云南省级三甲医院医生职业倦怠状况及其影响因素  

Research on Job Burnout of Doctors in Yunnan Provincial First-class Hospitals

作　　者：刘倩倩[1] 张爱云[2] 

机构地区：[1]昆明医科大学学生工作部,云南昆明650500 [2]昆明医科大学第一附属医院,云南昆明650032

出　　处：《昆明医科大学学报》2017年第9期54-58,共5页Journal of Kunming Medical University

基　　金：云南省教育厅科学研究基金资助项目(2015Z077)

摘　　要：目的对云南省级三甲医院医生的职业倦怠状况及特点进行研究,为临床医生的身心健康和职业发展提供建议.方法采用职业倦怠问卷(MBI)对3所云南省级三甲医院的518名医生进行测查,对不同群体进行比较.结果 76.64%的医生表现出倦怠状态,71.43%的医生表现出较高水平的情感耗竭;工作11~20 a的医生职业倦怠程度最严重,工作4~5 a的医生情感耗竭水平最高;医生职业倦怠的不同维度在性别(t=-2.05,df=505,P=0.041)、行政职务(t=-2.64,df=510,P=0.009)、离职意向(t=5.97,df=506,P=0.000)方面存在显著差异,人格解体和个人成就感在工龄(F=3.124,P=0.005;F=3.933,P=0.001)、职称(F=8.925,P=0.000;F=3.31,P=0.037)方面存在显著差异,情感耗竭在个人月收入(F=4.47,P=0.012)方面存在显著差异,个人成就感在学历(F=7.221,P=0.001)、主要工作区域(F=4.45,P=0.004)方面存在显著差异.结论医生的职业倦怠状况较为普遍,且严重程度堪忧,应采取措施预防和缓解医生职业倦怠.Objectives To study the job burnout status and the characteristics of doctors in Yunnanprovincial 3A hospitals and provide specific recommendations for clinicians’ mental health and vocationaldevelopment. Methods The investigation was conducted among 518 doctors in three Yunnan provincial 3A hospitalswith Maslach Burnout Inventory（MBI）, and the results of different groups were compared. Results 76.64%doctors showed burnout state,71.43% doctors showed higher level of emotional exhaustion;the job burnout of thedoctors who worked for 11-20 years is the most serious,the high level of emotional exhaustion of the doctors whoworked for 4-5 years should arouse attention;sex（=-2.05,df=505, =0.041）, administrative positions（=-2.64,df=510, =0.009）, resign intention （=5.97,df=506, =0.000 ）, length of service（ =3.12 , =0.005; =3.93 , =0.001）, academic title（ =8.93 , =0.000; =3.31 , =0.037）,economic status（ =4.47 , =0.012） ,academic qualification （ =7.22 , =0.001） and the main workingarea（ =4.45 , =0.004）variables had influence on job burnout. Conclusions The prevalence and severity onjob burnout of doctors should be concemed. Measures should be taken to prevent or cure job bumout.

关 键 词：职业倦怠 医生 情感耗竭 去人性化 个人成就感 

分 类 号：R395.1[哲学宗教—心理学]