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首页> 外文期刊>Occupational and environmental medicine >Long-term effects of an intervention on psychosocial work factors among healthcare professionals in a hospital setting.
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Long-term effects of an intervention on psychosocial work factors among healthcare professionals in a hospital setting.

机译：干预措施对医院医护人员中心理社会工作因素的长期影响。

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OBJECTIVE: This study assessed the long-term effects of a workplace intervention aimed at reducing adverse psychosocial work factors (psychological demands, decision latitude, social support and effort-reward imbalance) and mental health problems among health care professionals in an acute care hospital. METHODS: A quasi-experimental design with a control group was used. Pre-intervention (71% response rate) and 3-year post-intervention measures (60% response rate) were collected by telephone interviews with validated instruments. RESULTS: Three years after the intervention, all adverse psychosocial factors except one were reduced in the experimental group, and the improvement was statistically significant for 5/9 factors: psychological demands, effort-reward imbalance, quality of work, physical load and emotional demands. In addition, all health indicators improved and 2/5 significantly: work-related and personal burnout. In the control hospital, three work factors improved significantly but two deteriorated significantly: decision latitude and social support. All health problem deteriorated, although not significantly, in the control hospital. Moreover, 3 years after the intervention, the mean of all adverse factors except one (psychological demands) and all health indicators was significantly more favourable in the experimental than the control hospital, after adjusting for pre-intervention measures. CONCLUSION: These results support the long-term effectiveness of the intervention. The reduction in many psychosocial factors in the experimental hospital may have clinical significance since most health indicators also improved in this hospital. These results support the whole process of the intervention given that significant improvements in psychosocial factors and health problems were observed in the experimental hospital but not in the control hospital.
机译：目的：本研究评估了旨在减少急性护理医院医护人员中不良心理社会工作因素（心理需求，决策自由度，社会支持和努力回报不平衡）和精神健康问题的工作场所干预的长期效果。方法：采用具有对照组的准实验设计。干预前（经过验证的工具）通过电话采访收集了干预前（71％的回应率）和3年干预后的措施（60％的回应率）。结果：干预三年后，实验组中除一种心理疾病外，所有不利的心理社会因素均得到减轻，并且对5/9个因素的改善具有统计学意义，这些因素包括：心理需求，努力回报失衡，工作质量，身体负荷和情绪需求。此外，所有健康指标均得到改善，并且显着提高了2/5：与工作相关的和个人的倦怠。在对照医院中，三个工作因素明显改善，但两个因素却明显恶化：决策自由度和社会支持。在对照医院中，所有健康问题都恶化了，尽管没有那么严重。此外，在进行干预前三年的调整后，实验中除一项因素（心理需求）和所有健康指标外，所有不利因素的平均值均比对照医院更有利。结论：这些结果支持了干预的长期有效性。实验医院中许多社会心理因素的减少可能具有临床意义，因为该医院的大多数健康指标也有所改善。这些结果支持了干预的整个过程，因为在实验医院观察到了社会心理因素和健康问题的显着改善，而对照医院却没有。

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