[Sense of coherence (SOC), occupational stress reactions, and the relationship of SOC with occupational stress reactions among male nurses working in a hospital]

Abstract

OBJECTIVES: There is limited information about the sense of coherence (SOC), stress reactions and the relationship between SOC and stress reactions in male nurses. The aim of this survey was to clarify SOC, stress reactions, and the relationship of SOC with stress reactions in male nurses working in a hospital. METHODS: Fifty-one male and 51 female nurses took part in a questionnaire survey. Each female subject was matched with a male of the same age (within 1 year), qualifications (nurse only or both nurse and public health nurse), and work place (internal medicine ward, surgery ward or others). The question items were basic attributes, SOC, Brief Job Stress Questionnaire and Brief Scales for Coping Profile (BSCP). To examine the relationship between the SOC and stress reactions, a multiple regression analysis was performed with psychological or somatic symptoms, as the dependent variable. RESULTS: The median age of male nurses was 27 (interquartile range: 24-30) years. The median length of their working career was 4 (2-7) years. There were no gender differences in the total scores of SOC. Among the stressors, the conditions of mental demand were better in male nurses, but the conditions of stress by workplace environment were worse than in female nurses. Depressive mood, one of the stress reactions, was worse in male nurses. Support from supervisors and coworkers that had an effect on stress reactions were weaker in male nurses than in female nurses. In the subscales of BSCP, "emotional expression to others" and "avoidance and suppression" were more often used by male nurses, but "seeking help for a solution to problems" was less frequently used by them than by female nurses. There were significant relationships between the total score of SOC and psychological and somatic symptoms in both sexes, even when adjusted for 9 stressor factors, 4 factors that had an effect on stress reactions, and 6 subscales of the BSCP and age. The sense of manageability, one of the subscales of SOC, showed significant relationships with psychological and somatic symptoms only in male nurses. CONCLUSIONS: The SOC showed no sex difference. The depressive reaction was stronger in male nurses. The relationship of the subscale of SOC to psychological and somatic symptoms showed a gender difference, although the total scores of SOC showed similar tendencies in both sexes.