江苏省医务人员付出-回报失衡、组织支持与抑郁症状的关系研究
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摘要
目的探讨医务人员付出-回报失衡、组织支持与抑郁症状的关系,为提高医务人员心理健康水平提供参考。方法分层抽取江苏省1696名医务人员进行调查,付出-回报失衡(ERI)量表、组织支持感量表(POS)、12题一般健康问卷(GHQ-12)分别测量医务人员付出-回报状况、组织支持与抑郁症状,分层嵌套Logistic回归探索三者之间的关系。结果 52.06%的医务人员处于付出-回报失衡工作模式(ERI>1),45.87%的处于超负荷状态;医务人员抑郁症状检出率为31.07%。分层回归分析表明,付出-回报失衡(OR=1.68,95%CI:1.28～2.20)、超负荷(OR=2.43,95%CI:2.03～2.92)是医务人员的抑郁症状发生的危险因素,组织支持感降低医务人员抑郁症状(OR=0.76,95%CI:0.67～0.86)。结论合理的工作负担、经济激励和组织支持能够提高医务人员的心理健康。
Objective To explore Effort-reword Imbalance,perceived organizational support and depression symptoms among medical staff,which was to provide references for improving the mental health of medical staff.Methods Totally 1696 medical staff in Jiangsu Province were surveyed,with Effort-reward Imbalance(ERI)Questionnaire,Perceived Organizational Support Questionnaire(POS)and 12-item General Health Questionnaire(GHQ-12).Hierarchical Logistic regression analyses was used to explore the relationships between them.Results 52.06% of medical staff were exposed in ERI,and 45.87% of them were overloaded,31.07% of them were depressed.Logistic regression analyses revealed ERI was significantly associated with higher odds of being depressed(OR=1.68,95%CI:1.28～2.20),overloaded was associated with higher odds of depressive symptoms(OR=2.43,95%CI:2.03～2.92).Perceived organizational support among medical staff was related to significantly decreased odds of depressed(OR=0.76,95%CI:0.67～0.86).Conclusion The extrinsic reasonable workload,rewards and organizational support among medical staff suggest specific actions to improve their mental health.
Objective To explore Effort-reword Imbalance,perceived organizational support and depression symptoms among medical staff,which was to provide references for improving the mental health of medical staff.Methods Totally 1696 medical staff in Jiangsu Province were surveyed,with Effort-reward Imbalance(ERI)Questionnaire,Perceived Organizational Support Questionnaire(POS)and 12-item General Health Questionnaire(GHQ-12).Hierarchical Logistic regression analyses was used to explore the relationships between them.Results 52.06% of medical staff were exposed in ERI,and 45.87% of them were overloaded,31.07% of them were depressed.Logistic regression analyses revealed ERI was significantly associated with higher odds of being depressed(OR=1.68,95%CI:1.28～2.20),overloaded was associated with higher odds of depressive symptoms(OR=2.43,95%CI:2.03～2.92).Perceived organizational support among medical staff was related to significantly decreased odds of depressed(OR=0.76,95%CI:0.67～0.86).Conclusion The extrinsic reasonable workload,rewards and organizational support among medical staff suggest specific actions to improve their mental health.
引文
[1] 刘丽君,宋凤宁,陈曦.医务人员的心理资本、组织支持与工作投入关系的路径分析.中国卫生统计,2017,34(5):733-735.
[2] 张燕,肖涛,刘哲宁,等.以人为本心理干预模式在医疗纠纷防控中的应用.中国医院管理,2012,32(12):51-52.
[3] 冀永娟,衡中玉,项紫霓,等.青岛市551名医务人员心理健康状况及其影响因素分析.中国健康教育,20 15,31(6):577-580.
[4] Brooks SK,Gerada C,Chalder T.Review of literature on the mental health of doctors:are specialist services needed?.J Ment Health,2011,20(2):146-156.
[5] Siegrist J.Adverse health effects of high-effort low-reward.J Occup Health Psychol,1996,1(1):27-41.
[6] 李秀央,郭永松,张扬.付出-获得不平衡量表中文版的信度和效度.中华流行病学杂志,2006,27(1):25-28.
[7] 楚克群,宋国萍.付出-回馈失衡工作压力理论的迁移、拓展与展望.心理科学进展,2016,24(2):242-249.
[8] Eisenberger R,Huntington R,Hutchison S,et al.Perceived organizational support.J Appl Psychol,1986,71(3):500-507.
[9] 杨永利.组织支持感、心理资本与医生工作绩效和抑郁倾向的关系及作用研究.中国医院,2013,17(4):27-29.
[10] 刘利,高菲,赵雪,等.职业紧张、组织支持感对综合性医院医生抑郁症状的影响.中国卫生统计,2015,32(2):311-312+316.
