Yücel DEMİRAL, YILDIZ AKVARDAR, Alp ERGÖR, Gül ERGÖR

Üniversite hastanesinde çalışan hekimlerde iş doyumunun anksiyete ve depresyon düzeylerine etkisi

Doktorlarda depresyon, intihar ve madde kullanımı riski yüksektir. İş doyumu ve stres gibi psikososyal etmenlerin mental sağlık üzerine etkileri olduğu bilinmektedir. Amaç: Bu çalışmanın amacı üniversite hastanesinde çalışan hekimlerde depresyon ve anksiyete düzeylerinin belirlenmesi ve iş doyumunun etkisinin incelenmesidir. Yöntem: Çalışmada Dokuz Eylül Üniversitesi Tıp Fakültesi'nde çalışan ve sistematik örnek seçme yöntemi ile seçilen 300 hekime anket dağıtıldı, 153 hekimden yanıt alındı (% 51,0). Sosyo-demografik ve çalışma yaşamı ile ilgili soruların sorulduğu, kapalı zarflarda dağıtılan ve iki hafta sonra toplanan ankette depresyon ve anksiyete ölçümünde Hastane Anksiyete ve Depresyon Ölçeği kullanıldı. İş doyumunu değerlendirmek üzere tek bir soru ile 1 ile 10 arasında derecelendirmeleri istendi ve işaretlenen puanlara göre iş doyumu düşük, orta ve yüksek olarak sınıflandırıldı. Bulgular: Yüksek anksiyete ve depresyon görülme sıklığı sırasıyla %18,9 ve 27,4’tür. İş doyumu ve anksiyete arasında anlamlı bir ilişki saptanmamıştır (p=0,239). İş doyumu düşük olanlarda, cerrahi bilimlerde çalışanlarda ve asistan konumunda çalışanlarda depresyon düzeyi anlamlı olarak yüksek bulunmuştur (p

Anahtar Kelimeler:

Kaygı, Depresyon, Sağlık personeli, Hastaneler, üniversite, İş doyumu, Hekimler, Psikoloji, Anketler, Test kaygı ölçeği

The impact of job satisfaction on anxiety and depression levels among university physicians

Studies have shown that physicians have an increased risk of mental health problems including depression, suicide and substance abuse. Job satisfaction and job stress might affect physicians mental well being. Objective: The aim of this study was to determine the level of anxiety and depression of medical doctors working in a university hospital and whether job satisfaction has an impact on level of anxiety and depression. Methods: The study was completed with 153 physicians those systematically selected from university medical faculty. The response rate was 51,0%. Hospital Anxiety and Depression Scale was used to measure anxiety and depression. The study group was rated their job satisfaction by a continuous scale ranged one to ten. Then tertiles were calculated in order to categorize the job satisfaction as low, modest and high. the least job satisfied physicians (p<0.0001). Conclusion: Job satisfaction is an important issue for physicians’ mental well-being, their institution and patients. Hence it should be considered not as an individual problem but as an organisational one. Surveillence systems should be established which allow follow-up and interventional studies.

Keywords:

Anxiety, Depression, Health Personnel, Hospitals, University, Job Satisfaction, Physicians, Psychology, Questionnaires, Test Anxiety Scale,

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