The Relationship Between Work Stress, Positive Coping Style And Anxiety On Clinical Doctors

After the reform of medicine, the new rural cooperative medical care system andurban residents’ medical insurance policy greatly reduce the medical burden of the urbanand rural residents. With the increased awareness of health and the number of patients,medical staffs were overworked. In addition, increasing medical costs and self-protectionadded the conflict between doctors and patients. Hostile occupation environment andcontinuous work brought much pressure to doctors. Therefore, it is important to relievedoctors’ stress and improve their quality of life for hospital managements and doctorsthemselves. Understanding medical staffs working stress source, grasping theirpsychological conditions and exploring its associated influencing factors were not onlyimportant to relieve doctors’stress, but also valuable to improve medical quality and relaxthe doctor-patient contradiction.Based on the analysis of the literature review, a total of352doctors were selected byrandom sampling from two AAA hospitals and one AA hospital and were asked byquestionnaire. All the data was obtained with the validated questionnaires includingclinical doctors work stress source scale, simple work stress coping styles scale, type Abehavior pattern scale and Self-Rating Anxiety Scale. Descriptive statistics, correlationanalysis and path analysis method were used to evaluated the doctors’ work stressconditions, doctors’ behavior type and its associated influencing factors. Exploring theway to reduce the doctor job stress and change the strategy and were to provide somemethods evidence for improving doctor work performance and promoting their physicaland mental health. Results of the study are as follows:A total of85.8%of clinic doctors felt high pressure on work,14.2%felt that wasgeneral. The external environment, work load, organization and management, thedoctor-patient relationship were the top four main sources of clinic physicians. Men hadmore pressure than women. Doctors aged23to34had more pressure than who aged35to44. The surgeons had the highest pressure and the physicians had the highest score ofanxiety. Doctors from AA hospital had more pressure on career prospects and relationshipsthan one from AAA hospital. Doctors with Ph.D. had less pressure on doctor-patientrelationship than one with bachelor degree. Doctors with senior professional title had lesspressure on work time and career prospects than one with junior professional title. Anddoctors with less10-year clinic experience had more pressure on doctor-patientrelationship than one with above10-year clinic experience.Results suggested that the pressure of work source was significantly positivelycorrelated with anxiety. Positive coping was significantly negatively associated withanxiety. Negative coping was significantly positively correlated with anxiety. Behaviortype, TH (time hurry) and CH (competitive) were positively correlated with anxiety. Pathanalysis results revealed that work stress had a significant effect on anxiety (β=0.14, P<0.05). Positive coping and negative coping fully mediated the relation between workpressure and anxiety. TH partially mediated the relation between work pressure andanxiety. CH did not mediate the relation between work pressure and anxiety.Conclusion:1. Most clinicians felt the job stress was high and their mental health status was poor.There were significantly difference in every stress source dimension and coping styles.There were also significantly difference in anxiety with different gender, age, department,degree, professional title2. The higher working pressure, the more negative mood. Taking a positive way todeal with problems can alleviate anxiety, stress, time hurry to increase the negativeemotional experience-anxiety. 3. The coping styles and types of behavior are important media variable betweenstress source and anxiety. Its function is to change the cognition of stressful events, andto regulate body or emotional reactions related to the event.4. The control of doctors work stress source, the change of coping styles, themanagement of time, and the management of emotion can reduce anxiety and relievedoctors’work stress.