fa ابعاد مدل نیاز-کنترل و ارتباط آن با سندرم فرسودگی شغلی در پرستاران بهداشت حرفه اي Occupational Health پژوهشي Research <p><font face="Times New Roman" size="3">&nbsp;</font></p> <p class="MsoNormal" dir="rtl" style="margin: 0cm 0cm 10pt text-align: justify line-height: normal"><b><span 10pt="" 8.0pt="" b="" font-size:="" lang="FA" mso-ansi-font-size:="" mso-ascii-font-family:="" mso-hansi-font-family:="" new="" span="" style="color: black font-family: " times="">تغییرات به وجود آمده در ماهیت کار، افزایش قابل ملاحظه توجه به روابط بین فاکتورهای روانی وابسته به کار و سلامتی را به تصویر می</span><span 10pt="" 8.0pt="" b="" dir="ltr" font-size:="" lang="FA" mso-ansi-font-size:="" mso-ascii-font-family:="" mso-hansi-font-family:="" new="" span="" style="color: black font-family: " times="">کشد، هدف از انجام این مطالعه بررسی سطح فرسودگی شغلی و بررسی سطح نیازمندی</span><span 10pt="" 8.0pt="" b="" dir="ltr" font-size:="" lang="FA" mso-ansi-font-size:="" mso-ascii-font-family:="" mso-hansi-font-family:="" new="" span="" style="color: black font-family: " times="">ها و کنترل شغلی<b>&nbsp;</b>و رابطه فرسودگی شغلی با نیازمندی</span><span 10.0pt="" 8pt="" b="" dir="ltr" font-size:="" mso-bidi-font-family:="" mso-bidi-font-size:="" new="" serif="" style="color: black font-family: " times="">&lrm;</span><span 10pt="" 8.0pt="" b="" class="MsoNormal" dir="rtl" face="Times New Roman" font="" font-size:="" lang="FA" mso-ansi-font-size:="" mso-ascii-font-family:="" mso-hansi-font-family:="" new="" p="" size="3" span="" style="color: black font-family: " times=""><font size="2"><font face="B Nazanin"><span style="mso-spacerun: yes">&nbsp;</span>مواد و روش</font></font></span></b><b><span 10.0pt="" 8pt="" b="" dir="ltr" font-size:="" mso-bidi-font-family:="" mso-bidi-font-size:="" new="" serif="" style="color: black font-family: " times="">&lrm;</span></b><b><span 10pt="" 8.0pt="" :="" b="" font-size:="" lang="FA" mso-ansi-font-size:="" mso-ascii-font-family:="" mso-hansi-font-family:="" new="" span="" style="color: black font-family: " times="">در اﯾﻦ ﻣﻄﺎﻟﻌﻪ تحلیلی- ﻣﻘﻄﻌﯽ، 415 ﻧﻔﺮ از ﭘﺮﺳﺘﺎران ﺑﯿﻤﺎرﺳﺘﺎنﻫﺎی داﻧﺸـﮕﺎه ﻋﻠـﻮم ﭘﺰﺷـﮑﯽ همدان ﮐـﻪ ﺑـﻪ روش ﻧﻤﻮﻧﻪﮔﯿﺮی ﺗﺼﺎدﻓﯽ اﻧﺘﺨﺎب ﺷﺪﻧﺪ، ﺷﺮﮐﺖ ﻧﻤﻮدﻧﺪ. ﻧﺴﺨﻪ ﻓﺎرﺳـﯽ ﭘﺮﺳﺸـﻨﺎﻣﻪ ﻣﺤﺘـﻮای ﺷـﻐﻠﯽ و ﭘﺮﺳﺸـﻨﺎﻣﻪ فرسودگی شغلی ﺑﺮای ﺟﻤﻊآوری دادهﻫﺎ اﺳﺘﻔﺎده ﺷﺪ. ﺑﺮای ﺗﺤﻠﯿﻞ دادهﻫـﺎ از آﻣـﺎر ﺗﻮﺻـﯿﻔﯽ و آزﻣـﻮن آﻣـﺎری رگرسیون لجستیک چندگانه در ﻧﺮم اﻓﺰار </span><span 10.0pt="" 8pt="" b="" dir="ltr" font-size:="" mso-bidi-font-family:="" mso-bidi-font-size:="" new="" serif="" style="color: black font-family: " times="">SPSS₁₆</span><span .="" 10pt="" 8.0pt="" b="" class="MsoNormal" dir="rtl" face="Times New Roman" font="" font-size:="" lang="FA" mso-ansi-font-size:="" mso-ascii-font-family:="" mso-hansi-font-family:="" new="" p="" size="3" span="" style="color: black font-family: " times="">نتایج: </span></b><span 10pt="" 8.0pt="" b="" cambria="" font-size:="" lang="FA" mso-ansi-font-size:="" mso-ascii-font-family:="" mso-bidi-font-family:="" mso-hansi-font-family:="" new="" serif="" span="" style="color: black font-family: " times="">13/25)، مسخ شخصیت (1/5</span><span 10pt="" cambria="" font-size:="" lang="FA" mso-ansi-font-size:="" mso-bidi-font-family:="" serif="" style="color: black font-family: ">&plusmn;</span><span 10pt="" 