医生职业倦怠量表的编制及信效度检验  

Development and Psychometric Testing of Doctor Burnout Scale

作　　者：徐航[1] 张石磊[1] 张琰[1] 张峰[1] 苗丹民[1] 

机构地区：[1]第四军医大学心理学教研室,陕西西安710032

出　　处：《现代生物医学进展》2013年第8期1549-1553,共5页Progress in Modern Biomedicine

基　　金：国家科技支撑计划资助项目(2009BAI77B04)

摘　　要：目的：编制医生职业倦怠量表。方法：通过查阅文献、访谈及专家讨论,建立量表结构,并确定初始量表项目48条。在西安的两所三级甲等医院施测,2次分别选取176和436名医生作为样本。采用项目分析、探索性因素分析、信度分析、验证性因素分析等统计方法对数据进行统计分析。结果：医生职业倦怠量表由六个因素构成：疲劳感、工作能力下降、投入性下降、成就感降低、工作控制感下降以及工作前景。共有30个项目,量表总分与各因素之间的相关系数0.541~0.856（P〈0.001）。六个因素的α系数在0.886~0.896之间,总量表的α系数为0.894。验证性因素分析拟合度较高（RESEA=0.062,GFI=0.859,CFI=0.842,IFI=0.851）。医生职业倦怠量表总分及各因子分与工作倦怠问卷的总分及各因子分之间具有显著的相关性（P〈0.05）。结论：编制的医生职业倦怠量表信度和效度符合心理测量学要求,可以作为医生职业倦怠测量的工具。Objective： Development and Psychometric testing of doctor burnout scale. Methods： 48 items were determined by reviewing items in relating literatures and scales, interview and expert discussions. Then about176 and 436 doctors were picked out randomly as samples from two three-level hospital of Xi＇an. Item analysis, exploratory factor analysis, reliability analysis and Confirmatory factor analysis were used to analyses the data. Results： Doctor burnout scale comprised six subscales： fatigue, reduced ability to work, engagement decline, lack of Personal accomplishment, job control decline and job prospects. The scale was comprised of 30 items, and the factor loading of the items ranged from 0.541 to 0.856 （P 〈0.001）. Cronbach＇cx coefficient of the six subscales were from 0.886 to 0.896, and the Cronbach＇ ~ coefficient of the scale was 0.894. Confirmatory factor analysis showed a higher goodness of fit （（RESEA=0.062,GFI=0.859, CFI=0.842,IFI=0.851）. The correlation was significant between this scale and MBI （P 〈0.05）. Conclusion： The doctor burnout scale has acceptable psychometrics properties on reliability and validity, and can be used as a measurement tool for measuring the burnout of doctors.

关 键 词：职业倦怠 信度 效度 探索性因素分析 验证性因素分析 

分 类 号：B84[哲学宗教—心理学]