新疆边远地区医院CT室工作人员觉察压力的影响因素分析

Analysis on influencing factor of perceived stress of CT room staff in hospitals in remote areas of Xinjiang

目的了解新疆边远地区医院计算机断层扫描(computed tomography,CT)室工作人员觉察压力的影响因素,为制定压力干预策略提供参考。方法2020年8月—2021年2月选取新疆边远地区11所综合性医院CT室工作人员175例作为调查对象,采用觉察压力量表、睡眠状况量表和休闲满意度量表进行调查,并对数据进行分析。结果年龄23~<35岁、患有结节、轮班有夜班、日工作时间≥9 h、工龄1~5 a的工作人员觉察压力得分显著高于年龄≥35岁、无结节、轮班无夜班、日工作时间8~<9 h、其他工龄段的工作人员(均P<0.01),教育程度硕士及以上、成就动机感一般或较弱工作人员觉察压力得分显著低于其他教育程度、成就动机感较强工作人员(均P<0.01)。觉察压力与轮班情况、日工作时间呈显著正相关(r=0.326、0.413,均P<0.01),与年龄、教育程度、工龄、成就动机感、患结节情况、睡眠状况及休闲满意度均呈负相关(r=-0.256、-0.218、-0.278、-0.364、-0.433、-0.467、-0.403,均P<0.01)。睡眠状况、休闲满意度对觉察压力的预测作用有统计学意义(β=-0.207、-0.203,均P<0.01)。结论新疆边远地区医院CT室工作人员觉察压力具有一定的人口学特征,与患结节情况、日工作时间、睡眠状况和休闲满意度等因素具有密切关系。应采取有效措施减轻或预防CT室工作人员的觉察压力问题。

Objective To understand the influencing factor of perceived stress among workers in computed tomography(CT)room of hospitals in remote areas of Xinjiang,provide the basis for provides a reference for formulating stress intervention strategies.Methods Totally 175 workers in CT room of 11 general hospitals in remote areas of Xinjiang were selected as the subjects from August 2020 to February 2021,who were investigated by the perceived stress scale,self-rating scale of sleep and leisure satisfaction scale,and the data were analyzed.Results The score of perceived stress of workers with age of 23-<35 years old,suffering from nodules,night shifts,daily working time≥9 hours,and working age of 1-5 years were significantly higher than those with age of≥35 years old,without nodules,without night shifts,daily working time of 8-<9 hours,and in other working age groups(all P<0.01).The scores of perceived stress of workers with master degree and above,general or weak sense of achievement motivation were significantly lower than those with other education degree,strong sense of achievement motivation(all P<0.01).Perceived stress was significantly positively correlated with shift and daily working time(r=0.326,0.413,both P<0.01),negatively correlated with age,education level,length of service,sense of achievement motivation,nodules status,sleep status,and leisure satisfaction(r=-0.256,-0.218,-0.278,-0.364,-0.433,-0.467,-0.403,all P<0.01).The predictive effects of sleep status and leisure satisfaction on perceived stress were statistically significant(β=-0.207,-0.203,both P<0.01).Conclusions The perceived stress of the CT room staff in hospitals in remote areas of Xinjiang has certain demographic characteristics,and is closely related to the nodules situation,daily working time sleep status,and leisure satisfaction.Effective measures should be taken to reduce or prevent the perceived stress of the CT room staff.