ปัจจัยเชิงสาเหตุที่มีอิทธิพลต่อความเครียดของบุคลากรสาธารณสุขที่ปฏิบัติงานในสามจังหวัดชายแดนภาคใต้

Abstract

The objectives of this research were to (1) investigate causal factors influencing stress of health personnel; (2) develop a causal model of factors influencing stress of health personnel; and (3) determine associations between stress and coping with stress, optimism, self-esteem, and social support among health personnel working in the three Southern border provinces. The sample group of this descriptive research were 487 health personnel consisting of government officials, government employees and officials of the Ministry of Public Health. The research instrument was a stress questionnaire on work stress, coping with stress, optimism, self-esteem, and social support. Data were analyzed using descriptive statistics, and the casual model was analyzed and tested using LISREL. The results of the study were as follows. 1. The causal model influencing stress of health personnel working in the three Southern provinces consisted of 5 latent variables : work stress, coping with stress, optimism, self-esteem, and social support. These latent variables were derived from 17 observation variables. It was found that the model was well-fitted with the empirical data (chi-square = 92.85, df = 77, p = 0.105, RMSEA = 0.021, RMR = 0.035, GFI = 0.98 and AGFI = 0.96). All of the variables could explain the stress variance among health personnel. 2. Optimism and self-esteem was positively associated with stress (r = 0.87). 3. Self-esteem was the factor most affecting work stress of health personnel (B = 5.64) at a statistical significance level of .01