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

10.30027/CJOM.201004.0003

邱偉嘉(Wei-Chia Chiu)；蘇世斌(Shih-Bin Su)；黃建元(Chien-Yuan Huang)

輪班工作 ； 工作壓力 ； 工作特質量表Job Content Questionnaire ； shift work ； work stress ； job content questionnaire

中華職業醫學雜誌

17卷2期（2010 / 04 / 02）

93 - 104

繁體中文

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.

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.

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