三级综合医院慢性肩颈背疼痛医务工作者工作不安全感、社会资本与生活质量的相关研究

摘要/Abstract

摘要： 目的了解三级综合医院慢性颈肩背疼痛医务工作者工作不安全感、社会资本和生活质量的现状及其相关性,分析工作不安全感与社会资本对其生活质量的影响。方法 2024年3—4月,采用横断面研究设计以便利抽样方法选取绵阳市4所三级综合医院284名慢性肩颈背痛医务工作者为调查对象,采用工作不安全感量表、社会资本量表与生活质量量表进行调查,并对数据进行分析。结果 284名慢性肩颈背疼痛医务工作者工作不安全感得分为（31.77±8.22）分;社会资本得分为（24.12±8.46）分;生活质量得分为（88.45±19.05）分。性别、工作年限、专业类别、经济收入、轮值夜班、是否患慢性病、睡眠质量、工作压力的慢性肩颈背疼痛医务工作者生活质量得分比较,差异均有统计学意义（均P<0.05）。慢性肩颈背疼痛医务工作者生活质量与工作不安全感得分呈负相关（r=-0.296~-0.694,均P<0.05）;与社会资本得分呈正相关（r=0.269~0.663,均P<0.05）。经济收入、睡眠质量、工作压力、工作不安全感及社会资本是三级综合医院慢性肩颈背疼痛医务工作者生活质量的主要影响因素,其中工作不安全感及社会资本具有显著预测作用（β=-0.351、0.546,均P<0.05）,独立解释了46.9%的生活质量影响因素。结论绵阳市4所三级综合医院慢性肩颈背痛医务工作者生活质量水平较低,工作不安全感是其重要危险因素,而社会资本是其重要保护资源。管理者应重视急慢性肩颈背痛医务工作者生活质量状况,提高其社会资本,降低工作不安全感,从而改善慢性疼痛医务工作者生活质量状况。

关键词: 医务工作者, 生活质量, 工作不安全感, 社会资本, 影响因素

Abstract: Objective To investigate the current situation and correlation of job insecurity,social capital and quality of life of medical workers with chronic neck,shoulder and back pain in tertiary general hospitals,and to analyze the impact of job insecurity and social capital on their quality of life. Methods A cross-sectional study design was used to select 284 medical workers with chronic shoulder,neck and back pain from 4 tertiary general hospitals in Mianyang City from March to April 2024 by convenient sampling method.The work insecurity scale,social capital scale and quality of life scale were used for investigation,and the data were analyzed. Results The score of job insecurity of 284 medical workers with chronic shoulder,neck and back pain was （31.77±8.22）points,the score of social capital was （24.12±8.46）points,the score of quality of life was （88.45±19.05）points. There were statistically significant differences in the quality of life scores of medical workers with chronic shoulder,neck and back pain in terms of different gender,working years,professional category,economic income,night shift rotation,chronic disease status,sleep quality and work pressure（all P<0.05）. The quality of life of medical workers with chronic shoulder,neck and back pain was negatively correlated with the score of job insecurity（r=-0.296--0.694,all P<0.05）,and positively correlated with social capital score（r=0.269-0.663,all P<0.05）. Economic income,sleep quality,work stress,job insecurity and social capital were the main influencing factors of the quality of life of medical workers with chronic shoulder,neck and back pain in tertiary general hospitals. Among them,job insecurity and social capital had a significant predictive effect（β=-0.351,0.546,both P<0.05）,which independently explained 46.9% of the influencing factors of quality of life. Conclusion The quality of life of medical workers with chronic shoulder,neck and back pain in tertiary hospitals in Mianyang is relatively low,job insecurity is an important risk factor,and social capital is an important protective resource. Managers should pay attention to the quality of life of medical workers with acute and chronic shoulder,neck and back pain,improve their social capital,and reduce job insecurity,so as to improve the quality of life of medical workers with chronic pain.

Key words: Medical workers, Quality of life, Job insecurity, Social capital, Influencing factors

中图分类号:

R181.3

姚果, 何西, 杨紫涵. 三级综合医院慢性肩颈背疼痛医务工作者工作不安全感、社会资本与生活质量的相关研究. [J]职业与健康, 2025, 41(15): 2081-2086.

