内蒙古地区临床医生职业紧张与生活质量及慢性病的关系

Occupational stress and quality of life and chronic diseases of clinicians in Inner Mongolia

目的评价内蒙古地区临床医生职业紧张和生活质量状况,分析职业紧张与生活质量、慢性病的关系。方法采用职业紧张量表(OSI-R)和生活质量量表(SF-36)对抽取的内蒙古地区部分医院的临床医生进行调查。结果内蒙古地区临床医生的职业任务问卷得分(188.59±23.52)、个体紧张反应问卷得分(106.73±18.89)高于常模,应对资源问卷得分(119.41±21.42)低于常模(P<0.05)。生理健康得分(307.18±83.27)、心理健康得分(274.60±96.59)均低于常模(P<0.05)。职业任务得分、个体紧张反应得分与生理健康得分、心理健康得分呈负相关,应对资源得分与生理健康得分、心理健康得分呈正相关(P<0.05)。个体紧张反应得分与消化性溃疡呈正相关且其关联强度(OR)最大为7.52,与睡眠障碍的发生亦呈正相关。结论内蒙古地区临床医生的职业紧张度较高,生活质量较低,职业紧张影响生活质量并与慢性病的发生存在相关性。

[Objective]To evaluate the occupational stress and quality of life of clinicians in Inner Mongolia,and to analyze the relationship between occupational stress and quality of Life,chronic diseases in Clinicians. [Methods ] The clinicians of some hospitals in Inner Mongolia were investigated by Occupational Stress Inventory-Revised（OSI-R） and the Mos 36-item Short Form Health Survey（SF-36）. [Results] The scores of occupational role questionnaire（ORQ,188.59 ±23.52） and personal strain questionnaire（PSQ,106.73 ±18.89）of clinician were higher than the norm,while the score of personal resources questionnaire（PRQ,119.41±21.42） was on the contrary（P〈0.05）. The scores of physical health（307.18±83.27） and mental health（274.60±96.59） were lower than the norm（P〈0.05）. The ORQ and PSQ scores were negatively correlated with the physical health and mental health scores,and the PRQ were negatively correlated with the physical health and mental health scores（P〈0.05）. The PSQ scores were positively correlated with peptic ulcer and the maximum intensity（OR） was 7.52,which was also positively correlated with neurasthenia. [Conclusion] The clinicians in Inner Mongolia have higher degree of occupational stress and lower degree of quality of life,occupational stress affects the quality of life,and associates with chronic diseases.