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Psychological stress among hospital doctors caring for HIV patients in the late nineties.

机译:九十年代末期,照顾艾滋病毒患者的医院医生的心理压力。

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To assess stress and satisfaction related to HIV medical work and its impact on psychological wellbeing, a cross-sectional study was undertaken among the population of doctors caring for HIV/AIDS patients in French hospitals. They were sent a questionnaire on demographic and professional characteristics along with three additional scales: the Consultants Mental Health Questionnaire with three components - stress, satisfaction and responses to job stress; the Maslach Burnout Inventory; and the GHQ-12 (General Health Questionnaire). A total of 670 physicians responded anonymously (65.4% participation). For 45% of respondents, HIV/AIDS represented less than 25% of their activity. Three dimensions were extracted by multivariate analysis from the stress scale (overload, social relationships at work, patients/family distress) and four dimensions from the satisfaction scale (work content, patients/family, peer recognition, work environment). Length of time working in HIV/AIDS, and proportion of clinical work in HIV/AIDS were not related to either stress or satisfaction. Only participation in NGOs increased the level of stress. Stress was not related to time spent in clinical work, neither to HIV work. Satisfaction derived from work decreases with time in direct contact with patients and is mainly related to the position in hospital. Eleven per cent sought help from professionals for psychological problems. Stress derived from patients suffering was not related to any psychological outcomes. Work overload and stress derived from social relationships at work are the main predictors of psychological distress, emotional exhaustion and depersonalization, while the moderator effect of satisfaction is weak. In the late nineties, the amount of HIV work did not appear as a specific feature of hospital medical work.
机译:为了评估与HIV医疗工作有关的压力和满意度及其对心理健康的影响,在法国医院中,对照顾HIV / AIDS患者的医生人群进行了横断面研究。他们向他们发送了有关人口统计学和专业特征的调查表以及其他三个量表:顾问心理健康调查表,包括三个部分-压力,满意度和对工作压力的反应; Maslach倦怠量表;和GHQ-12(一般健康问卷)。共有670位医生进行了匿名回复(参与率达65.4%)。在45%的受访者中,艾滋病毒/艾滋病所占活动不足25%。通过多变量分析从压力量表(超负荷,工作中的社会关系,患者/家庭苦恼)中提取三个维度,从满意度量表中提取四个维度(工作内容,患者/家庭,同伴认同,工作环境)。在艾滋病毒/艾滋病中工作的时间长短和在艾滋病毒/艾滋病中的临床工作比例与压力或满意度无关。只有参与非政府组织会增加压力水平。压力与花在临床工作上的时间无关,也与艾滋病毒工作无关。与患者直接接触时,工作带来的满意度会随着时间的推移而降低,这主要与医院的位置有关。 11%的人在心理问题上寻求专业人士的帮助。来自患者痛苦的压力与任何心理结果无关。工作超负荷和因工作中的社会关系而产生的压力是心理困扰,情绪疲惫和人格解体的主要预测因素,而满意度的调节作用则较弱。九十年代后期,艾滋病工作量并未显示为医院医疗工作的特定特征。

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