YAO Guo, HE Xi, YANG Zihan. Study on the correlation between job insecurity,social capital,and quality of life of medical workers with chronic shoulder,neck,and back pain in tertiary general hospitals. [J]OCCUPATION AND HEALTH, 2025, 41(15): 2081-2086.

参考文献

[1] GEDIN F,SKEPPHOLM M,BURSTR?M K,et al.Effectiveness,costs and cost-effectiveness of chiropractic care and physiotherapy compared with information and advice in the treatment of non-specific chronic low back pain:Study protocol for a randomised controlled trial[J].Trials,2017,18(1):613.
[2] ZOU J,WANG L,WANG L,LI Y.Analysis of cervical spine subhealth status and influencing factors among medical personnel[J].South China J Prev Med,2022,48(12):1474.
[3] 王芬芬,苏勇,唐贵瑶.工作不安全感对主动个人-环境匹配行为的影响及作用机制研究[J].管理学报,2024,21(4):527-538.
[4] 周慧.情绪智力:概念、理论、测量及提升策略[J].重庆第二师范学院学报,2019,32(3):99-102.
[5] 王思逸,吴玲玲,程长春,等.上海某医院护理人员肌肉骨骼疾患模式与危险因素[J].环境与职业医学,2019,36(2):112-120.
[6] 胡三嫚,李中斌.企业员工工作不安全感的实证分析[J].心理学探新,2010,30(2):79-85.
[7] 张楠,张丽,梁志强,等.工作场所社会资本量表的修订与评价[J].中国卫生统计,2014,31(3):456-458.
[8] 郝元涛,方积乾,POWER M J等.WHO生存质量评定量表中文版介绍及其使用说明[J].现代康复,2000,4(8):1127-1129.
[9] LI W,ZHANG H,LI X,et al J.Current status and influencing factors of cervical spondylosis among medical personnel in Zhengzhou region[J].South China J Prev Med,2022,48(3):307.
[10] 冀永娟,项紫霓,匡桂芳.青岛市两所三级甲等医院医务人员职业倦怠对生活质量影响的路径分析[J].山东大学学报(医学版),2020, 58(7):102-107.
[11] 吴依诺,范新晨,杨思琪,等.我国三级公立医院医护人员离职意愿及影响因素研究[J].中国医院管理,2022,42(4):35-41.
[12] 黄徐,任谦,李慧明,等.医务人员健康状况及相关因素分析[J].重庆医学,2017,46(12):1663-1665.
[13] 冀永娟,张福平,匡桂芳,等.青岛市748名医务人员生活质量状况及影响因素分析[J].中国健康教育,2015,31(11):1025-1028.
[14] 程晓宁,谭秋珍,吴雪媚,等.健康教育对倒班医务人员睡眠质量和生活质量的影响[J].职业与健康,2014,30(10):1316-1318.
[15] 宁丽,张勇,关素珍,等.某医院医务人员肌肉骨骼疾患与睡眠质量、职业紧张相关性分析[J].中国职业医学,2017,44(6):740-744.
[16] 陈保祥,周玉兰,黄赞.大学生身体活动和睡眠质量与焦虑及抑郁情绪的关系[J].中国学校卫生,2024,45(5):684-688.
[17] 王媛媛,刘薇薇,张志红,等.工作压力对三级综合医院医务人员生活质量的影响路径研究[J].中国全科医学,2010,13(19):2134-2137.
[18] 赵立莉,夏春萍,顾思浩,等.医务人员心理健康状况与关爱路径[J].中国医院院长,2024,20(3):82-84.
[19] AN H,GU X,OBRENOVIC B,et al.The role of job insecurity,social media exposure,and job stress in predicting anxiety among white-collar employees[J].Psychol Res Behav Manag,2023(16):3303-3318.
[20] 徐燕,尹红芹,杨兰芳,等.护士工作不安全感及工作生活质量与离职意愿的关系研究[J].解放军护理杂志,2017,34(12):23-26.
[21] 胡艳,许白龙.工作不安全感、工作生活质量与安全行为[J].中国安全生产科学技术,2014,10(2):69-74.
[22] 李懂,宋敏,张波,等.医务人员心理弹性在工作场所社会资本与焦虑情绪间的中介作用[J].中华劳动卫生职业病杂志,2023,41(9):672-675.
[23] 吴林的,窦蕾,孙强,等.工作场所社会资本对公立医院医务人员离职意愿的影响分析[J].中国医院管理,2021,41(7):81-84.