中国援非医疗队员心理压力及职业倦怠调查分析  

Investigation of psychological stress and burnout of Chinese medical team members in Africa

作　　者：陈嘉泳 黄瑞滨[2] 郑锦滨[2] CHEN Jiayong;HUANG Ruibin;ZHENG Jinbin(Guangdong Provincial Health Commission Affairs Center,Guangzhou 510060,China;The First Affiliated Hospital of Shantou University Medical College,Shantou 515041,China)

机构地区：[1]广东省卫生健康委员会事务中心,广东广州510060 [2]汕头大学医学院第一附属医院,广东汕头515041

出　　处：《汕头大学医学院学报》2022年第3期170-175,共6页Journal of Shantou University Medical College

基　　金：广东省医学科研基金指令性课题(C2021067)。

摘　　要：目的:了解中国援非医疗队员心理压力与职业倦怠状况及其相关因素。方法:采用自制的一般情况调查表、中文版知觉压力量表和Maslach职业倦怠量表对2021年10月5日—10月20日期间在非洲执行援外医疗任务的210名队员进行调查,采用Logistic回归分析医疗队员心理知觉压力和职业倦怠的相关因素。结果:38.6%(81/210)的队员存在心理压力,17.5%(37/210)的队员存在轻中度职业倦怠,9.9%(21/210)的队员存在中重度职业倦怠。Logistic回归分析结果显示,对驻地安全不满意(OR=3.367,95%CI:1.498~7.570)和当地医院不重视(OR=3.751,95%CI:1.684~8.353)是心理知觉压力可能的危险因素,家庭顺心(OR=0.439,95%CI:0.003~57.419)是心理知觉压力保护因素。初级职称(OR=2.951,95%CI:1.443~6.034)和对驻地安全性不满意(OR=2.625,95%CI:1.210~5.964)是职业倦怠可能的危险因素,家庭顺心是职业倦怠的保护因素(OR=0.010,95%CI:0.000~0.742)。结论:援非医疗队员存在一定程度的心理知觉压力和职业倦怠,初级职称、对驻地安全性不满意和当地医院不重视是可能的危险因素,家庭顺心是保护因素,应开展针对性的措施改善医疗队员的心理健康状况和降低职业倦怠。Objective: To investigate the psychological stress and burnout of Chinese medical team members in Africa and their related factors. Methods: A self-administered general condition questionnaire, a Chinese version of the Perceived Stress Scale and the Maslach Burnout Scale were used to survey 210 medical team members who were on foreign medical missions in Africa between October 5 and October 20, 2021, and logistic regression was used to analyze the factors associated with psychological stress and burnout among medical team members.Results: 38.6%(81/210) of the team members had psychological stress, 17.5%(37/210) had mild to moderate burnout, and 9.9%(21/210) had moderate to severe burnout. Logistic regression analysis showed that dissatisfaction with resident safety(OR=3.367, 95% CI: 1.498-7.570) and lack of attention from the local hospitals(OR=3.751, 95% CI: 1.684-8.353) were possible risk factors for psychological stress, and family satisfaction(OR=0.439, 95% CI: 0.003-57.419) was a protective factor for psychological stress. Junior title(OR=2.951, 95% CI: 1.443-6.034) and dissatisfaction with resident safety(OR=2.625, 95% CI: 1.210-5.964) were possible risk factors for burnout, and family satisfaction was a protective factor for burnout(OR=0.010, 95% CI:0.000-0.742). Conclusion: There is a certain degree of psychological pressure and burnout among the Chinese medical team members in Africa. The Junior title, dissatisfaction with the safety of the resident and lack of attention from local hospitals are possible risk factors. Family satisfaction is a protective factor. Targeted measures should be carried out to improve psychological health of medical team members and reduce burnout.

关 键 词：中国援外医疗队 心理压力 职业倦怠 影响因素 

分 类 号：R192[医药卫生—卫生事业管理]