8.0pt="" b="" cambria="" font-size:="" lang="FA" mso-ansi-font-size:="" mso-ascii-font-family:="" mso-bidi-font-family:="" mso-hansi-font-family:="" new="" serif="" span="" style="color: black font-family: " times="">30/33) به دست آمد. حدود 51% از پرستاران نیازهای روانی شغل خود را زیاد و حدود 57% از ایشان نیز کنترل شغلی خود را زیاد گزارش کرده</span><span 10pt="" 8.0pt="" b="" dir="ltr" font-size:="" lang="FA" mso-ansi-font-size:="" mso-ascii-font-family:="" mso-hansi-font-family:="" new="" span="" style="color: black font-family: " times="">اند. حدود 30% از پرستاران شغل خود را فعال، 21% غیر فعال، 22% با استرین بالا و 27% با استرین پایین گزارش کرده</span><span 10pt="" 8.0pt="" b="" dir="ltr" font-size:="" lang="FA" mso-ansi-font-size:="" mso-ascii-font-family:="" mso-hansi-font-family:="" new="" span="" style="color: black font-family: " times="">اند. و شغل غیر فعال از بعد کاهش کفایت شخصی در سندرم فرسودگی شغلی حمایت می</span><span 10pt="" 8.0pt="" b="" dir="ltr" font-size:="" lang="FA" mso-ansi-font-size:="" mso-ascii-font-family:="" mso-hansi-font-family:="" new="" span="" style="color: black font-family: " times="">کند (432/0</span><span 10.0pt="" 8pt="" b="" dir="ltr" font-size:="" mso-bidi-font-family:="" mso-bidi-font-size:="" new="" serif="" style="color: black font-family: " times="">OR=</span><span .="" 10pt="" 8.0pt="" b="" class="MsoNormal" dir="rtl" face="Times New Roman" font="" font-size:="" lang="FA" mso-ansi-font-size:="" mso-ascii-font-family:="" mso-hansi-font-family:="" new="" p="" size="3" span="" style="color: black font-family: " times="">نتیجه</span><b><span 10.0pt="" 8pt="" b="" dir="ltr" font-size:="" mso-bidi-font-family:="" mso-bidi-font-size:="" new="" serif="" style="color: black font-family: " times="">&lrm;</span></b><b><span 10pt="" 8.0pt="" :="" b="" font-size:="" lang="FA" mso-ansi-font-size:="" mso-ascii-font-family:="" mso-hansi-font-family:="" new="" span="" style="color: black font-family: " times="">بر اساس نتایج مطالعه باید گفت که اگر نیازمندی</span><span 10pt="" 8.0pt="" b="" dir="ltr" font-size:="" lang="FA" mso-ansi-font-size:="" mso-ascii-font-family:="" mso-hansi-font-family:="" new="" span="" style="color: black font-family: " times="">های روانی و کنترل شغلی فرد بالا باشد فرد مستعد فرسودگی شغلی نخواهد بود. همچنین احتمال وقوع فرسودگی شغلی در بعد کاهش کفایت شخصی در بین پرستارانی که نیازمندی</span><span 10pt="" 8.0pt="" b="" dir="ltr" font-size:="" lang="FA" mso-ansi-font-size:="" mso-ascii-font-family:="" mso-hansi-font-family:="" new="" span="" style="color: black font-family: " times="">های روانی شغلی را کم و کنترل شغلی خود را نیز کم گزارش کرده</span><span 10pt="" 8.0pt="" b="" dir="ltr" font-size:="" lang="FA" mso-ansi-font-size:="" mso-ascii-font-family:="" mso-hansi-font-family:="" new="" span="" style="color: black font-family: " times="">اند بیشتر است.<!--stripped--><!