中华劳动卫生职业病杂志
中華勞動衛生職業病雜誌
중화노동위생직업병잡지
Chinese Journal of Industrial Hygiene and Occupational Diseases
2015年
10期
723-726
,共4页
戴俊明%华钰洁%张浩%黄丽%傅华
戴俊明%華鈺潔%張浩%黃麗%傅華
대준명%화옥길%장호%황려%부화
医务人员%隐性缺勤%职业应激%工作要求%社会支持
醫務人員%隱性缺勤%職業應激%工作要求%社會支持
의무인원%은성결근%직업응격%공작요구%사회지지
Medical staff%Presenteeism%Occupational stress%Job demand%Social support
目的 了解三甲医院医务人员职业应激和隐性缺勤现况,分析职业应激与隐性缺勤之间的关联.方法 2012年5至6月,采用分层随机抽样的方法对上海8家三甲医院的2 356名医务人员进行调查,所有调查对象知情同意并自主完成问卷填写.职业应激由职业应激核心问卷进行评估,隐性缺勤采用斯坦福隐性缺勤问卷评定.结果 调查对象中隐性缺勤得分均分为15.23±3.89,72.5％的调查对象自评为职业应激.不同年龄组、学历、岗位、工龄、职称、倒班组间隐性缺勤差异有统计学意义(均P＜0.05).不同职业应激指标中工作要求、自主性、社会支持及工作要求与自主比值组间隐性缺勤得分和高隐性缺勤率间差异均有统计学意义(P＜0.01).高工作要求、高工作要求与自主比值是高隐性缺勤的危险因素,OR值分别为2.56 (95％CI=2.01～3.27)、1.53(95％CI=1.23～1.90);而高社会支持是高隐性缺勤的保护因素,OR值为0.23(95％CI=0.18～0.29).结论 上海三甲医院医务人员职业应激程度越高,隐性缺勤程度越高,呈正相关.需要加大社会支持,以减少隐性缺勤所致工作效率损失.
目的 瞭解三甲醫院醫務人員職業應激和隱性缺勤現況,分析職業應激與隱性缺勤之間的關聯.方法 2012年5至6月,採用分層隨機抽樣的方法對上海8傢三甲醫院的2 356名醫務人員進行調查,所有調查對象知情同意併自主完成問捲填寫.職業應激由職業應激覈心問捲進行評估,隱性缺勤採用斯坦福隱性缺勤問捲評定.結果 調查對象中隱性缺勤得分均分為15.23±3.89,72.5％的調查對象自評為職業應激.不同年齡組、學歷、崗位、工齡、職稱、倒班組間隱性缺勤差異有統計學意義(均P＜0.05).不同職業應激指標中工作要求、自主性、社會支持及工作要求與自主比值組間隱性缺勤得分和高隱性缺勤率間差異均有統計學意義(P＜0.01).高工作要求、高工作要求與自主比值是高隱性缺勤的危險因素,OR值分彆為2.56 (95％CI=2.01～3.27)、1.53(95％CI=1.23～1.90);而高社會支持是高隱性缺勤的保護因素,OR值為0.23(95％CI=0.18～0.29).結論 上海三甲醫院醫務人員職業應激程度越高,隱性缺勤程度越高,呈正相關.需要加大社會支持,以減少隱性缺勤所緻工作效率損失.
목적 료해삼갑의원의무인원직업응격화은성결근현황,분석직업응격여은성결근지간적관련.방법 2012년5지6월,채용분층수궤추양적방법대상해8가삼갑의원적2 356명의무인원진행조사,소유조사대상지정동의병자주완성문권전사.직업응격유직업응격핵심문권진행평고,은성결근채용사탄복은성결근문권평정.결과 조사대상중은성결근득분균분위15.23±3.89,72.5％적조사대상자평위직업응격.불동년령조、학력、강위、공령、직칭、도반조간은성결근차이유통계학의의(균P＜0.05).불동직업응격지표중공작요구、자주성、사회지지급공작요구여자주비치조간은성결근득분화고은성결근솔간차이균유통계학의의(P＜0.01).고공작요구、고공작요구여자주비치시고은성결근적위험인소,OR치분별위2.56 (95％CI=2.01～3.27)、1.53(95％CI=1.23～1.90);이고사회지지시고은성결근적보호인소,OR치위0.23(95％CI=0.18～0.29).결론 상해삼갑의원의무인원직업응격정도월고,은성결근정도월고,정정상관.수요가대사회지지,이감소은성결근소치공작효솔손실.
Objective To investigate the current status of occupational stress and presenteeism among medical staff at grade A tertiary hospitals in Shanghai,China,and to analyze the association between occupational stress and presenteeism.Methods A total of 2356 healthcare workers from eight grade A tertiary hospitals in Shanghai were investigated by stratified random sampling.All the subjects were asked to complete self-administered questionnaires with informed consent.The occupational stress was assessed by the occupational stress core questionnaire.The presenteeism was evaluated by the Stanford Presenteeism Scale.Results In all subjects,the average score of presenteeism was 15.23±3.89,and 72.5％ felt occupational stress in self-evaluation.There were significant differences in the score of presenteeism between subjects with different ages,education levels,occupations,lengths of service,job titles,and shifts (all P＜0.05).There were significant differences in the score of presenteeism and the rate of high presenteeism between subjects with different indices of occupational stress,including job demand,control,social support,and demand-control ratio (P＜0.01).High job demand and high demand-control ratio were risk factors for high presenteeism (OR =2.56,95％ CI=2.01～3.27;OR=1.53,95％ CI =1.23～1.90).High social support was a protective factor for high presenteeism (OR=0.23,95％ CI=0.18～0.29).Conclusion The intensity of occupational stress in medical staff from grade A tertiary hospitals is positively correlated with the level of presenteeism.It is important to promote social support to reduce the loss of work efficiency due to presenteeism.
