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Abstract：
BACKGROUND: Healthcare workers are often exposed to stressful working conditions at work which affect their quality of life. The study investigated the relationship between psychosocial risk factors, stress, burnout, and quality of life among primary healthcare workers in general medical practice in Qingyuan and Chaozhou cities in Guangdong province.
METHODS: The cross-sectional study was conducted in 108 primary health facilities including 36 community health centers (CHCs) across two developing cities in Guangdong province. A total of 873 healthcare workers completed the questionnaires. Quality of life was evaluated using The World Health Organization Quality of Life Questionnaire (WHOQOL-BREF) and psychological risk factors were evaluated by the Copenhagen Psychosocial Questionnaire (COPSOQ). General quality of life and the quality of life domains were transformed into a score range from minimum 0 to 100 maximum. Higher scores indicated better quality of life and vice versa. Significant associations were verified using multiple regression analysis.
RESULTS: Poor quality of life was observed in 74.6% of healthcare workers surveyed. General poor quality of life was significantly higher among workers who reported higher burnout (Beta = - 0.331, p < 0.001). In addition, workers with high levels of burnout, unmarried workers and female workers had a higher possibility of physical health. A greater risk of poor psychological health was observed among workers with high burnout, poor sense of community and those with lower educational levels. Workers who lacked social support, those with fewer possibilities for development had increased probability of poor quality of life in the social domain. Poor quality of life in the environmental domain was observed among workers who were dissatisfied with their jobs and workers with low salaries.
CONCLUSIONS: Primary healthcare workers in developing cities in China have a highly demanding and strained working environment and poor quality of life. Reducing job stress and improving work conditions may ultimately improve the well-being of primary healthcare workers.
METHODS: The cross-sectional study was conducted in 108 primary health facilities including 36 community health centers (CHCs) across two developing cities in Guangdong province. A total of 873 healthcare workers completed the questionnaires. Quality of life was evaluated using The World Health Organization Quality of Life Questionnaire (WHOQOL-BREF) and psychological risk factors were evaluated by the Copenhagen Psychosocial Questionnaire (COPSOQ). General quality of life and the quality of life domains were transformed into a score range from minimum 0 to 100 maximum. Higher scores indicated better quality of life and vice versa. Significant associations were verified using multiple regression analysis.
RESULTS: Poor quality of life was observed in 74.6% of healthcare workers surveyed. General poor quality of life was significantly higher among workers who reported higher burnout (Beta = - 0.331, p < 0.001). In addition, workers with high levels of burnout, unmarried workers and female workers had a higher possibility of physical health. A greater risk of poor psychological health was observed among workers with high burnout, poor sense of community and those with lower educational levels. Workers who lacked social support, those with fewer possibilities for development had increased probability of poor quality of life in the social domain. Poor quality of life in the environmental domain was observed among workers who were dissatisfied with their jobs and workers with low salaries.
CONCLUSIONS: Primary healthcare workers in developing cities in China have a highly demanding and strained working environment and poor quality of life. Reducing job stress and improving work conditions may ultimately improve the well-being of primary healthcare workers.
摘要：
背景：医护人员在工作中经常面临压力很大的工作条件，这会影响他们的生活质量。这项研究调查了心理社会危险因素之间的关系，压力，倦怠,广东省清远市和潮州市普通医疗实践中基层医护人员的生活质量。
方法：本研究是在广东省两个发展中城市的108个基层卫生机构（包括36个社区卫生服务中心）中进行的。共有873名医护人员完成了调查问卷。使用世界卫生组织生活质量问卷（WHOQOL-BREF）评估生活质量，并通过哥本哈根心理社会问卷（COPSOQ）评估心理危险因素。一般生活质量和生活质量领域转化为最小0至最大100的分数范围。更高的分数表明更好的生活质量，反之亦然。使用多元回归分析验证了显著关联。
结果：74.6%的医护人员的生活质量较差。报告较高职业倦怠的工人的生活质量普遍较差（Beta=-0.331，p<0.001）。此外,职业倦怠程度较高的工人，未婚工人和女工身体健康的可能性更高。在高倦怠的工人中观察到心理健康差的风险更大，社区意识差和受教育程度较低的人。缺乏社会支持的工人，那些发展可能性较小的人增加了社会领域生活质量差的可能性。在对工作不满意的工人和低薪工人中，环境领域的生活质量较差。
结论：中国发展中城市的初级卫生保健工作者的工作环境要求很高，工作环境紧张，生活质量差。减轻工作压力和改善工作条件可能最终会改善初级卫生保健工作者的福祉。
方法：本研究是在广东省两个发展中城市的108个基层卫生机构（包括36个社区卫生服务中心）中进行的。共有873名医护人员完成了调查问卷。使用世界卫生组织生活质量问卷（WHOQOL-BREF）评估生活质量，并通过哥本哈根心理社会问卷（COPSOQ）评估心理危险因素。一般生活质量和生活质量领域转化为最小0至最大100的分数范围。更高的分数表明更好的生活质量，反之亦然。使用多元回归分析验证了显著关联。
结果：74.6%的医护人员的生活质量较差。报告较高职业倦怠的工人的生活质量普遍较差（Beta=-0.331，p<0.001）。此外,职业倦怠程度较高的工人，未婚工人和女工身体健康的可能性更高。在高倦怠的工人中观察到心理健康差的风险更大，社区意识差和受教育程度较低的人。缺乏社会支持的工人，那些发展可能性较小的人增加了社会领域生活质量差的可能性。在对工作不满意的工人和低薪工人中，环境领域的生活质量较差。
结论：中国发展中城市的初级卫生保健工作者的工作环境要求很高，工作环境紧张，生活质量差。减轻工作压力和改善工作条件可能最终会改善初级卫生保健工作者的福祉。
