Prosser D, Johnson S, Kuipers E, Szmukler G, Bebbington P, Thornicroft G
Maudsley Continuing Care Study, Institute of Psychiatry, London.
Br J Psychiatry. 1996 Sep;169(3):334-7. doi: 10.1192/bjp.169.3.334.
Concerns have been expressed that staff burnout may make community mental health care difficult to sustain. This study compares stress and job satisfaction between community and hospital-based staff.
The GHQ-12, the Maslach Burnout Inventory and a job satisfaction measure were used to study 160 Inner London staff.
Community staff scored significantly higher on the GHQ-12 and the "emotional exhaustion' component of the Maslach Burnout Inventory than hospital-based in-patient, day care or out-patient staff. Satisfaction did not vary significantly between settings.
These results may be explained in several ways. Community work may be inherently more stressful than hospital work, or may currently be stressful because of inadequate resources, training or supervision. The results may also reflect widespread recent changes in community services or the specific effects of working in a deprived area.
有人担心员工倦怠可能会使社区精神卫生保健难以持续。本研究比较了社区工作人员和医院工作人员的压力及工作满意度。
使用一般健康问卷-12（GHQ-12）、马氏工作倦怠量表和一项工作满意度测量工具对160名伦敦市中心的工作人员进行研究。
社区工作人员在GHQ-12以及马氏工作倦怠量表的“情感耗竭”分量表上的得分显著高于医院的住院部、日间护理部或门诊部工作人员。不同工作环境下的满意度没有显著差异。
这些结果可以从几个方面来解释。社区工作本身可能比医院工作压力更大，或者目前由于资源不足、培训不够或监督不力而压力较大。这些结果也可能反映了社区服务近期的广泛变化，或者在贫困地区工作的特定影响。
