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导致家庭医学职业压力的工作场所因素。

Workplace Factors Contributing to Professional Stress in Family Medicine.

作者信息

Trifunović Nataša, Erkočević Hasiba, Hasanović Elvira, Jatić Hamza, Džebo Senada, Mehmedović Rabija, Todorović Nevena, Jatić Zaim

机构信息

Department of Family Medicine, Faculty of Medicine, University of Sarajevo, Sarajevo, Bosnia and Herzegovina; Family Medicine Department, Public Institution Health Centre of Sarajevo Canton, Sarajevo, Bosnia and Herzegovina.

Family Medicine Department, Public Institution Health Centre of Sarajevo Canton, Sarajevo, Bosnia and Herzegovina.

出版信息

Acta Med Acad. 2024 Dec;53(3):343-351. doi: 10.5644/ama2006-124.464.

Abstract

OBJECTIVES

The main objective was to assess the relationship between sociodemographic and occupational factors and stress levels among healthcare workers in family medicine in Bosnia and Herzegovina, using the PSS-10-BH scale.

MATERIAL AND METHODS

A cross-sectional study was conducted using the PSS-10-BH questionnaire distributed via Google Forms to primary care nurses and physicians between July and August 2022.

RESULTS

The study included 272 participants, with a mean age of 44.7 (±10.55), predominantly women (86.8%) and physicians (58.8%). The mean PSS-10-BH total score for the sample was 21.26 (±6.77) ranging from 3 to 36. The linear regression model indicated male gender and older age showed an association with slightly lower stress levels. Marital status and the number of children showed a slight positive association with stress levels. Occupation (B=-3.068, 95%CI: -5.442 to -0.694, P=0.012) was associated with stress, with physicians tending to report lower stress levels compared to nurses. Years of work experience (B=0.060, 95%CI: -0.190 to 0.309, P=0.636), and patient load (B=0.082, 95%CI: 0.027 to 0.137, P=0.004) were associated with higher stress levels. The results suggest that work-related variables are significant predictors of stress levels as measured by the PSS-10-BH scale in this sample of healthcare workers. The included predictors explain 10% of the variability in the outcome, indicating additional unidentified contributing factors.

CONCLUSION

Occupational factors, particularly profession, work experience, and daily patient load, significantly influence stress levels in healthcare workers. Further research is needed to explore other potential influences and refine interventions aimed at managing stress in this population.

摘要

目的

主要目的是使用波斯尼亚和黑塞哥维那的PSS - 10 - BH量表评估社会人口统计学和职业因素与家庭医学领域医护人员压力水平之间的关系。

材料与方法

于2022年7月至8月期间,通过谷歌表单向基层护理护士和医生发放PSS - 10 - BH问卷进行横断面研究。

结果

该研究纳入了272名参与者,平均年龄为44.7岁(±10.55),以女性(86.8%)和医生(58.8%)为主。样本的PSS - 10 - BH总分均值为21.26(±6.77),范围为3至36。线性回归模型表明,男性和年龄较大与压力水平略低相关。婚姻状况和子女数量与压力水平呈轻微正相关。职业(B = - 3.068,95%置信区间:- 5.442至 - 0.694,P = 0.012)与压力相关,与护士相比,医生的压力水平往往较低。工作年限(B = 0.060,95%置信区间:- 0.190至0.309,P = 0.636)和患者负荷(B = 0.082,95%置信区间:0.027至0.137,P = 0.004)与较高的压力水平相关。结果表明,在该医护人员样本中,与工作相关的变量是PSS - 10 - BH量表所测量的压力水平的重要预测因素。纳入的预测因素解释了结果变异性的10%,表明存在其他未确定的影响因素。

结论

职业因素,特别是职业、工作经验和每日患者负荷,对医护人员的压力水平有显著影响。需要进一步研究以探索其他潜在影响,并完善针对该人群压力管理的干预措施。

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