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辽宁省城乡不同类型卫生机构人员职业倦怠及心理健康状况

Levels and correlation of job burnout and mental health among medical and CDC professionals

  • 摘要: 目的 分析医生、护士和疾病预防控制工作人员的职业倦怠和心理健康状况,以及两者相关性。方法 2012年1月—2013年12月,采用多阶段分层随机抽样方法抽取辽宁省三级医疗机构医护人员及市、区(县)疾控中心人员共3 983人为研究对象,利用李超平等修订的中文版工作倦怠量表(MBI-GS)及Kessler开发的心理健康问卷进行调查,应用多元分层回归分析职业倦怠与心理健康水平之间关系。结果 辽宁省医务人员的情绪衰竭、消极怠慢、成就感和心理健康评分分别为(2.23±1.37)、(1.37±1.33)、(3.83±1.42)和(20.24±8.07)分,其中护士的职业倦怠和心理健康评分明显高于医生和疾病预防控制人员,疾控人员成就感水平为(3.52±1.56)分,明显低于其他人员(χ2=40.42,P<0.001);职业倦怠情绪衰竭、消极怠慢和成就感低落3个变量均对心理健康得分有显著的预测作用(P<0.01),解释的变异量增加了27.7%。结论 医务人员的职业倦怠和心理健康问题较为严重,应采取积极的态度和措施缓解医务人员的职业倦怠,预防心理健康问题的发生。

     

    Abstract: Objective To evaluate levels of job burnout and their associations with mental health among medical staff in hospitals and health personnel in centers for disease control and prevention (CDC).Methods Maslach Burnout Inventory-General Survey (MBI-GS) was self-administered to evaluate the job burnout level and Kessler Mental Health Questionnaire (K10) to evaluate the mental health among medical practitioners and nurses in hospitals at municipality or township level,and public health workers in CDCs at municipality and county level selected with multistage cluster random sampling in Liaoning province.Multiple hierarchical regression analysis was applied to elucidate correlation of job burnout and mental health among CDC workers,medical practitioners and nurses.Results The mean score of three subscales of burnout,including emotional exhaustion,cynicism and personal accomplishment,were 2.23±1.37,1.37±1.33,and 3.83±1.42,respectively.The mean score of mental health was 20.24±8.07.There was no significant difference in the prevalence of job burnout between CDC workers and medical practitioners.The prevalence of burnout in the nurses was significantly higher than that of the CDC workers and medical practitioners.Job burnout had significantly predictive effect on mental health.Conclusion Job burnout and mental health problems among medical personnel in Liaoning province are serious and positive attitude and effective measures should be promoted to alleviate job burnout and to prevent mental health problems among the populations.

     

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