心臟科醫師工作壓力與身心健康之關係

Elucidating the Relationships between Physician Job Strains and Health

陳端容(Duan-Rung Chen) ； 鍾政達(Cheng-Ta Chung)

《醫護科技學刊》 7卷4期 (2005/10) Pp. 379-392

https://doi.org/10.6563/TJHS.2005.7(4).5

摘要

醫師的身心健康研究向為研究者忽略，本研究以心臟專科醫師為研究對象，探討影響醫師身心健康的多重因子。研究變項包括個人特質、工作情境、醫院特性、醫師工作壓力源量表、負荷－控制工作壓力模式(Job Demand Control)以及身心健康狀況等。以中國人健康量表問卷(Chinese Health Questionnaire)12題版本，測量醫師輕度憂鬱傾向狀況。研究結果顯示，回收之131位心臟科醫師的工作壓力來源首推醫病關係及其引發的醫療爭議(64.6%)，其次為處理心肌梗塞(62.3%)與執行侵入性檢查及治療(59.2%)，合併多種疾病之心臟病患(54.6%)，然而多變項分析卻指出醫院組織壓力（包括競爭評比、績效獎金、同仁互動等）與醫師的輕度憂鬱傾向有關，顯示病患治療的壓力可以預期與調適，反倒是來自工作職場的壓力成為身心健康的潛在殺手，值得醫界與學者注意。多變項分析亦支持負荷－控制模式對醫師輕度憂鬱傾向與自評健康的預測力。未來研究應該針對醫師族群的工作條件，以及工作職場的社會心理環境，進行長時間的追蹤研究，以有效提昇醫師的工作環境品質。

關鍵字

醫師 ； 工作壓力 ； 身心健康

並列摘要

Physician health has been largely ignored. This study assessed the principal factors associated with physician health in a cardiologist sample group. Job Demand Control model was applied to assess the psychosocial environment in which physicians work. Mental health was measured using the Chinese Health Questionnaire. Self-reported health status was also examined. A total of 131 cardiologists responded to questionnaires. Multiple logistic regression results demonstrated that physician self-reported health status was associated to stressors related to hospital management and the health care environment. Job strain was significantly associated with minor psychiatric distress. Employment in a medical center and or as managerial staff was a health risk factor for cardiovascular disease. Preliminary results indicate that more objective physiological indictors assessing health are needed.

並列關鍵字

Physicians ； job strain ； health status

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