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医疗保健专业人员和工作者工作中的社会心理因素与常见精神障碍

Psychosocial factors at work and common mental disorders in health care professionals and workers.

作者信息

do Vale Mariana Aguiar, Biasi Evelyn Yamashita, de Lucca Sergio Roberto

机构信息

Psicologia, Centro Universitário de Adamantina, Adamantina, SP, Brazil.

Faculdade de Educação, Núcleo de Estudos do Trabalho, Saúde e Subjetividade (NETS), Unicamp, Campinas, SP, Brazil.

出版信息

Rev Bras Med Trab. 2025 Aug 25;23(1):e20251421. doi: 10.47626/1679-4435-2025-1421. eCollection 2025 Jan-Mar.

Abstract

INTRODUCTION

Psychosocial factors at work arise from the interactions between the organizational environment and the individual characteristics of workers, potentially affecting health, performance, and job satisfaction.

OBJECTIVES

To investigate psychosocial work factors and the prevalence of psychological distress among health care professionals and workers in a general hospital.

METHODS

A convenience sample of 157 participants was analyzed. Quantitative data were collected using a sociodemographic questionnaire, the Health Safety Executive - Indicator Tool for assessing psychosocial work factors, and the Self-Reporting Questionnaire to screen for psychological distress. Qualitative data were gathered from three focus groups divided by job roles - nurses, nursing technicians, and administrative staff - totaling 20 volunteers.

RESULTS

The prevalence of common mental disorders among health care professionals and workers was 36%. An association was found between domains of the Health Safety Executive - Indicator Tool and psychological distress in health care professionals, particularly in the variables Colleague Support, Supervisor Support, and Communication. Among health care workers, this association was also observed in Demand, Relationships, Control, Supervisor Support, and Communication.

CONCLUSIONS

Qualitative data highlighted the relevance of psychosocial factors in psychological distress. Sharing these findings with the health care organization is expected to lead to prompt concrete organizational and management actions to implement strategies to minimize psychosocial stressors affecting the health and well-being of workers.

摘要

引言

工作中的社会心理因素源于组织环境与员工个人特征之间的相互作用,可能会影响健康、工作表现和工作满意度。

目的

调查综合医院医护人员和工作人员的社会心理工作因素及心理困扰的患病率。

方法

对157名参与者的便利样本进行分析。使用社会人口学问卷、用于评估社会心理工作因素的健康与安全执行局指标工具以及用于筛查心理困扰的自填问卷收集定量数据。定性数据来自按工作角色划分的三个焦点小组——护士、护理技术员和行政人员,共有20名志愿者。

结果

医护人员和工作人员中常见精神障碍的患病率为36%。在健康与安全执行局指标工具的各领域与医护人员的心理困扰之间发现了一种关联,特别是在同事支持、上级支持和沟通等变量方面。在医护工作者中,在需求、人际关系、控制、上级支持和沟通等方面也观察到了这种关联。

结论

定性数据突出了社会心理因素在心理困扰中的相关性。与医疗机构分享这些发现有望促使其迅速采取具体的组织和管理行动,以实施相关策略,尽量减少影响员工健康和福祉的社会心理压力源。

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