25. THE STATUS OF STRESS AMONG HEALTHCARE STAFF AT THANH BA DISTRICT HEALTH CENTER, PHU THO PROVINCE IN 2024, AND SOME ASSOCIATED FACTORS
Main Article Content
Abstract
Objective: To describe the current stress status of medical staff and some associated factors at Thanh Ba District Medical Center in 2024.
Subjects and methods: A cross-sectional interview design was conducted with 173 healthcare staff, utilizing the DASS-21 scale to assess stress levels and univariate logistic regression to analyze associations.
Results: Among the 173 medical staff, the stress prevalence was 19.2%. Of these, mild stress accounted for 51.5%, moderate stress for 27.3%, and severe stress for 21.2%. There was a statistically significant difference in stress levels between doctors and nurses, technicians/pharmacists (p<0.05). Factors associated with stress included: Work factors: Fear of making mistakes in patient treatment posed the highest risk for stress, with OR=7.21 (95% CI: 3.15–16.5); Workplace relationships: Receiving limited support from colleagues was the strongest risk factor for stress, with OR=9.42 (95% CI: 3.30–26.9); Work-family conflict: Difficulty requesting leave for family emergencies was associated with stress, with OR=4.84 (95% CI: 1.92–12.1). Working environment: A noisy and disorganized workplace presented the highest environmental risk, with 28.6% prevalence and OR=1.98 (95% CI: 1.03–4.68).
Conclusions: The study results emphasize the necessity of developing comprehensive stress-reduction strategies, including reasonable work allocation, alleviating pressure from legal responsibilities, improving the working environment, and enhancing peer support. These measures not only help improve the mental well-being of healthcare workers but also ensure the quality of patient care.
Article Details
Keywords
Stress, DASS-21, Thanh Ba District Medical Center
References
[2] Ruotsalainen, J.H., et al., Preventing occupational stress in healthcare workers. Cochrane Database Syst Rev. 2015(4): p.2892.
[3] Marijanović, I., et al. Use of the Depression, Anxiety and Stress Scale (DASS-21) Questionnaire to Assess Levels of Depression, Anxiety, and Stress in Healthcare and Administrative Staff in 5 Oncology Institutions in Bosnia and Herzegovina During the 2020 COVID-19 Pandemic. Med Sci Monit, 2021. 27: p. e930812.
[4] Shekhar, S., et al. Assessment of depression, anxiety and stress experienced by health care and allied workers involved in SARS-CoV2 pandemic. J Family Med Prim Care, 2022. 11(2): p. 466-471.
[5] Trương Hùng, Lê Minh Thi, Nguyễn Ngọc Lý. Thực trạng stress của nhân viên y tế tại các khoa lâm sàng trung tâm y tế huyện Phú Giáo tỉnh Bình Dương năm 2023 và một số yếu tố ảnh hưởng. Tạp chí Y học Việt Nam. 530(1B).
[6] Lưu Thị Liên. Thực trạng và các yếu tố liên quan đến stress, trầm cảm, lo âu của nhân viên y tế thuộc Trung tâm Y tế huyện Sóc Sơn, Thành phố Hà Nội. Trường Đại học Quốc Gia, Hà Nội. 2019.
[7] Nguyễn Thị Bích Thuỷ, Nguyễn Thị Thu Hương, Nguyễn Bình Minh, Nguyễn Hoài Linh, Ngô Văn Toàn. Thực trạng mắc stress và một số yếu tố liên quan ở nhân viên y tế tại Bệnh viện đa khoa Sơn Tây năm 2022. Tạp chí Y học Cộng đồng, 2023.
[8] Grassi, L. and K. Magnani, Psychiatric Morbidity and Burnout in the Medical Profession: An Italia n Study of General Practitioners and Hospital Physicians. Psychotherapy and Psychosomatics. 69(6): p. 329-334.
[9] Gülşen, M., N. Aydıngülü, and S. Arslan, Physiological and psychological effects of ambient noise in operating room on medical staff. ANZ Journal of Surgery. 91(5): p. 847-853.
[10] Lê Thị Kiều Hạnh, Ngô Văn Toàn, Vũ Minh Hải, Trần Quỳnh Anh. Một số yếu tố liên quan đến stress ở nhân viên y tế tại Bệnh viện Đại học Y Hà Nội và Bệnh viện Đại học Y Thái Bình. Tạp chí Nghiên cứu Y học. 167(6): p. 253-262.
[11] Blanco-Donoso, L.M., et al., Daily Work-Family Conflict and Burnout to Explain the Leaving Intentions and Vitality Levels of Healthcare Workers: Interactive Effects Using an Experience-Sampling Method. Int J Environ Res Public Health, 2021. 18(4).