대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
권호 표지

직무스트레스관리중재 효과에 대한 메타분석

A Meta-Analysis of Effects of Job Stress Management Interventions (SMIs)

  • 김정희 (제주대학교 의과대학 간호학과)
  • Kim, Jeong-Hee (Department of Nursing, Medical School, Cheju National University)
  • 발행 : 2007.06.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: This quantitative meta analysis sought to determine the effectiveness of SMIs. Method: Forty-six experimental studies with a randomized or nonequivalent control group pre-post test design were included in the analysis. The selected studies were classified according to the sample characteristics, the types and methods of the interventions, and the types of outcome variables. Six intervention types were distinguished: cognitive-behavioral intervention(CBT), relaxation techniques(RT), exercise(EX), multimodal programs 1 and 2(MT1, 2), and organization-focused interventions(OTs). Effect sizes were calculated for the 4 outcome categories across intervention types: psycho-social outcome, behavioral-personal resources, physiologic, and organizational outcome. Results : Individual worker-focused interventions(ITs) were more effective than OTs. A small but significant overall effect was found A moderate effect was found for RT, and small effects were found for other ITs, The effect size for OTs was the smallest. The interventions involving CBT and RT appeared to be the preferred means of reducing worker's psycho-social and organizational outcomes. With regard to physiologic outcomes, RT appeared to be most effective. CBT appeared to be most effective in reducing psycho-social outcomes. The effects of OT were non-significant, except for the psycho-social outcomes. Conclusions: SMIs are effective. Interventions involving RT and CBT are more effective than other types.

키워드

참고문헌

  1. Briner, R. B. (1997). Improving stress assessment: toward an evidence-based approach to organizational stress interventions. J Psychosom Res, 43(1), 61-71 https://doi.org/10.1016/S0022-3999(97)00010-X
  2. Briner, R. B., & Reynolds, S. (1999). The costs, benefits, and limitations of organizational level stress interventions. Organ Behav Hum Perform, 20(5), 647-664
  3. Cahill, J. (1995, September). Reducing occupational stress: An introductory guide for managers, supervisors and union members. Presented at the Work Stress and Health '95 Conference. Washington D. C
  4. Cha, B. K., Chang, H. K., & Sohn, J. N. (2004). A meta-analysis of the effects of a self-efficacy promoting program. J Korean Acad Nurs, 34(6), 934-944 https://doi.org/10.4040/jkan.2004.34.6.934
  5. Cohen, C. S., & Wills, T. A. (1985). Stress, social support, and buffering hypothesis. Psychol Bull, 98, 310-357 https://doi.org/10.1037/0033-2909.98.2.310
  6. Cohen, J. (1988). Statistical power analysis for the behavioral sciences(2nd ed.). Hillsdale, New Jersey: Lawrence Erlbaum Associates, Publishers
  7. Cooper, C, L. (1996). Stress in the workplace. Br J Hosp Med, 55(9), 559-574
  8. Defrank, R. S., & Cooper, C. L. (1989). Work site stress management interventions: their effectiveness and conceptualization. J Psycho, 2, 4-10
  9. Fielding, J. E. (1989). Work site stress management: national survey results. J Soc Occup Med, 31(12), 990-995 https://doi.org/10.1097/00043764-198912000-00011
  10. Friedli, K., King, M. B., Lloyd, M., & Horder, J. (1997). Randomised controlled assessment of non-directive psychotherapy versus routine general practitioner care. Lancet, 350, 1662-1665 https://doi.org/10.1016/S0140-6736(97)05298-7
  11. Ivancevich, J. M., Matteson, M. T., Freedman, S. M., & Philips, J. S. (1990). Worksite stress management interventions. Am Psychol, 45(2), 252-261 https://doi.org/10.1037/0003-066X.45.2.252
  12. Kim, I. H. (1999). Effects of exercise therapy and relaxation therapy on psychological and physiological response for job stress of white color's job. Unpublished doctoral dissertation, Kyung Hee University, Seoul
  13. Kim, I. H. (2000). Exercise therapy and mental health for stress management. J Korean Acad Nurs, 9(3), 328-343
  14. Kim, J. H. (2001, December). Job stress management and nurses' role: A educational-industrial collaboration. Presented at the meeting of the Korean Occupational Health Nursing, Chonan, Korea
  15. Kim, J. H. (2003). Case study(chapter 5). In KOSHA(ed.), Health promotion: Stress (pp109-144). Inchon: KOSHA
  16. Kim, J. H., & Yoon, S. Y. (2002). An analysis of studies of workers' stress conducted in Korea from 1981 to 2000. J Korean Comm Nurs, 13(4), 618-628
  17. Landsbergis, P. A., & Cahill, J. (1994). Labor union programs to reduce or prevent occupational stress in the united states. Int J Health Serv, 24(1), 105-129 https://doi.org/10.2190/501D-4E1P-260K-2500
  18. Lee, E. O., Lim, N. Y., & Park, H. A. (1998). Nursingmedical research and statistic analysis. Seoul: Soomoonsa
  19. Lee, E. O., Song, H. H., Lee, B. S., Kim, J. H., Lee, E. H., Lee, E. J., Park, C. S., Chun, K. Z., & Jung, M. S. (1992). Effects of nursing interventions on anxiety and/ or stress; a meta-analysis. J Korean Acad Nurs, 22(4), 526-551
  20. Lipsey, M. W., & Wilson, D. B. (2001). Practical metaanalysis, Applied Social Research Methods Series, Vol. 49. London: SAGE Publications, Inc
  21. Murphy, L. R, Hurrell, Jr. J. J., Sauter, S. L., & Keita, C. P. (1995). Job stress intervention, APA. ix-x
  22. Murphy, L. R. (1996). Stress management in work settings: A critical review of the health effects. Am J Health Promot, 11(2), 112-135 https://doi.org/10.4278/0890-1171-11.2.112
  23. NIOSH. (2006, December). Stress at work. retrieved December 11, 2006, from the NIOSH Web site: http://www.cdc.gov/niosh/stresswk.html
  24. Reynolds, S. (1997). Psychological well-being at work: is prevention better than cure? J Psychosom Res, 43(1), 93-102 https://doi.org/10.1016/S0022-3999(97)00023-8
  25. Reynolds, S. (2000). Interventions: what works, what doesn't? J Soc Occup Med, 50(5), 315-319 https://doi.org/10.1093/occmed/50.5.315
  26. Shapiro, D. A., Barkham, M., Rees, A., Hardy, G. E., Reynolds, S., & Startup, M. (1994). Effects of treatment duration and severity of depression on the effectiveness of cognitive-behavioural and psychodynamic- interpersonal psychotherapy. J Consult Clin Psychol, 62, 524-536
  27. Shapiro, D. A., Rees, A., Barkham, M., Hardy, G. E., Reynolds, S. (1995). Effects of treatment duration and severity of depression on the maintanance of gains following cognitive-behavioral and psychodynamicinterpersonal psychotherapy. J Consult Clin Psychol, 63, 378-387 https://doi.org/10.1037/0022-006X.63.3.378
  28. van der Hek, H., & Plomp, H. N. (1997). Occupational stress management programmes: a practical overview of published effect studies. J Soc Occup Med, 47(3), 133-141 https://doi.org/10.1093/occmed/47.3.133
  29. van der Klink, J. J. L., Blonk, R. W. B., Scehene, A. H., & van Dijk, F. J. H. (2001). The benefits of interventions for work-related stress. Am J Public Health, 91(2), 270-276 https://doi.org/10.2105/AJPH.91.2.270