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台灣南部某醫學中心員工工作壓力及相關危險因子

Work Stress among Staff at a Medical Center in Southern Taiwan

摘要


Objective: The work stress among the staff at medical centers in Taiwan is high because of the large service volume, teaching loads, and research activities. Previous studies on this issue have been focused on doctors and nurses and left out other staff members. Therefore, we conducted a study to evaluate the overall work stress at a medical center. Materials and Methods: We recruited workers working in a medical center in southern Taiwan between July 1 and August 31, 2008. Information on demographic characteristics was collected through a self-administrated questionnaire. Participants also reported habits of smoking, drinking, and regular exercise and completed a job content questionnaire. Results: There were 1770 workers participated in this study. We observed positive associations between work stress and age, gender, work category, in charge of patient care, shift work (all with p<0.01). After adjusting for other factors, we found a work history of 1-5 years (adjusted odds ratio [AOR]=1.79, 95% confidence interval [CI]: 1.13-2.83), a work history of 6-10 years (AOR=2.15, 95%CI=1.25-3.69), and a work history of >10 years (AOR=2.96, 95%CI=1.65-5.29), high education (AOR=2.27, 95%CI=1.20-4.31), shift work (AOR=1.65, 95%CI=1.19-2.30) and working as a nurse (AOR=2.12, 95%CI=1.50-2.99) and a physican (AOR=1.58, 95%CI=1.01-2.48) were independent risk factors of work stress. While age of 40-44 years (AOR=0.45, 95%CI=0.23-0.88), age>45 years (AOR=0.40, 95%CI=0.19-0.82) and administration (AOR=0.36, 95%CI=0.14-0.95) were protective factors. Conclusion: At the medical center, work stress is associated with seniority, age, shift work, and job category. Therefore, different strategies should be applied to intervention for work stress control.

並列摘要


Objective: The work stress among the staff at medical centers in Taiwan is high because of the large service volume, teaching loads, and research activities. Previous studies on this issue have been focused on doctors and nurses and left out other staff members. Therefore, we conducted a study to evaluate the overall work stress at a medical center. Materials and Methods: We recruited workers working in a medical center in southern Taiwan between July 1 and August 31, 2008. Information on demographic characteristics was collected through a self-administrated questionnaire. Participants also reported habits of smoking, drinking, and regular exercise and completed a job content questionnaire. Results: There were 1770 workers participated in this study. We observed positive associations between work stress and age, gender, work category, in charge of patient care, shift work (all with p<0.01). After adjusting for other factors, we found a work history of 1-5 years (adjusted odds ratio [AOR]=1.79, 95% confidence interval [CI]: 1.13-2.83), a work history of 6-10 years (AOR=2.15, 95%CI=1.25-3.69), and a work history of >10 years (AOR=2.96, 95%CI=1.65-5.29), high education (AOR=2.27, 95%CI=1.20-4.31), shift work (AOR=1.65, 95%CI=1.19-2.30) and working as a nurse (AOR=2.12, 95%CI=1.50-2.99) and a physican (AOR=1.58, 95%CI=1.01-2.48) were independent risk factors of work stress. While age of 40-44 years (AOR=0.45, 95%CI=0.23-0.88), age>45 years (AOR=0.40, 95%CI=0.19-0.82) and administration (AOR=0.36, 95%CI=0.14-0.95) were protective factors. Conclusion: At the medical center, work stress is associated with seniority, age, shift work, and job category. Therefore, different strategies should be applied to intervention for work stress control.

被引用紀錄


林俊佑(2013)。工作壓力與社會支持對職業倦怠、工作滿意及生活品質之影響-以臺灣地區自殺關懷訪視員為例〔碩士論文,中原大學〕。華藝線上圖書館。https://doi.org/10.6840/cycu201300935
陳宥蓁(2010)。醫院護理管理者工作壓力與工作壓力因應策略之研究〔碩士論文,中山醫學大學〕。華藝線上圖書館。https://doi.org/10.6834/CSMU.2010.00005
許靖岱(2011)。護理人員輪班現況調查〔碩士論文,長榮大學〕。華藝線上圖書館。https://doi.org/10.6833/CJCU.2011.00230
駱昭芬(2015)。社區醫院護理主管工作壓力與因應策略之關係研究〔碩士論文,義守大學〕。華藝線上圖書館。https://doi.org/10.6343/ISU.2015.00112
楊麗清(2016)。臺灣不同層級醫院之臨床護理人員其工作壓力源及心理健康之探討〔碩士論文,國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342/NTU201601341

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