口腔医生职业倦怠、睡眠质量和抑郁的关系研究  

A study on the correlation between job burnout,sleep quality and depression in stomatologists

作　　者：于静[1] 赵鑫 李军如[1] 牛家慧[1] 李娜 YU Jing;ZHAO Xin;LI Junru(Department of Stomatology,The Second Hospital of Shijiazhuang City,Hebei,Shijiazhuang 050000,China;不详)

机构地区：[1]河北省石家庄市第二医院口腔科,050000 [2]河北省秦皇岛市社会福利院中西医结合科

出　　处：《河北医药》2022年第8期1255-1259,共5页Hebei Medical Journal

基　　金：河北省医学科学研究重点课题计划(20181035)。

摘　　要：目的探究口腔医生的职业倦怠、睡眠质量和抑郁的关系,为进一步了解和提高口腔医生的心理健康水平提供理论依据。方法随机抽取河北省9所三甲医院的口腔医生作为调查对象,采用MBI-GS工作倦怠问卷、睡眠状况自评量表和抑郁自评量表对口腔医生的职业倦怠、睡眠及抑郁情况进行评测,并统计不同人口学变量在职业倦怠、抑郁及睡眠量表中的差异情况,探究职业倦怠不同维度、睡眠、抑郁情况之间的关系。结果职业倦怠不同维度的统计结果显示,婚姻状况、工作时间、加班以及慢性疾病会对口腔医生的职业倦怠产生显著影响,职业倦怠的情绪耗竭、人格解体分别与睡眠指数、抑郁指数之间呈正相关(P<0.05)。AMOS建立中介模型,结果表明睡眠指数在情感耗竭和抑郁的关系中起到完全中介作用,在人格解体和抑郁之间起到部分中介作用,而低成就感只能直接预测抑郁状态,睡眠并不发挥中介作用。结论职业倦怠是诱发口腔医生抑郁的危险因素,睡眠问题在职业倦怠和抑郁的关系中发挥中介作用,降低职业倦怠水平以及改善睡眠质量是提高医生心理健康水平的重要措施。Objective To investigate the correlation between job burnout,sleep quality and depression in stomatologists,so as to provide theoretical basis for further understanding and improving the mental health level of stomatologists.Methods The stomatologists from 9 tertiary hospitals in Hebei orovince were randomly selected as the survey objects.MBI-GS Job Burnout Questionnaire,Self-Rating Scale of Sleep and Self-Rating Depression Scale were used to evaluate the job burnout,sleep quality and depression status of stomatologists,and the differences of demographic variables in job burnout,depression and sleep scale were observed,and the correlation between job burnout,sleep quality and depression was analyzed.Results The statistical results of different dimensions showed that the marital status,working hours,overtime and chronic diseases had significant effects on the job burnout of stomatologists.And emotional exhaustion and depersonalization of job burnout were positively correlated with sleep and depression indexes(P<0.05).The AMOS model showed that sleep indexes played a complete mediating role in the correlation between emotional exhaustion and depression,which played a partial mediating role between depersonalization and depression,while low sense of achievement could only directly predict the depression status,and sleep did not play a mediating role.Conclusion Job burnout is a risk factor of inducing depression in stomatologists,and sleep problems play an intermediary role in the correlation between job burnout and depression,to decrease the job burnout levels and improve the sleep quality are important measures to improve the mental health levels of doctors.

关 键 词：口腔医生 职业倦怠 睡眠质量 抑郁 

分 类 号：R192[医药卫生—卫生事业管理]