Relationship between perceived stress and self-compassion,depression and its influencing factors among anesthesiologists in grade-A tertiary hospitals of Jiangsu Province

Abstract

Abstract: Objective To investigate the current situation and relationship of perceived stress,self-compassion and depression among anesthesiologists in grade-A tertiary hospitals of Jiangsu Province,explore the influencing factors of perceived stress among anesthesiologists,so as to provide reference for coping with the high stress state of anesthesiologists and improving their mental health. Methods From February to March 2022,a cross-sectional survey method was adopted to conduct an online questionnaire survey among 374 anesthesiologists in grade-A tertiary hospitals of Jiangsu Province,and the data were analyzed. Results Among the 374 anesthesiologists,75.50% of them were in a state of moderate or above perceived stress,and 28.08% were in a state of moderate depression or above. The anesthesiologists' perceived stress was negatively correlated with self-compassion,and positively correlated with depression（all P<0.05）. The years of practice,satisfaction with income,self-compassion and depression were the influencing factors of anesthesiologists' perceived stress（all P<0.05）. Conclusion The anesthesiologists in grade-A tertiary hospitals of Jiangsu Province have a higher level of perceived stress and depression,their mental health status is not optimistic,and it is effective to take interventions to enhance individuals' self-compassion level and improve the work environment,to promote the physical and mental health of anesthesiologists.

Key words: Anesthesiologist, Perceives stress, Self-compassion, Depression, Mental health

CLC Number:

R395.6

YANG Yanxia, GU Xinyu, GONG Hao, GAO Ju, ZHOU Luojing. Relationship between perceived stress and self-compassion,depression and its influencing factors among anesthesiologists in grade-A tertiary hospitals of Jiangsu Province. [J]OCCUPATION AND HEALTH, 2023, 39(17): 2375-2379.

References

[1] YANG H,ZHANG Z,ZHANG Y L,et al.Working conditions,stress,fatigue,and depressive symptoms among Chinese anaesthetists[J].Br J Anaesth,2013,111(3):506-507.
[2] CHAI J X,CHONG S Y.Production pressures among anaesthesiologists in Singapore[J].Singapore Med J,2018,59(5):271-278.
[3] MAKARA-STUDZIŃSKA M,WONTORCZYK A,IZYDORCZYK B.Stress and occupational burnout in a population of Polish doctors-Organizational-professional and non-professional-social predictors[J].Ann Agric Environ Med,2020,27(3):456-468.
[4] 国家卫生健康委员会.关于印发加强和完善麻醉医疗服务意见的通知[EB/OL].(2018-08-08)[2022-08-17].http://www.nhc.gov.cn/yzygj/s3594q/201808/4479a1dbac7f43dcba54e6dce873a533.shtml.
[5] DU Y J,ZHANG X Q,LIU L D,et al.Overfatigue amongst Chinese anaesthesiologists from 2017 to 2019[J].Br J Anaesth,2021,126(1):e17-e19.
[6] CONVERSANO C,CIACCHINI R,ORRÙ G,et al.Mindfulness,compassion,and self-compassion among health care professionals:What's New? A systematic review[J].Front Psychol,2020,11:1683.
[7] RAES F,POMMIER E,NEFF K D,et al.Construction and factorial validation of a short form of the Self-Compassion Scale[J].Clin Psychol Psychother,2011,18(3):250-255.
[8] KROENKE K,SPITZER R L,WILLIAMS J B.The PHQ-9:validity of a brief depression severity measure[J].J Gen Intern Med,2001,16(9):606-613.
[9] LEUNG D Y,LAM T H,CHAN S S.Three versions of perceived stress scale:Validation in a sample of Chinese cardiac patients who smoke[J].BMC Public Health,2010,10:513.
[10] TEO I,CHAY J,CHEUNG Y B,et al.Healthcare worker stress,anxiety and burnout during the COVID-19 pandemic in Singapore:A 6-month multi-centre prospective study[J].PLoS One,2021,16(10):e0258866.
[11] WALKER I,WILSON I,BOGOD D.Anaesthesia in developing countries[J].Anaesthesia,2007,62(Suppl 1):2-3.
[12] LI H,HUANG Y,LUO A.Occupational burnout and the development of anesthesia department in China:A call for action[J].Chinese J Anesthesiol,2016,36:5-8.
[13] 降海蕊,于洗河,高尚,等.医患关系对吉林省基层医务人员压力感知的影响[J].医学与社会,2022,35(8):105-109.
[14] HERBISON C E,ALLEN K,ROBINSON M,et al.The impact of life stress on adult depression and anxiety is dependent on gender and timing of exposure[J].Dev Psychopathol,2017,29(4):1443-1454.
[15] KANG L,MA S,CHEN M,et al.Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak:A cross-sectional study[J].Brain Behav Immun,2020,87:11-17.
[16] MENG R,LUO X,DU S,et al.The mediating role of perceived stress in associations between self-compassion and anxiety and depression:Further evidence from chinese medical workers[J].Risk Manag Healthc Policy,2020,13:2729-2741.
[17] 高仪. 天津市某医院医护人员压力知觉水平及干预策略分析[J].职业与健康,2022,38(16):2235-2238.
[18] 陈皞,张诚楷,薛湛,等.神经外科医务人员心理压力的调查与分析[J].中华神经外科杂志,2021,37(6):623-628.
[19] ZHANG C,WANG S,LI H,et al.Anaesthesiology in China:A cross-sectional survey of the current status of anaesthesiology departments[J].Lancet Reg Health West Pac,2021,12:100166.
[20] SIEGRIST J.Adverse health effects of high-effort/low-reward conditions[J].J Occup Health Psychol,1996,1(1):27-41.
[21] 樊香兰,蔚佼秧.付出—回报失衡对特岗教师留任意愿的影响研究——工作满意度的中介作用[J].教育理论与实践,2021,41(34):48-53.
[22] DEV V,FERNANDO A T,CONSEDINE N S.Self-compassion as a stress moderator:A cross-sectional study of 1700 doctors,nurses,and medical students[J].Mindfulness(N Y),2020,11(5):1170-1181.
[23] LABRAGUE L J,DE LOS SANTOS J A A.Fear of COVID-19,psychological distress,work satisfaction and turnover intention among frontline nurses[J].J Nurs Manag,2021,29(3):395-403.
[24] ALHURANI A S,DEKKER R,AHMAD M,et al.Stress,cognitive appraisal,coping,and event free survival in patients with heart failure[J].Heart Lung,2018,47(3):205-210.
[25] MISIOLEK-MARíN A,SOTO-RUBIO A,MISIOLEK H,et al.Influence of burnout and feelings of guilt on depression and health in anesthesiologists[J].Int J Environ Res Public Health,2020,17(24):9267.