海口市三级甲等医院医护人员压力成瘾现状及影响因素研究  

Study on current situation and influencing factors of stress addiction among medical staff in grade-A tertiary hospitals of Haikou City

作　　者：赵微 韦海婷 周淑萍[2] 王小丹 ZHAO Wei;WEI Hai-ting;ZHOU Shu-ping;WANG Xiao-dan(Department of Health Statistics,School of Public Health,Hainan Medical College,Haikou Hainan,571192,China;Nursing Department,Hainan Provincial People Hospital,Haikou Hainan,571192,China)

机构地区：[1]海南医学院公共卫生学院卫生统计学教研室,海南海口571192 [2]海南省人民医院护理部,海南海口571192

出　　处：《职业与健康》2022年第24期3376-3380,共5页Occupation and Health

基　　金：海南医学院校级大创项目(X202011810041)。

摘　　要：目的 了解海口市三级甲等医院(三甲医院)医护人员的压力成瘾现状及其影响因素,为促进医护人员心身健康提供科学依据。方法 采用多阶段抽样方法随机抽取海口市三甲医院1 543名医护人员为调查对象,2020年11月1日开始进行为期1个月的问卷调查,了解医护人员的压力成瘾现状,并分析医护人员压力成瘾的影响因素。结果 调查的医护人员中有压力成瘾的人数为543名(35.19%)。医护人员的不同性别、婚配情况、是否独生子女、是否有编制、职业、工作单位、是否加班、工作环境是否满意、工作时间和身体状况组间压力成瘾比较,差异均有统计学意义(均P<0.05)。单因素logistic回归分析显示,医疗事故、工作负荷、医患关系、同事关系、职业声望、职称晋升与聘任、角色责任、职业发展、领导与管理因素、工作与家庭冲突均与压力成瘾呈正相关(均P<0.05)。多因素logistic分析结果显示,性别、是否独生子女、是否加班、身体状况、同事关系、职业声望均是医护人员压力成瘾的影响因素(均P<0.05)。结论 医护人员压力成瘾率较高,影响因素主要是职业声望、同事关系、是否加班。医院管理者可根据医护人员压力成瘾的现状及其影响因素,采取相应的措施帮助医护人员以积极、健康的状态应对工作与生活。Objective To investigate the status quo of stress addiction and its influencing factors among medical staff in grade-A tertiary hospitals of Haikou City,provide scientific basis for promoting the psychosomatic health of medical staff. Methods A total of 1 543 medical workers in grade-A tertiary hospitals of Haikou Citywere randomly selected by multi-stage sampling method. A one-month questionnaire survey was conducted on November 1,2020 to understand the current situation of stress addiction of medical staff and analyze the influencing factors of stress addiction. Results In the investigation,there were 543(35.19%) medical workers with stress addiction. There were statistically significantdifferences in the gender,marital status,only child,authorized strength,occupation,work unit,overtime,satisfaction withworking environment,working time and physical condition of medical staff(all P <0.05).The univariate logistic analysis showed that medical malpractice,workload,doctor-patient relationship,colleague relationship,professional reputation,professional title promotion and appointment,role responsibility,career development,leadership and management factors,work family conflict were positively correlated with stress addiction(all P<0.05). The multivariate logistic analysis showed that gender,only child,overtime,physical condition,colleaguerelationship and and professional reputation were the influencing factors of stress addiction among medical staff(all P <0.05). Conclusions The rate of stress addiction among medical staff is high,and its main influencing factors are professional reputation,colleague relationship and whether to work overtime. The hospital managers can take corresponding measures to help medical staff cope with work and life in a positive and healthy state according to the current situation of stress addiction and its influencing factors.

关 键 词：三甲医院 医护人员 压力成瘾现状 影响因素 

分 类 号：R181.3[医药卫生—流行病学]