Bourbonnais R, Comeau M, Vézina M, Dion G
Department d'Ergothérapie, Faculté de Médecine, Université Laval, Québec, Canada.
Am J Ind Med. 1998 Jul;34(1):20-8. doi: 10.1002/(sici)1097-0274(199807)34:1<20::aid-ajim4>3.0.co;2-u.
The first phase of this longitudinal study consisted of a questionnaire completed by a cohort of 1,891 nurses (aged 23-65 years) from six acute care hospitals from the province of Québec. This study was set up to investigate the association between the psychosocial environment of work and mental health. After adjusting for confounding factors, a combination of high psychological demands and low decision latitude was associated with psychological distress and emotional exhaustion, one of the three dimensions of burnout. Social support at work, although associated with each of the mental health indicators, did not modify their association with job strain. The present study identified conditions of the work environment that are modifiable and provide the basis for interventions that focus beyond the modification of individual coping strategies.
这项纵向研究的第一阶段包括一份问卷，该问卷由来自魁北克省六家急症护理医院的1891名护士（年龄在23至65岁之间）填写。这项研究旨在调查工作中的社会心理环境与心理健康之间的关联。在对混杂因素进行调整后，高心理需求和低决策自由度的组合与心理困扰和情绪耗竭相关，情绪耗竭是职业倦怠的三个维度之一。工作中的社会支持虽然与各项心理健康指标相关，但并未改变它们与工作压力的关联。本研究确定了可改变的工作环境条件，并为超越个体应对策略调整的干预措施提供了依据。
