Assessment of job burnout among medical staff in Liaoning province
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摘要: 目的 了解辽宁省城乡各级医务人员工作倦怠水平及重度工作倦怠影响因素,为开展相关干预措施提供参考。方法 采用多阶段分层随机抽样方法,在辽宁省抽取3 876名医务人员(医生1 807人、护士1 405人、疾控人员664人)进行工作倦怠状况问卷调查。结果 辽宁省医务人员情绪衰竭、消极怠慢和成就感得分分别为(11.1±6.8)、(5.5±5.3)、(23.0±8.5)分,不同岗位医务人员情绪衰竭、消极怠慢和成就感得分差异均有统计学意义(均P=0.000);医务人员工作倦怠检出率为56.53%,其中轻、中、重度倦怠检出率分别为29.51%、21.44%、5.57%;不同岗位医务人员工作倦怠情况比较,护士中度工作倦怠检出率(25.05%)均高于医生(19.81%)和疾控人员(18.22%),差异均有统计学意义(均P=0.000);单因素logistic回归分析结果显示,城市、工作单位为三级医院/市级疾病预防控制中心、年龄30~39岁、工作年限10~19年、文化程度为大专及以上、职称为初级及以上的医务人员中、重度工作倦怠检出率较高(均P<0.01)。结论 辽宁省医务人员工作倦怠情绪普遍存在,城乡不同类型机构、不同岗位医务人员的工作倦怠率存在差异,急需采取综合措施进行防治。Abstract: Objective To assess levels and distribution of job burnout among medical staff in hospitals and health personnel in centers for disease control and prevention(CDC)in Liaoning province.Methods A total of 3 876 medical staff(1 807 doctors,1 405 nurses and 664 CDC staff)in Liaoning province were selected with multistage cluster random sampling to answer a self-designed questionnaire and Maslach Burnout Inventory-General Survey(MBI-GS)Chinese Version.Results The medical staff were scored with 11.1±6.8,5.5±5.3,and 23.0±8.5 for the dimensions of emotional exhaustion,cynicism,and personal accomplishment,respectively.The prevalence rate of low,moderate and high level of job burnout were 29.51%,21.44% and 5.57%,respectively.The prevalence rate of moderate burnout among the nurses(25.05%)was significantly hither than among the doctors(19.81%) and CDC staff(18.22%)(P=0.000).Results of binary logistic regression showed that the prevalence rate of moderate and high level burnout was significantly higher among the staff with the risk factors such as living in urban area,working in tertiary hospitals or city-level CDCs,at the age of 30-39 years,with work experience of 10-19 years,and having higher education or higher professional title(P<0.01 for all).Conclusion Job burnout exists among most medical and CDC staff in Liaoning.Significant differences in burnout exist among the medical staff living in different districts,working in medical fecilities at different levels,and with different job titles.Comprehensive measures should be taken urgently to prevent job burnout among medical staff.
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Key words:
- job burnout /
- status /
- medical staff
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[1] 李永鑫,李艺敏.护士倦怠与自尊、健康和离职意向的相关性研究[J].中华护理杂志,2007,42(5):392. [2] Fahrenkopf AM,Sectish TC,Barger LK,et al.Rates of medication errors among depressed and burnt out residents:prospective cohort study[J].British Medical Journal,2008,336:488-491. [3] Ge CX,Fu JL,Chang Y,et al.Factors associated with job satisfaction among Chinese community health workers:a cross-sectional study[J].BMC Public Health,2011,11:884. [4] Rohland BM,Kruse GR,Rohrer JE.Validation of a single-item measure of burnout against the Maslach Burnout Inventory among physicians[J].Stress and Health,2004,20:75-79. [5] Bayram N,Gursakal S,Bilgel N.Burnout,vigor and job satisfaction among academic staff[J].European Journal of Social Sciences,2010,17(1):41-53. [6] 潘菲,孙宏玉,官锐园,等.急诊护士遭受工作场所暴力后对工作倦怠的影响[J].中华护理教育,2010,7(1):24-27. [7] 施跃健,王玲凤.医生职业压力与心理状况关系[J].中国公共卫生,2007,23(5):529-531. [8] 谭一笑,叶明,蔡开贤.医生主管幸福感现状调查[J].中国公共卫生,2010,26(5):515-516. [9] 李永鑫.工作倦怠的心理学研究[M].北京:中国社会科学出版社,2008:77-92. [10] 周荣慧,呼滨,丁炎明,等.北京城区综合性医院护士职业倦怠影响因素的追踪研究[J].中国护理管理,2010,10(9): 27-30. [11] 李超平,时勘,罗正学,等.医护人员工作家庭冲突与工作倦怠的关系[J].中国心理卫生杂志,2003,17(12): 807-809. [12] 李超平,时勘,罗正学,等.医护人员工作倦怠的调查[J].中国临床心理学杂志,2003,11(3):170-172. [13] 李永鑫,李艺敏.工作倦怠诊断标准的初步探讨[J].心理科学,2006(1):148-153. [14] Ozyurt A,Hayran O,Sur H.Predictors of burnout and job satisfaction among Turkish physicians[J].QJM,2006,99:161-169.
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