{"title":"评估医院护士努力-回报失衡与亚健康状态之间的关系:一项横断面研究。","authors":"Leilei Yu, Weiting Liu, Jingzheng Wang, Ziyao Jin, Ruoyu Meng, Zhiyuan Wu, Yuanyuan Zheng, Zheng Guo","doi":"10.13075/ijomeh.1896.02223","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>Occupational stress is a common complaint in nurses, who perceived more sense of effort-reward imbalance (ERI). Suboptimal health status (SHS) is a state between health and disease. However, the correlation between ERI and SHS is unclear. Therefore, the aim of this study was to examine the prevalence of SHS and ERI and evaluate the relationship between ERI and SHS in clinical nurses by a cross-sectional study.</p><p><strong>Material and methods: </strong>The current cross-sectional study was conducted through an online survey at Dongping People's Hospital in China. A total of 633 completed surveys were received. Effort-reward imbalance was measured by subscales of the ERI questionnaire. SHS was measured by the <i>Suboptimal Health Status Questionnaire - 25</i> (SHSQ-25). The relationship between ERI and SHS in nurses was subsequently assessed by Spearman's correlation coefficient and logistic regression model.</p><p><strong>Results: </strong>The mean age of the optimal health status (OHS) group (M±SD 26.3±7.3 years) was younger than the SHS group (M±SD 30.3±6.9 years). The prevalence of SHS was 54.5% (345/633). Female nurses aged ≥30 years, a junior college or university graduate educational level, smokers, and nurses without regular exercise were at a higher risk of SHS. In Spearman's correlation analysis, ERI reflected by the effort-reward ratio was correlated with SHSQ-25 score (r = 0.662, p < 0.001). In logistic regression, ERI was strongly associated with SHS after potential confounding factors adjusting (OR 27.924, 95% CI 22.845-34.132).</p><p><strong>Conclusions: </strong>The prevalence of SHS was significantly high in clinical nurses. Administrators should pay more attention to health status of female nurses aged ≥30 years, with a junior college or bachelor's degree, smoking, and without regular exercise to reduce the SHS and ERI. Int J Occup Med Environ Health. 2024;37(2):166-75.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":null,"pages":null},"PeriodicalIF":1.4000,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11142399/pdf/","citationCount":"0","resultStr":"{\"title\":\"Evaluating the association between effort-reward imbalance and suboptimal health status among hospital nurses: a cross-sectional study.\",\"authors\":\"Leilei Yu, Weiting Liu, Jingzheng Wang, Ziyao Jin, Ruoyu Meng, Zhiyuan Wu, Yuanyuan Zheng, Zheng Guo\",\"doi\":\"10.13075/ijomeh.1896.02223\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>Occupational stress is a common complaint in nurses, who perceived more sense of effort-reward imbalance (ERI). Suboptimal health status (SHS) is a state between health and disease. However, the correlation between ERI and SHS is unclear. Therefore, the aim of this study was to examine the prevalence of SHS and ERI and evaluate the relationship between ERI and SHS in clinical nurses by a cross-sectional study.</p><p><strong>Material and methods: </strong>The current cross-sectional study was conducted through an online survey at Dongping People's Hospital in China. A total of 633 completed surveys were received. Effort-reward imbalance was measured by subscales of the ERI questionnaire. SHS was measured by the <i>Suboptimal Health Status Questionnaire - 25</i> (SHSQ-25). The relationship between ERI and SHS in nurses was subsequently assessed by Spearman's correlation coefficient and logistic regression model.</p><p><strong>Results: </strong>The mean age of the optimal health status (OHS) group (M±SD 26.3±7.3 years) was younger than the SHS group (M±SD 30.3±6.9 years). The prevalence of SHS was 54.5% (345/633). Female nurses aged ≥30 years, a junior college or university graduate educational level, smokers, and nurses without regular exercise were at a higher risk of SHS. In Spearman's correlation analysis, ERI reflected by the effort-reward ratio was correlated with SHSQ-25 score (r = 0.662, p < 0.001). In logistic regression, ERI was strongly associated with SHS after potential confounding factors adjusting (OR 27.924, 95% CI 22.845-34.132).</p><p><strong>Conclusions: </strong>The prevalence of SHS was significantly high in clinical nurses. Administrators should pay more attention to health status of female nurses aged ≥30 years, with a junior college or bachelor's degree, smoking, and without regular exercise to reduce the SHS and ERI. Int J Occup Med Environ Health. 