临床医生工作压力源与应对方式的关系

Relationship between Clinicians' Professional Stressors and Coping Styles

目的考察临床医生工作压力源与应对方式的关系。方法以临床医生工作压力源量表、简易应对方式问卷为主要评价工具,对533名临床医生进行问卷调查。结果被调查者积极应对的总得分为2(2,3),消极应对的总得分为1(1,2);应对方式在婚姻状况、职称以及从医年限上的差异均有统计学意义(P<0.05);临床医生的工作压力源得分为2.63(2.34,2.89),外部环境及工作负荷是临床医生最主要的工作压力源;临床医生的工作压力源与积极应对呈显著负相关(r=-0.140,P<0.01),与消极应对呈显著正相关(r=0.292,P<0.01)。结论临床医生在面对挫折及压力时主要采取积极应对的方式;已婚的、职称高及工作年限长的临床医生的应对方式应重点关注;多采用积极应对方式,少用或不用消极应对方式可以缓解医生的工作压力程度。

Objective To explore the relationship between doctors＇ professional stressors and coping styles. Methods Using stratified sampling, totally 533 qualified participants were selected and assessed with Scale for Occupational Stressors on Clinician and Simplified Coping Style Questionnaire. Results The scores of active and passive coping styles were 2 （2, 3） and 1 （1, 2） ; there were significant differences （P 〈 0.05 ） in coping styles on positional titles, marriage and working life; the score of professional stressor was 2.63 （2.34, 2.89） ; external environment and work load were the most two professional stressors; professional stressors have significantly negative correlation with active coping styles （r=-0.140, P〈0.01）, and significantly positive correlation with passive coping styles （r=0.292, P〈 0.01 ）. Conclusion Positive coping style is the main way to face the setbacks and pressure for doctors ; married, high professional title and long working life of the clinician should be focused on ; the enhancement of active coping style and decrement of passive coping styles could alleviate the stressors among clinicians.