平（均值 = 2.45，标准差 = 1.18）。所有工作因素与感知压力均呈现显著正相关（r = 0.472 - 0.555，< 0.001）。(4) 结论：约70%的牙医经历高水平的慢性压力，且压力随年龄增长而降低；其中65.4%的压力归因于与工作相关的因素，主要是涉及患者的因素（β = 0.341，< 0.001）。本研究凸显了卫生系统改革对基层医疗环境中牙科专业人员压力水平的影响。