社区医生职业倦怠及其应对方式的相关研究  

The study on the relationship of occupational burnout and coping style among general practitioners

作　　者：黄云[1] 马辉[2] 张宁[2] 

机构地区：[1]南京医科大学第四临床医学院,南京210029 [2]南京医科大学附属脑科医院医学心理科,南京210029

出　　处：《中华行为医学与脑科学杂志》2011年第4期348-350,共3页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：基金项目：卫生部公益性行业科研专项经费项目（200802150）;江苏省医学人文社会科学基金项目（JSYRIL12010-C1-001）

摘　　要：目的 探讨社区医生职业倦怠的现状及其与应对方式的关系.方法 采用工作倦怠问卷（CMBI）、简易应对方式问卷对243名社区医生进行调查.结果 社区医生中有36.6%轻度倦怠,26.8%中度倦怠,3.3%重度倦怠;各维度,11.5%情感衰竭,44.9%人格解体,43.6%成就感降低.男性医生成就感高于女性;职称方面,高级职称医生人格解体更严重;苏北地区社区医生职业倦怠较苏中、苏南地区严重;工作5～9年的社区医生容易发生职业倦怠;社区医生的应对方式与职业倦怠呈显著相关.结论 社区医生职业倦怠现状严重,防治工作应关注女性、高级职称以及工作5～9年的医生,采用积极的应对方式有助于减轻职业倦怠.Objective To investigate the status of occupational burnout among general practitioners （GPs） and explore the relationship between coping style and burnout. Methods 243 GPs were assessed by Chinese Maslach burnout inventory（CMBI） and simple coping style questionnaire. Results 36.6% of GPs experienced mild burnout, 26.8% moderate burnout, and 3.3% severe burnout; 11.5% of GPs got high scores on emotional exhaustion（EE）, 44.9% subjects got high scores on depersonalization（Dp） and 43.6% subjects got high scores on reduced personal accomplishment （RPA）. Male GPs experienced greater personal accomplishment than female. Among technical post, subjects with senior technical post scored higher on Dp. The condition of occupational burnout among subjects in north Jiangsu was more serious. GPs with seniority of 5 to 9 years seemed to be more prone to occupational burnout. The coping style of GPs had obvious correlation with occupational burnout. Conclusion The status of occupational burnout among GPs is serious. To prevent and cure occupational burnout, more attention should be paid to female, senior technical post GPs and＇persons with seniority of 5 to 9 years. And taking positive coping style can reduce GPs＇ occupational burnout.

关 键 词：社区医生 职业倦怠 应对方式 

分 类 号：R192[医药卫生—卫生事业管理]