肿瘤专科医护人员职业倦怠及风险因素的单中心研究  

Single-center study on risk factors of burnout in oncology medical staff

作　　者：苏中格 庞英[1] 何毅[1] 唐丽丽[1] Zhongge Su;Ying Pang;Yi He;Lili Tang(Department of Psycho-Oncology,Peking University Cancer Hospital&Institute,Key Laboratory of Carcinogenesis and Translational Research(Ministry of Education),Beijing 100142,China)

机构地区：[1]北京大学肿瘤医院暨北京市肿瘤防治研究所康复科恶性肿瘤发病机制及转化研究教育部重点实验室,北京市100142

出　　处：《中国肿瘤临床》2022年第17期897-902,共6页Chinese Journal of Clinical Oncology

摘　　要：目的:调查肿瘤专科医护人员职业倦怠状况,分析其与人口统计学特征、职业相关特征、心理痛苦(焦虑/抑郁)、失眠等因素相关性。方法:采用横断面研究,于2020年9月至2020年10月对北京大学肿瘤医院的医护人员进行线上问卷调查,分析人口统计学特征、职业相关特征与焦虑、抑郁、失眠和职业倦怠的关系。结果:503例肿瘤专科医护人员中情绪衰竭问题24例(4.8%),去人格化问题38例(7.6%),个人成就感低93例(18.5%),抑郁情绪163例(32.4%),焦虑情绪113例(22.5%),失眠问题105例(20.9%)。抑郁、焦虑和失眠状态与职业倦怠3个维度呈显著性相关(P<0.01)。护士、工龄超过10年、认为工作时间/收入减少和感觉自己生活质量变差的医务人员更易出现职业倦怠、情绪或失眠问题。结论:肿瘤专科医护人员的职业倦怠、情绪和失眠问题虽然发生率不高,其中最显著的个人成就感低和抑郁问题应加强关注,定期筛查,并及时干预。Objective:To evaluate burnout in oncologists and nurses and analyze its correlation with demographic and professional characteristics,psychological distress/insomnia,and other factors.Methods:This cross-sectional study surveyed oncologists and nurses at Peking University Cancer Hospital&Institute using online questionnaires from September to October 2020.The relationship between demographic/professional characteristics,burnout,and psychological distress/insomnia was analyzed.Results:Of 503 oncologists and nurses,24(4.8%)showed emotional exhaustion,38(7.6%)experienced depersonalization,93(18.5%)had a low sense of personal accomplishment,and 163(32.4%),113(22.5%),and 105(20.9%)had some level of depression,anxiety,and insomnia,respectively.Status of depression,anxiety,and insomnia were significantly(P<0.01)correlated with three burnout subscales.Nurses with over 10 years of work experience who“faced reduced working hours/loss of income”and“felt their quality of life had worsened”were more likely to report burnout as well as psychological problems and/or insomnia.Conclusions:While the prevalence of burnout,distress,and insomnia are not alarmingly high for oncologists and nurses,problems such as low personal accomplishment and depressive moods deserve more attention,screening,and timely intervention.

关 键 词：职业倦怠 心理痛苦 失眠 肿瘤医生 

分 类 号：R192[医药卫生—卫生事业管理]