| Abstract [eng] |
SUMMARY The aim - Rate peer connections of psychosocial work environment, morbidity and subjective health of the nurses and doctors working in the VULSK. Objectives of the study - 1. Rate the psychosocial work environment of the doctors and nurses employed in the VULSK. 2. Investigate the subjective assessment of health and morbidity of the doctors and nurses employed in the VULSK. 3. Identify the links between the psychosocial work factors, subjective health and morbidity. Methodology - A study was carried out in the period of May-October 2015 in Vilnius University Hospital. The study involved 569 respondents (doctors and nurses). For this research anonymous questionnaire consisting of 33 questions was prepared. The internal consistency of the questionnaire scale was assessed by using Cronbach's alpha coefficient. Differences between groups were determined by applying statistical method - χ2. For the different ordinal variables groups were created characteristics’ frequency tables. The hypothesis is considered statistically significant if p<0,05. Kolmoorov-Smirnov test was used for assessment of distribution normality. After the assumption of normality was not satisfied, the relationship between an interval of two independent variables were evaluated based on Spirmans’ correlation. The reliability of the correlation levels was assessed: correlation is significant at p<0,05. Results - The study involved 569 respondents. 79,8 % of the respondents said that they have to constantly learn new things, and 86,4 % - can take advantage of their expertise, 62,8 % says that colleagues are friendly and helps to finish their work. The study revealed the statistically significant correlation between the relationship with colleagues and respiratory (r = 0,098, p = 0,03), gastrointestinal (r = 0,167, p = 0), nervous system (r = 0,195, p = 0) and cold diseases (r = 0,188, p = 0). 79,4 % of the respondents said that they know for what they are responsible at work, 49,7 % agreed that during their work they sometimes are confronted with conflicting requirements. Data of the research showed that 55 % of the respondents feel some stress, 64 % of the respondents felt general fatigue, 61 % had sleep disorders, 57 % complained of back pain. 47 % of the respondents experienced headaches in stressful situations. Statistically significant correlation was retrieved between the subjective health evaluation and assessment of the relationship with co-workers (r - = - 0,207, p = 0), conflicting requirements (r = 0,101, p = 0,01) and knowledge of the responsibilities (r = -0,091, p = 0,02). Disease rate of the respondents: 51 % felt general fatigue, 42 % - back pain, 37 % felt stress at work, over 30 % complained of headaches and sleep disorders. Night work is related to muscle pain in the legs (χ2 = 4,496,, p=0,03), a general feeling of fatigue (χ2 = 4,504, p=0,03), and the tension and stress (χ2 =10,51, p=0,001) and digestive system diseases (χ2=5,416, p=0,02). 26 % of the survey respondents felt the symptoms of depression, 70 % of doctors working in night shifts and feeling very stressful often experience back pain, 36 % stomach pains and 30 % muscle pain in the legs and symptoms of depression. 60,8 % of the respondents are satisfied with their work. Conclusions - Night work is linked to health problems such as muscle pains in the legs, general fatigue, stress and tension. The correlation was found between the relationship with co-evaluation and hearing, vision, breathing, sleep disorders, back pain, headache, muscle pain, heart disease, fatigue, allergies and depression symptoms. Relationships with co-workers, knowing what your responsibilities are, contradictory requirements in the work are related to respondents' subjective health evaluation. Keywords - psychosocial environment, morbidity, health problems, doctor, nurse. |
