The Study On The Interaction Of Occupational Stress And Its Health Effects Among Medical Staff In Xiong’an New Area

Objective: The purpose of this study was to evaluate the occupational stress level of medical staff in xiong’an new by using JDC model and ERI model,and to understand the degree of anxiety,depression,insomnia and their interaction,to explore the Bayesian network relationship among work,social factors,occupational stress and mental health effects,and to provide evidence for further intervention measures.Methods:1.A cross-sectional study was conducted among 7 secondary public hospitals in xiong’an new area in August,2021.Occupational stress was assessed with Job Content Questionnaire(JCQ)and Effort-Reward Imbalance Qestionnaire(ERI).The Generalized Anxiety Disorder-7(GAD-7),the Patient Health Questionnaire-9(PHQ-9)and Athens Insomnia Scale(AIS)were used to assess the status of anxiety,depression and insomnia.The survey issued2637 questionnaires,collected 2325 effective questionnaires,the effective recovery rate was 88.17%.2.The incidence of occupational stress,anxiety,depression and insomnia were compared among medical staffs with different demographic characteristics by chi-square test,and the influencing factors of occupational stress and its mental health effects were screened by multivariate Logistic regression.Using the R4.2.1 software(bnlearn and the gmodels packages),the Bayesian network models of work,social factors,occupational stress and mental health effects were constructed,and the conditional probability reasoning and verification were carried out.Use Netica32.0 to visualize Bayesian network models.Results:1.Among 2325 medical staffs,1084(45.59%)were found to have JDC occupational stress,and 1268(54.54%)were found to have ERI occupational stress.There were significant differences in the incidence of occupational stress among different departments,job titles,working shift,working hours and exercise(P<0.05);There was significant difference in the incidence of ERI occupational stress among different departments,job titles,seniority,working shift,working hours and exercise(P<0.05).2.The incidences of anxiety,depression and insomnia were 64.69%,64.04% and 59.05% respectively.There were significant differences in the incidence of anxiety among different educational,income,exercise and occupational stress(P<0.05);There were significant differences in the incidence of depression among different age,education,income,exercise and occupational stress(P<0.05);There were significant differences in the incidence of insomnia among different age,job title,seniority,working shift,exercise and occupational stress(P<0.05).3.Job title,working shift,working hours are the direct impact factors of ERI occupational stress;Age,education,department and seniority indirectly affect ERI occupational stress by influencing other factors.Occupational stress is the direct factor of anxiety and insomnia,at the same time Occupational stress indirectly affect depression by influencing anxiety and insomnia.Conclusions: The degree of occupational stress,anxiety,depression and insomnia were higher in medical staff of xiong’an new area.Occupational stress can directly or indirectly affect anxiety,depression and insomnia.Work,social factors will affect occupational stress,but also affect anxiety,depression and insomnia through occupational stress.Occupational stress is an early warning factor of the influence of general work and social factors on mental health problems such as anxiety,depression and insomnia.We should pay attention to the evaluation and intervention of the occupational stress of medical staff in order to prevent the occurrence of mental health problems caused by general work and social factors.