Sims J
Department of General Practice and Primary Care, St George's Hospital Medical School, London.
Br J Gen Pract. 1997 Sep;47(422):577-82.
Recent surveys have highlighted sources of stress for UK general practitioners (GPs). Interventions to reduce stress in general practice have been introduced at both an individual and an organizational level, but there is little published evidence of their effectiveness. This paper systematically reviews the literature and reports that the research evidence from stress management programmes employed with other workforces is equivocal. Results so far suggest that relaxation and cognitive behavioural skills are helpful and that group methods are both more cost-effective and more beneficial than individual counselling. It is important for scientific, practical, and financial reasons that stress management programmes be properly evaluated. This paper suggests possible avenues for future interventions to alleviate stress.
最近的调查突出了英国全科医生（GP）面临的压力源。在个人层面和组织层面都已引入减少全科医疗中压力的干预措施，但几乎没有已发表的证据表明这些措施的有效性。本文系统地回顾了文献，并报告称，与其他劳动力群体所采用的压力管理计划相关的研究证据并不明确。目前的结果表明，放松和认知行为技能是有帮助的，而且团体方法比个人咨询更具成本效益且更有益。出于科学、实践和财务方面的原因，对压力管理计划进行适当评估很重要。本文提出了未来减轻压力干预措施的可能途径。
