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目的探讨不同群体医生工作压力与人际信任及应对方式的特点及其之间的相关性。方法按照随机分层抽样的方法,于2014年1—6月在青岛市随机抽取三级和二级医院各2所的209名医生,统一发放一般资料问卷(GCS)、临床医生工作压力源量表、人际信任量表(ITS)和特质应对方式问卷(TCSQ),对192份有效问卷采用SPSS 13.0统计软件作方差分析、t检验和pearson相关分析。结果 1工作压力方面:二级医院医生的工作压力总分、来自工作负荷和外部环境的压力明显低于三级医院;男医生来自工作负荷、外部环境的压力要低于女医生,来自人际关系的压力要高于女医生;大学及以下学历的医生工作压力总分、来自工作负荷、职业发展和外部环境的压力要高于研究生学历的医生。以上差异均有统计学意义(均P<0.05或P<0.01)。2人际信任方面:男医生的人际信任水平要低于女医生,差异有统计学意义(P<0.05)。应对方式方面:二级医院医生的积极应对方式高于三级医院,差异有统计学意义(P<0.05)。4工作压力总分与人际信任呈负相关,与消极应对呈正相关(均P<0.01)。结论不同群体医生的工作压力、人际信任及应对方式的特点各不相同,三者显著相关,需制定个体化方案进行干预。
Objective To explore the characteristics of the working pressure and interpersonal trust and coping styles among different groups of doctors and their correlations. Methods According to the random stratified sampling method, 209 physicians from 2 hospitals of tertiary and secondary hospitals were randomly selected in Qingdao from January to June 2014, and the general data questionnaire (GCS), the working pressure source of clinicians Questionnaire, interpersonal trust scale (ITS) and trait coping style questionnaire (TCSQ). SPSS 13.0 statistical software was used to analyze the 192 valid questionnaires. The results of ANOVA, t test and pearson correlation analysis were used. Results 1 The working pressure: the total score of the work pressure of the doctors in the second-class hospitals was significantly lower than that of the third-grade hospitals in the work load and the external environment; the male doctors were from the work load and the stress in the external environment was lower than that of the female doctor and from the interpersonal relationships The pressure of doctors is higher than that of female doctors; the doctors’ work pressure of doctors with college degree or below has the total score, and the pressure from work load, career development and external environment is higher than that of doctors with postgraduate qualifications. The above differences were statistically significant (P <0.05 or P <0.01). 2 Interpersonal trust: male doctor’s interpersonal trust level is lower than that of female doctor, the difference is statistically significant (P <0.05). Coping styles: The positive coping style of the second level hospital doctors was higher than that of the third level hospitals, the difference was statistically significant (P <0.05). The total score of work stress was negatively correlated with interpersonal trust and positively correlated with negative coping (all P <0.01). Conclusion Different groups of doctors work stress, interpersonal trust and coping styles have different characteristics, the three are significantly related to the need to develop individual programs to intervene.