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新生儿重症监护病房(NICU)医护人员的工作压力:来自印度卡纳塔克邦的多中心合作研究

Work-Related Stress among Healthcare Providers at Neonatal Intensive Care Unit (NICU): A Multicentric Collaborative Study from Karnataka, India.

作者信息

Deepak Diksha, Korwar Mahalaxmi, Bharadwaj Shruthi K, Aradhya Abhishek Somasekhara, Kallesh Anil, Urs Prashant S, Venkatagiri Praveen, Singh Alok, Glory Hellan, Sukumar Gautham M, Agarwal Akanksha, Mathai Sheila S, Rao Anjana, Itihas Anup, Anusree C, Sonnappa Sreenath, Patil Chinmaya, Thippeswamy Harish

机构信息

Department of Pediatrics, Ovum Woman and Child Specialty Hospital, Hoskote, Bangalore, Karnataka, India.

Department of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, Karnataka, India.

出版信息

Indian J Occup Environ Med. 2025 Apr-Jun;29(2):167-171. doi: 10.4103/ijoem.ijoem_347_24. Epub 2025 Jun 13.

Abstract

BACKGROUND

Work-related stress in healthcare professionals can negatively affect the quality of healthcare delivered, particularly in high-stress environments like the Neonatal Intensive Care Units (NICU).

OBJECTIVES

We examined the prevalence of work stress and common stressors among healthcare providers in the NICU.

METHOD

Consenting NICU healthcare providers across eight NICUs in Karnataka State participated in the study. Stress and psychological distress were examined using the Tool to Assess and Classify Work-Related Stress (TAWS-16) and the Kessler Psychological Distress (K10).

RESULTS

Among 171 participants, the prevalence of work stress was 32.7%, with 19.3% reporting stress symptoms and 38.6% experiencing psychological distress. Key stressors included meeting deadlines (80.7%), performing multiple roles (69.6%), long hours of work (60.3%), and unsatisfactory remuneration (61.4%). NICU mortality (OR = 1.13, 95% CI 1.025-1.26, = 0.019) and being a trainee (OR = 2.33, 95% CI 1.08-5.02, = 0.03) posed a higher risk for occupational stress.

CONCLUSIONS

Nearly one-third of healthcare professionals in NICU reported stress and psychological distress at the workplace. Study findings highlight the need to lower NICU mortality and enhance organizational support for trainee staff.

摘要

背景

医疗保健专业人员的工作压力会对所提供的医疗保健质量产生负面影响,尤其是在新生儿重症监护病房(NICU)这样的高压力环境中。

目的

我们调查了NICU医护人员的工作压力患病率和常见压力源。

方法

卡纳塔克邦八个NICU中同意参与研究的医护人员参与了该研究。使用工作相关压力评估和分类工具(TAWS - 16)和凯斯勒心理困扰量表(K10)来评估压力和心理困扰。

结果

在171名参与者中,工作压力患病率为32.7%,其中19.3%报告有压力症状,38.6%存在心理困扰。主要压力源包括按时完成任务(80.7%)、承担多种角色(69.6%)、长时间工作(60.3%)和薪酬不满意(61.4%)。NICU死亡率(OR = 1.13,95%CI 1.025 - 1.26,P = 0.019)和作为实习生(OR = 2.33,95%CI 1.08 - 5.02,P = 0.03)会带来更高的职业压力风险。

结论

近三分之一的NICU医护人员报告在工作场所存在压力和心理困扰。研究结果强调了降低NICU死亡率以及加强对实习人员组织支持的必要性。

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