2024;37(2):166-75.</p>\",\"PeriodicalId\":14173,\"journal\":{\"name\":\"International journal of occupational medicine and environmental health\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2024-05-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11142399/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International journal of occupational medicine and environmental health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.13075/ijomeh.1896.02223\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/3/25 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International journal of occupational medicine and environmental health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.13075/ijomeh.1896.02223","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/3/25 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
摘要
目的:职业压力是护士经常抱怨的问题,他们认为努力与回报不平衡(ERI)的感觉更强烈。亚健康状态(SHS)是一种介于健康和疾病之间的状态。然而,ERI 与 SHS 之间的相关性尚不明确。因此,本研究的目的是通过横断面研究,检查 SHS 和 ERI 的患病率,并评估 ERI 与 SHS 在临床护士中的关系:本横断面研究在中国东平人民医院通过在线调查进行。共收到 633 份完成的调查问卷。努力-回报不平衡通过 ERI 问卷的分量表进行测量。SHS通过亚健康状态问卷-25(SHSQ-25)进行测量。随后通过斯皮尔曼相关系数和逻辑回归模型评估了ERI与护士SHS之间的关系:结果:最佳健康状况组(OHS)的平均年龄(M±SD 26.3±7.3岁)小于SHS组(M±SD 30.3±6.9岁)。SHS患病率为 54.5%(345/633)。年龄≥30 岁的女护士、中专或大学毕业文化程度、吸烟者和没有经常锻炼的护士患 SHS 的风险较高。在斯皮尔曼相关分析中,努力-回报比反映的ERI与SHSQ-25得分相关(r = 0.662,p < 0.001)。在逻辑回归中,经调整潜在混杂因素后,ERI与SHS密切相关(OR 27.924,95% CI 22.845-34.132):结论:临床护士的 SHS 患病率明显偏高。管理者应更多地关注年龄≥30 岁、大专或本科学历、吸烟、无规律运动的女护士的健康状况,以降低 SHS 和 ERI。Int J Occup Med Environ Health.2024;37(2).
Evaluating the association between effort-reward imbalance and suboptimal health status among hospital nurses: a cross-sectional study.
Objectives: Occupational stress is a common complaint in nurses, who perceived more sense of effort-reward imbalance (ERI). Suboptimal health status (SHS) is a state between health and disease. However, the correlation between ERI and SHS is unclear. Therefore, the aim of this study was to examine the prevalence of SHS and ERI and evaluate the relationship between ERI and SHS in clinical nurses by a cross-sectional study.
Material and methods: The current cross-sectional study was conducted through an online survey at Dongping People's Hospital in China. A total of 633 completed surveys were received. Effort-reward imbalance was measured by subscales of the ERI questionnaire. SHS was measured by the Suboptimal Health Status Questionnaire - 25 (SHSQ-25). The relationship between ERI and SHS in nurses was subsequently assessed by Spearman's correlation coefficient and logistic regression model.
Results: The mean age of the optimal health status (OHS) group (M±SD 26.3±7.3 years) was younger than the SHS group (M±SD 30.3±6.9 years). The prevalence of SHS was 54.5% (345/633). Female nurses aged ≥30 years, a junior college or university graduate educational level, smokers, and nurses without regular exercise were at a higher risk of SHS. In Spearman's correlation analysis, ERI reflected by the effort-reward ratio was correlated with SHSQ-25 score (r = 0.662, p < 0.001). In logistic regression, ERI was strongly associated with SHS after potential confounding factors adjusting (OR 27.924, 95% CI 22.845-34.132).
Conclusions: The prevalence of SHS was significantly high in clinical nurses. Administrators should pay more attention to health status of female nurses aged ≥30 years, with a junior college or bachelor's degree, smoking, and without regular exercise to reduce the SHS and ERI. Int J Occup Med Environ Health. 2024;37(2):166-75.
期刊介绍:
The Journal is dedicated to present the contemporary research in occupational and environmental health from all over the world. It publishes works concerning: occupational and environmental: medicine, epidemiology, hygiene and toxicology; work physiology and ergonomics, musculoskeletal problems; psychosocial factors at work, work-related mental problems, aging, work ability and return to work; working hours, shift work; reproductive factors and endocrine disruptors; radiation, ionizing and non-ionizing health effects; agricultural hazards; work safety and injury and occupational health service; climate change and its effects on health; omics, genetics and epigenetics in occupational and environmental health; health effects of exposure to nanoparticles and nanotechnology products; human biomarkers in occupational and environmental health, intervention studies, clinical sciences’ achievements with potential to improve occupational and environmental health.