军队医务人员闭环管理职业倦怠现状分析  

Burnout status of medical staff in a military hospital during working isolated period

作　　者：姜同学 周淑英 张婷[2] 薛心爱 姜玢杉 Jiang Tongxue;Zhou Shuying;Zhang Ting;Xue Xin′ai;Jiang Binshan(Out-patient of No.305 Hospital of the Chinese People′s Liberation Army,Beijing 100017,China;不详)

机构地区：[1]中国人民解放军第三〇五医院门诊部,北京100017 [2]中国医学科学院北京协和医学院群医学及公共卫生学院 [3]中国医学科学院北京协和医院病案科

出　　处：《中国临床保健杂志》2023年第4期500-503,共4页Chinese Journal of Clinical Healthcare

基　　金：国家自然科学基金地区科学基金项目(71764035)。

摘　　要：目的调查军队医务人员职业倦怠现状,并分析其影响因素。方法采用斯坦福职业满足指数(PFI)、焦虑抑郁问卷(PHQ-4)对闭环管理期间149例军队医务人员进行调查,利用统计学多因素检验,分析其影响因素。结果该军队医院医务人员职业倦怠检出率为58.4%,焦虑-抑郁倾向检出率为79.9%。多元logistic回归分析结果显示,编制内医务人员发生职业倦怠是编制外医务人员的2.9倍;职业成就感水平低或中等的医务人员发生职业倦怠可能性比职业成就感水平高的医务人员分别高3.9倍和4.8倍;焦虑-抑郁倾向程度越高,发生职业倦怠可能性越大。结论军队医院医务人员职业倦怠情况需引起重视。Objective To investigate the burnout status of military hospital staff and explore its influencing factors.Methods The survey was conducted among 153 military hospital workers.The Stanford Professional Fulfillment Index and Patient Health Questionnaire-4 was used to evaluate the burnout characteristics and depression and/or anxiety condition of the subjects.Influencing factors were explored by univariate and multivariate analysis.Results The burnout detection rate was 58.4%,and of 79.9%presented depression and/or anxiety condition.Self-report health condition and working pressure was associated with three domains of professional fulfillment.Influencing factors including staff with temporary employment,lower professional fulfillment and heavier depression and/or anxiety condition had higher likelihood of burnout.Conclusions The military hospital should put more emphasis on burnout problems.It is necessary to evaluate medical staff burnout condition.Prevention and interventions need to carry out according to medical staff characterizes and working context in order to improve their professional fulfillment.

关 键 词：厌倦 职业性 医务人员 军队卫生服务 成就 影响因素分析 

分 类 号：R82[医药卫生—临床医学]