急诊医护人员健康与职业倦怠影响因素及干预对策研究-现代医学

急诊医护人员健康与职业倦怠影响因素及干预对策研究

单位：1. 南京医科大学附属江宁医院急诊医学科, 江苏南京 211100;
2. 南京医科大学附属江宁医院医务处, 江苏南京 211100

分类号：R192.6;R192.3

出版年·卷·期（页码）：2022·50·第五期（592-597）

摘要：

目的：分析影响急诊医护人员健康与职业倦怠的相关因素，为制定干预对策提供依据。方法：2020年6月，采用普查方式调查南京医科大学附属江宁医院急诊医护人员。采用MBI-GS量表评价职业倦怠，GHQ-12量表评价健康状态，多因素Logistic回归筛选影响健康和职业倦怠的相关因素。结果：急诊医护人员平均年龄（32.90±8.27）岁，其中30.11%的调查对象处于不良健康状态，被判定为职业倦怠的占53.98%。多因素分析表明：对薪酬体系的满意度（OR=0.61，95%CI为0.43~0.85）是影响急诊医护人员职业倦怠的主要因素；对薪酬体系的满意度（OR=0.54，95%CI为0.36~0.80）和连续工作时间（OR=1.01，95%CI为1.00~1.03）则是影响调查对象健康状况的主要因素。结论：完善薪酬体系建设能够显著提高急诊医护人员健康水平，缓解职业倦怠，科学调整工作强度对维护急诊医护人员的健康具有积极意义。

Objective:To study on the influencing factors of health and job burnout among medical staff in emergency department and to provide basis for working out intervention strategies. Methods:General survey was conducted in the emergency medical staff working in the Affiliated Jiangning Hospital of Nanjing Medical University in June 2020. Maslach Burnout Inventory General Scale(MBI-GS) was used for evaluating job burnout and 12-Item General Health Questionnaire was used for estimating health status of our research subjects. Multiple logistic regression was used for determining associated factors of health and job burnout. Results:The average age of emergency medical staff was 32.90±8.27 years. Of the subjects investigated, 30.11% were in poor health status and 53.98% were identified as job burnout. Multiple logistic regression analysis showed that the satisfaction of salary system was significantly associated with health and job burnout. Long working hours were the main factors that influenced the health of emergency medical staff. Conclusion:Improving the salary system can promote health and reduce the occurrence of job burnout of emergency medical staff. Adjusting work intensity is of positive significance in maintaining their health.

参考文献：

[1] MASLACH C,LEITER M P.Understanding the burnout experience:recent research and its implications for psychiatry.[J].World Psychiatry,2016,15(2):103-111.
[2] ARONSSON G,THEORELL T,GRAPE T,et al.A systematic review including meta-analysis of work environment and burnout symptoms[J].BMC Public Health,2017,17(1):264
[3] 李烟然,吕红亮,刘毅.医务人员职业倦怠研究进展[J].现代预防医学,2015,42(19):3489-3492.
[4] 朱靖,胡丹,李静娴,等.新冠疫情背景下医务人员职业倦怠影响因素分析[J].东南大学学报(医学版),2020,39(6):747-752.
[5] 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.
[6] 邵岑怡,张舜行,台明.国内外医务人员职业倦怠研究进展[J].中华医院管理杂志,2019,35(6):487-489.
[7] 付光蕾.急诊医护人员遭受工作场所身体暴力事件后真实体验的质性研究[D].广州:暨南大学,2013.
[8] 章玉兰,杜菊媛.急诊医护人员血源性职业暴露后心理健康调查[J].中华医院感染学杂志,2011,21(7):1372-1374.
[9] XU W C,PAN Z J,LI Z J,et al.Job burnout among primary healthcare workers in rural China:a multilevel analysis[J].Int J Env Res Pub He,2020,17(3):727-744.
[10] 王文强,丁丽君,廖震华,等.12项一般健康问卷中不同计分方法的最佳切分值及筛选特点[J].中华精神科杂志,2012(6):349-353.
[11] 章健民,石其昌,付永利,等.12项一般健康问卷中不同计分法对精神障碍筛选最佳切分值的分析[J].中华流行病学杂志,2010(3):354-356.
[12] 黄丽,戴俊明,张浩,等.医务人员职业倦怠与健康生产力受损的关联[J].环境与职业医学,2013,30(5):321-327.
[13] 王惠,张宁.医生职业倦怠的现状与分析[J].中国健康心理学杂志,2008,16(4):397-399.
[14] 李爽,那军,朱晓宁,等.辽宁省医务人员工作倦怠状况分析[J].中国公共卫生,2015,31(1):60-63.
[15] 韩鹏.我国医护人员心理健康及干预状况的系统评价[D].唐山:华北理工大学,2019.
[16] 秦江梅.薪酬改革应"领跑"整体制度建设[J].中国卫生,2018(3):38-39.

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