[11] Bell T,Watson M,Sharp D,et al.Factors associated with being a false positive on the General Health Questionnaire..Soc P-sychiatry Psychiatr Epidemiol,2005,40(5):402-407.
[12] Liang Y,Wang L,Yin X.The factor structure of the 12-item general health questionnaire(GHQ-12)in young Chinese civil servants.Health Qual Life Out,2016,14(1):136.
[13] Cossar R,Stoové M,Kinner SA,et al.The associations of poor psychiatric well-being among incarcerated men with injecting drug use histories in Victoria,Australia.Health & Justice,2018,6(1):1.
[14] 王阳,隋国媛,王烈.医生组织支持感及心理资本与抑郁症状关系.中国公共卫生,2012,28(5):679-681.
[15] 邓磊,向仕婷,沈颖,等.某三甲综合医院青年医务工作者心理健康状况研究.中国现代医学杂志,2016,26(19):128-131.
[16] 郝树伟,周丽丽,孙树勇,等.公务员心理健康、职业倦怠现状及影响因素.中国健康心理学杂志,2014,22(6):844-846.
[17] 杨晨,陈饶,胡晓,等.中国城乡老年人抑郁症状及其影响因素差异的分析.中华流行病学杂志,2017,38(8):1088-1093.
[18] 张建江,贾继民,田华,等.付出-回报失衡对新疆某地新入伍军人睡眠质量的影响.环境与职业医学,2015,32(11):1008-1012.
[19] 张建江,贾继民,陶宁,等.某机械装备密闭空间作业人员付出-回报失衡对工作满意度的影响.环境与职业医学,2016,33(11):1063-1068.
[2] 张燕,肖涛,刘哲宁,等.以人为本心理干预模式在医疗纠纷防控中的应用.中国医院管理,2012,32(12):51-52.
[3] 冀永娟,衡中玉,项紫霓,等.青岛市551名医务人员心理健康状况及其影响因素分析.中国健康教育,20 15,31(6):577-580.
[4] Brooks SK,Gerada C,Chalder T.Review of literature on the mental health of doctors:are specialist services needed?.J Ment Health,2011,20(2):146-156.
[5] Siegrist J.Adverse health effects of high-effort low-reward.J Occup Health Psychol,1996,1(1):27-41.
[6] 李秀央,郭永松,张扬.付出-获得不平衡量表中文版的信度和效度.中华流行病学杂志,2006,27(1):25-28.
[7] 楚克群,宋国萍.付出-回馈失衡工作压力理论的迁移、拓展与展望.心理科学进展,2016,24(2):242-249.
[8] Eisenberger R,Huntington R,Hutchison S,et al.Perceived organizational support.J Appl Psychol,1986,71(3):500-507.
[9] 杨永利.组织支持感、心理资本与医生工作绩效和抑郁倾向的关系及作用研究.中国医院,2013,17(4):27-29.
[10] 刘利,高菲,赵雪,等.职业紧张、组织支持感对综合性医院医生抑郁症状的影响.中国卫生统计,2015,32(2):311-312+316.
[11] Bell T,Watson M,Sharp D,et al.Factors associated with being a false positive on the General Health Questionnaire..Soc P-sychiatry Psychiatr Epidemiol,2005,40(5):402-407.
[12] Liang Y,Wang L,Yin X.The factor structure of the 12-item general health questionnaire(GHQ-12)in young Chinese civil servants.Health Qual Life Out,2016,14(1):136.
[13] Cossar R,Stoové M,Kinner SA,et al.The associations of poor psychiatric well-being among incarcerated men with injecting drug use histories in Victoria,Australia.Health & Justice,2018,6(1):1.
[14] 王阳,隋国媛,王烈.医生组织支持感及心理资本与抑郁症状关系.中国公共卫生,2012,28(5):679-681.
[15] 邓磊,向仕婷,沈颖,等.某三甲综合医院青年医务工作者心理健康状况研究.中国现代医学杂志,2016,26(19):128-131.
[16] 郝树伟,周丽丽,孙树勇,等.公务员心理健康、职业倦怠现状及影响因素.中国健康心理学杂志,2014,22(6):844-846.
[17] 杨晨,陈饶,胡晓,等.中国城乡老年人抑郁症状及其影响因素差异的分析.中华流行病学杂志,2017,38(8):1088-1093.
[18] 张建江,贾继民,田华,等.付出-回报失衡对新疆某地新入伍军人睡眠质量的影响.环境与职业医学,2015,32(11):1008-1012.
[19] 张建江,贾继民,陶宁,等.某机械装备密闭空间作业人员付出-回报失衡对工作满意度的影响.环境与职业医学,2016,33(11):1063-1068.