Work-related violence, occupational stress and psychological distress among medical staff in China: A structural equation modeling analysis.

IF 1.7 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Work-A Journal of Prevention Assessment & Rehabilitation Pub Date : 2024-08-08 DOI:10.3233/WOR-240323

Lei Huang, Qin Zhang, Huiyi Wu, Yajia Lan, Fugui Jiang, Yang Zhang

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引用次数: 0

Abstract

Background: Psychological issues and work-related violence are the main challenges faced by medical staff. The situation has become even more prevalent during the COVID-19 pandemic.

Objective: This research aimed to analyze the relationships among work-related violence, occupational stress and psychological distress and to further identify the direct or indirect effects of violence on psychological distress.

Methods: A total of 1,765 medical staff members were surveyed using the Kessler Psychological Distress Scale and Revised Occupational Stress Inventory. Work-related violence was assessed using a self-made 5-question questionnaire. STATA 14.0 and Amos 21.0 software were used for correlation analysis, variance analysis, and structural equation modeling analysis.

Results: A total of 66.1% of the medical staff suffered workplace violence, and 61.2% witnessed workplace violence. The psychological distress score (Kessler 10 Scale) of the medical staff was 22.7±7.67. The psychological strain score and physical strain score were 26.8±7.14 and 24.2±6.51, respectively. Work-related violence (suffered: β= 0.467; witnessed: β= 0.258) and occupational stress (psychological strain: β= 0.269; physical strain: β= 0.317) were predictors of psychological distress, and social support (β= -0.265) was a protective factor. Work-related violence and social support had both direct and indirect effects on psychological distress, and the intermediate factor was occupational stress. The total effects of suffered workplace violence and witnessed workplace violence were 0.181 and 0.092, respectively, and the total effect of social support was -0.262.

Conclusions: Work-related violence may exacerbate symptoms of occupational stress and psychological distress. Reducing workplace violence and protecting medical staff from work-related violence are extremely important aspects of mental health prevention.

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中国医务人员中与工作相关的暴力、职业压力和心理困扰：结构方程模型分析

背景：心理问题和与工作有关的暴力是医务人员面临的主要挑战。在 COVID-19 大流行期间，这种情况变得更加普遍：本研究旨在分析工作相关暴力、职业压力和心理困扰之间的关系，并进一步确定暴力对心理困扰的直接或间接影响：采用凯斯勒心理压力量表（Kessler Psychological Distress Scale）和修订版职业压力量表（Revised Occupational Stress Inventory）对 1765 名医务人员进行了调查。使用自制的 5 个问题的调查问卷评估了与工作相关的暴力行为。使用 STATA 14.0 和 Amos 21.0 软件进行相关分析、方差分析和结构方程模型分析：共有 66.1%的医务人员遭受过职场暴力，61.2%的医务人员目睹过职场暴力。医务人员的心理压力得分（凯斯勒 10 级量表）为（22.7±7.67）分。心理应激得分和生理应激得分分别为（26.8±7.14）分和（24.2±6.51）分。工作相关暴力（遭受：β= 0.467；目睹：β= 0.258）和职业压力（心理压力：β= 0.269；生理压力：β= 0.317）是心理困扰的预测因素，而社会支持（β= -0.265）是保护因素。与工作有关的暴力和社会支持对心理压力有直接和间接的影响，中间因素是职业压力。遭受工作场所暴力和目睹工作场所暴力的总效应分别为 0.181 和 0.092，社会支持的总效应为-0.262：与工作相关的暴力可能会加剧职业压力和心理困扰症状。减少工作场所暴力和保护医务人员免受与工作相关的暴力侵害是心理健康预防工作中极为重要的一环。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Work-A Journal of Prevention Assessment & Rehabilitation PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.00

自引率

30.40%

发文量

739

期刊介绍： WORK: A Journal of Prevention, Assessment & Rehabilitation is an interdisciplinary, international journal which publishes high quality peer-reviewed manuscripts covering the entire scope of the occupation of work. The journal''s subtitle has been deliberately laid out: The first goal is the prevention of illness, injury, and disability. When this goal is not achievable, the attention focuses on assessment to design client-centered intervention, rehabilitation, treatment, or controls that use scientific evidence to support best practice.