深圳市医务人员职业紧张对生命质量影响的路径分析

doi:10.3969/j.issn.1006-3110.2021.10.004

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摘要目的调查深圳市医务人员的职业紧张和生命质量状况,定量分析职业紧张对生命质量的影响。方法采用分层随机抽样的横断面调查方法,调查使用自行设计的基本情况调查表和《职业紧张量表》《SF-36 量表》。共调查1 114名医务人员,获得合格问卷992份,使用路径分析等方法对资料进行统计分析。结果深圳市医务人员躯体健康评分、精神健康评分和总体生命质量评分分别为73.04±16.83、69.69±17.99和71.36±16.11,均低于中国常模。职业任务、个体紧张反应和个体应对资源间存在相关关系,三个维度与总体生命质量间也存在相关关系。路径分析发现性别和个体紧张反应对总体生命质量有直接效应;职业任务通过个体紧张反应为中介变量对总体生命质量产生间接效应;工龄既直接影响总体生命质量,也通过职业紧张的三个维度为中介变量间接影响总体生命质量;个体应对资源既直接影响总体生命质量,也通过个体紧张反应为中介变量间接影响总体生命质量。结论职业紧张影响医务人员生命质量,应加强对重点人群的关注,通过缓解职业紧张反应和增加应对资源的方式,改善和提升医务人员的生命质量。

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	靳淑雁
	张建明

关键词 ：职业紧张, 生命质量, 路径分析

Abstract：Objective To investigate the status of occupational stress and quality of life among medical professionals in Shenzhen City, and to quantitatively analyze the influence of occupational stress on quality of life. Methods The method of stratified random sampling was used to conduct a cross-sectional investigation with self-designed social demographic information questionnaire, the Occupational Stress Inventory Revised Edition and the Short-form 36 Health Status Questionnaire (SF-36). A total of 1,114 medical professionals were surveyed, and 992 qualified questionnaires were obtained. The data were statistically analyzed by path analysis and other methods. Results The scores of physical health, mental health and overall quality of life in the medical professionals in Shenzhen City were (73.04±16.83), (69.69±17.99), and (71.36±16.11), respectively, which were all lower than the national norms. There were correlations among occupational task, individual stress response and individual coping resources as well as among the three dimensions and the overall quality of life. Path analysis revealed that gender and individual stress response had direct effects on the overall quality of life. Occupational task had an indirect effect on the overall quality of life through individual stress response as a mediating variable. Length of service not only directly affected the overall quality of life, but also indirectly affected the overall quality of life through the three dimensions of occupational stress as mediating variables. Individual coping resources not only directly affected the overall quality of life, but also indirectly affected the overall quality of life through individual stress response as a mediating variable. Conclusion Occupational stress affects the quality of life of the medical staff. We should pay more attention to key populations, and improve the quality of life of the medical staff by relieving occupational stress and strengthening individual coping resources.

Key words： occupational stress quality of life path analysis

收稿日期: 2020-11-26

R135

基金资助:广东省医学科研基金(A2017476)

作者简介: 靳淑雁(1982-),女,硕士,主任医师,主要从事疾病控制方向研究工作。

引用本文:

靳淑雁, 张建明. 深圳市医务人员职业紧张对生命质量影响的路径分析[J]. 实用预防医学, 2021, 28(10): 1165-1168. JIN Shu-yan, ZHANG Jian-ming. Path analysis on the impact of occupational stress on quality of life among medical staff in Shenzhen City. , 2021, 28(10): 1165-1168.

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https://www.syyfyx.com/CN/10.3969/j.issn.1006-3110.2021.10.004 或 https://www.syyfyx.com/CN/Y2021/V28/I10/1165

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