On-call stress among Finnish anaesthetists

被引:82
作者
Lindfors, P. M.
Nurmi, K. E.
Meretoja, O. A.
Luukkonen, R. A.
Viljanen, A. -M.
Leino, T. J.
Harma, M. I.
机构
[1] Univ Helsinki, Cent Hosp, Dept Anaesthesia & Intens Care Med, Helsinki 00029, Finland
[2] Univ Lapland, Fac Educ, Rovaniemi 96101, Finland
[3] Finnish Inst Occupat Hlth, Helsinki 00250, Finland
[4] Univ Helsinki, Dept Social & Cultural Anthropol, FIN-00014 Helsinki, Finland
关键词
D O I
10.1111/j.1365-2044.2006.04749.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
We investigated on-call stress and its consequences among anaesthetists. A questionnaire was sent to all working Finnish anaesthetists (n = 550), with a response rate of 60%. Four categories of on-call workload and a sum variable of stress symptoms were formed. The anaesthetists had the greatest on-call workload among Finnish physicians. In our sample, 68% felt stressed during the study. The most important causes of stress were work and combining work with family. The study showed a positive correlation between stress symptoms and on-call workload (p = 0.009). Moderate burnout was present in 18%vs 45% (p = 0.008) and exhaustion in 32% and 68% (p = 0.015), in the lowest vs highest workload category, respectively. The symptoms were significantly associated with stress, gender, perceived sleep deprivation, suicidal tendencies and sick leave. Being frequently on call correlates with severe stress symptoms and these symptoms are associated with sick leave.
引用
收藏
页码:856 / 866
页数:11
相关论文
共 55 条
[1]  
AHLAVA P, 1977, AMMATTIASEMA TYOOLOT
[2]   Reported bruxism and stress experience [J].
Ahlberg, J ;
Rantala, M ;
Savolainen, A ;
Suvinen, T ;
Nissinen, M ;
Sarna, S ;
Lindholm, H ;
Könönen, M .
COMMUNITY DENTISTRY AND ORAL EPIDEMIOLOGY, 2002, 30 (06) :405-408
[3]   Cause-specific mortality risks of anesthesiologists [J].
Alexander, BH ;
Checkoway, H ;
Nagahama, SI ;
Domino, KB .
ANESTHESIOLOGY, 2000, 93 (04) :922-930
[4]   Neurobehavioral performance of residents after heavy night call vs after alcohol ingestion [J].
Arnedt, JT ;
Owens, J ;
Crouch, M ;
Stahl, J ;
Carskadon, MA .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2005, 294 (09) :1025-1033
[5]   Increased risk of unintentional dural puncture in night-time obstetric epidural anesthesia [J].
Aya, AGM ;
Mangin, R ;
Robert, C ;
Ferrer, JM ;
Eledjam, JJ .
CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE, 1999, 46 (07) :665-669
[6]   Suicidality and sleep disturbances [J].
Bernert, RA ;
Joiner, TE ;
Cukrowicz, KC ;
Schmidt, NB ;
Krakow, B .
SLEEP, 2005, 28 (09) :1135-1141
[7]   Behavioral and endocrine change following chronic predatory stress [J].
Blanchard, RJ ;
Nikulina, JN ;
Sakai, RR ;
McKittrick, C ;
McEwen, B ;
Blanchard, DC .
PHYSIOLOGY & BEHAVIOR, 1998, 63 (04) :561-569
[8]  
Buss DM., 1999, EVOLUTIONARY PSYCHOL, P456
[9]  
Cooper CL, 1999, STRESS MEDICINE, V15, P115, DOI 10.1002/(SICI)1099-1700(199904)15:2<115::AID-SMI797>3.0.CO
[10]  
2-4