摘要 目的了解三甲医院医务人员职业生命质量(quality of working life ,QWL)的现状,探讨职业生命质量与职业紧张的关系.方法 采用职业生命质量量表(Quality of Work Life Scale ,QWL7-32)和职业紧张量表(occupational stress inventory revised edition , OSI-R)对227名三甲医院医务人员进行调查并比较分析调查结果.结果 ①男性的QWL得分显著高于女性(P<0.01);低学历组QWL得分显著低于高学历组(P<0.01);医生的QWL得分显著高于护士(P<0.01);高级职称组的QWL得分显著高于初中级职称组(P<0.01).②QWL得分与职业任务得分,个体紧张反应得分呈负相关关系,QWL得分与个体应对资源得分呈正相关关系(P<0.01).③不同程度职业紧张组的QWL得分差异具有统计学意义(P<0.001),且QWL得分随紧张程度增加有下降趋势.④经多元线性回归分析,个体紧张反应(B=-0.418,P=0.000),职业(B=-0.925,P=0.000)及职业任务(B=-0.176,P=0.002)与职业生命质量呈负相关关系..结论 职业生命质量受个体紧张反应,职业及职业任务的影响,且职业生命质量与职业紧张呈负相关关系.
Abstract：ObjectiveTo assess quality of working life (QWL) and occupational stress and their association among medical workers in 3 A grade hospital. MethodsThe Quality of Work Life Scale (QWL7-32) and Occupational Stress Inventory Revised Edition (OSI-R) were administered to 227 medical workers in 3 A grade hospital. The association between occupational stress and quality of working life was analyzed. Results①The QWL scores of male were significantly higher than female(P<0.01);The QWL scores of lower educational group were significantly lower than higher educational group(P<0.01);The QWL scores of doctor were significantly higher than nurse(P<0.01);The QWL scores of senior title group were significantly higher than female(P<0.01)②The QWL scores were negatively correlated with the occupational roles questionnaire (ORQ )and personal strain questionnaire( PSQ )scores , and positively correlated with the personal resources questionnaire (PRQ) scores(P<0.01). ③The QWL scores declined with the increase of stress levels(P<0.05). ④In the multiple linear regression analysis,PSQ(B=-0.418,P=0.000),vocational(B=-0.925,P=0.000) and ORQ(B=-0.176,P=0.002) still showed a significant negative correlation with the quality of working life(QWL) . ConclusionPSQ,vocational and ORQ had a significant impact on quality of working life ; Occupational stress showed a significant negative correlation with the quality of working life ..
朱陶, 张树山, 兰亚佳, 李健. 南充市三甲医院医务人员职业生命质量与职业紧张的关系研究[J]. 实用预防医学, 2016, 23(2): 151-153.
ZHU Tao, ZHANG Shu-shan, LAN Ya-jia, LI Jian. Study on the association of quality of working life with occupational stress among medical workers in 3 A grade hospital of Nanchong. , 2016, 23(2): 151-153.
[1] 艾素梅.医生职业紧张状况及相关因素分析[J].中国公共卫生,2012,28(8):1106-1107. [2] 吴辉,迟铁爽,王甲娜等.医生紧张反应的影响因素分析[J].实用预防医学,2009,16(5):1384-1386. [3] 赵阳,王烈,吴辉等.抚顺市医务人员职业紧张状况的调查[J].职业与健康,2010,26(7):733-735. [4] Nadler DA, Lawler EE. Quality of Work Life:Perspectives and Directions[J]. Organ Dyn, 1983,11(3) : 20-30. [5] Raduan Che R, LooSee B, Jegak U, et al. Quality of work life : implications of career dimensions. J Soc Sci, 2006, 2(2):61-67. [6] 李健,朱陶,陈赛男等.律师职业紧张与职业生命质量的关系研究[J].中华疾病控制杂志,2013,17(9):806-808. [7] 张琴,兰亚佳,陈红梅.职业紧张与职业生命质量的关系研究[J].四川大学学报(医学版),2011,42(4):540-543. [8] 李健,兰亚佳,王治明等.职业紧张量表(OSI-R)的信度和效度验证[J].中华劳动卫生职业病杂志,2001,19(3):190-193. [9] 谢轶琼.职业生命质量量表研制及其在中小学教师中的应用.四川:四川大学,2008 [10] 李煜.医务人员职业紧张与健康[J].海南医学,2010,21( 19) :128 -129. [11] 柳晓琳,刘艳军,李鸿等.医务工作者生存质量及影响因素调查[J].环境与职业医学,2009,26(4):399-402. [12] 牟敬锋,兰亚佳,陈希宁等.石油钻探工人职业生命质量及影响因素分析[J].现代预防医学,2011,38(2):211-214. [13] 荆春霞,王声勇,吴赤蓬等.眼科医务人员生存质量的典型相关分析[J].中国公共卫生,2005,21(6):722-723.
2016, Vol. 23 