--stripped--></span></b></p> <p><b><font face="Times New Roman" size="3">&nbsp;</font><font face="Times New Roman" size="3">&nbsp;</font></b></p> <p>Background: In many workplaces, many factors exist as sources of stress such as environmental and physical factors, (eg, noise, overcrowding, poor lighting), human factors (conflict with another person), organizational factors (such as workload, Incorrect policy). if the person is not able to deal effectively with them, undergoing several physical and behavioral and psychological symptoms are happen. While prolonged stress may cause decreased job satisfaction and burnout that results is boredom, apathy, loss of effectiveness, fatigue, frustration, and even disappointment. Burnout in nursing profession, is a serious problem health care and has negative effects on clinical outcomes. The aim of this study was to assess the level of burnout ,job demand - control and also The relationship between burnout and job demand - control among nurses. Methods: in this cross- sectional study, 415 randomly selected nurses from hospital of Hamedan university of medical sciences participated. The Persian version of job content questionnaire(P-JCQ) and maslach burnout inventory used for data collection. Using SPSS16 software , descriptive statistics and multiple logestic regression and x2 test were applied for data analysis. Results: the finding of present study indicated that burnout levels were relatively high. Mean and standard deviation score for Emotional exhaustion, Depersonalization and Reduced personal accomplishment dimensions were (25.3&plusmn;12.42),(5.91&plusmn;5.1),(33.30&plusmn;9.59) respectively. About 51% of nurses reported high job demands and 57% of them had high control over their tasks. About 30% of nurses reported that their job were active, 21% passive, 22% high strain and 27% low strain. And غیر فعال job supported reduced personal accomplishment dimension of burnout (OR=0.433). Conclusion: Based on the results of the study should be stated that if job control and psychological job demand were high, nurses will not be prone to burnout. And also occurrence of burnout in reduced personal accomplishment dimension among nurses who reported their job had low psychosocial demand and low control, was more than others.</p> فرسودگی شغلی, پرستاری, مدل نیاز-کنترل, پرسشنامه محتوای شغلی, ایران job burnout, nursing job, demand-control model, job content questionnaire, Iran. 23 35 http://jabs.fums.ac.ir/browse.php?a_code=A-10-418-1&slc_lang=fa&sid=1 Ahmad Heidari Pahlavian احمد حیدری پهلویان 100319475328460011444 100319475328460011444 No Department of Psychiatry of Medical School, Hamedan University of Medical Sciences, Hamedan, Iran. گروه روانپزشکی، دانشکده پزشکی، دانشگاه علوم پزشکی همدان، همدان، ایران. Tahereh Gholami طاهره غلامی gholamitahereh@yahoo.com 100319475328460011445 100319475328460011445 Yes Department of Public Health, Fasa University of Medical Sciences, Fasa, Iran. گروه بهداشت عمومی، دانشگاه علوم پزشکی فسا، فسا، ایران. Rashid Heidari Moghaddam رشید حیدری مقدم 100319475328460011446 100319475328460011446 No Ergonomics Department, School of Public Health, Hamedan University of Medical Sciences, Hamedan, Iran. گروه ارگونومی، دانشکده بهداشت، دانشگاه علوم پزشکی همدان، همدان، ایران. Mehdi Akbarzadeh مهدی اکبرزده 100319475328460011447 100319475328460011447 No Statistics Department, Hamedan University of Medical Sciences, Hamedan, Iran. گروه آمار، دانشگاه علوم پزشکی همدان، همدان، ایران. Majid Motamedzadeh مجید معتمدزاده طرقبه 100319475328460011448 100319475328460011448 No Ergonomics Department, School of Public Health, Hamedan University of Medical Sciences, Hamedan, Iran. گروه ارگونومی، دانشکده بهداشت، دانشگاه علوم پزشکی همدان، همدان، ایران.