基于ABC-X模型的医养结合工作人员工作投入现状及影响因素分析  

Current situation of work engagement of integrated medical and nursing care staff and influencing factors analysis based on ABC-X model

作　　者：董海颖 彭冰青 杨光媚 万乐平 梁笑笑 何燕 DONG Haiying;PENG Bingqing;YANG Guangmei;WAN Leping;LIANG Xiaoxiao;HE Yan(Department of Social Medicine and Health Management,College of Public Health,Zhengzhou University,Zhengzhou 450001)

机构地区：[1]郑州大学公共卫生学院社会医学与卫生事业管理学系,郑州450001

出　　处：《郑州大学学报（医学版）》2024年第3期364-368,共5页Journal of Zhengzhou University(Medical Sciences)

基　　金：河南省科技攻关项目(212102310814);郑州大学教授团队助力企业创新驱动发展专项(JSZLQY2022023);郑州大学思政教育教学改革示范课程(2022ZZUKCSZ040)。

摘　　要：目的:调查医养结合工作人员工作投入现状,并分析工作投入的影响因素。方法:采用分层整群随机抽样方法对广州和苏州的8家医养结合服务机构的248名工作人员进行问卷调查,采用工作投入量表评价工作人员的工作投入水平。比较不同特征工作人员工作投入水平,基于ABC-X模型采用多重线性回归分析工作投入的影响因素。结果:共回收有效问卷244份。工作投入量表总分为(32.46±10.34),工作投入水平较理想。不同职业、职称、学历、晋升时间、工作满意度、职业前景及职业倦怠水平的工作人员工作投入得分差异有统计学意义(P<0.05)。职业、工作满意度、职业前景、学历、职业倦怠与工作投入有关,以上因素亦分别与工作投入的三维度活力、奉献、专注有关(P<0.05)。结论:医养结合工作人员工作投入水平较理想,工作投入水平受职业、工作满意度、职业前景、学历及职业倦怠的影响。Aim:To investigate current situation of work engagement of integrated medical and nursing care staff,and analyze the influencing factors of work engagement.Methods:A stratified cluster random sampling method was used to survey 248 staff members of 4 integrated medical and nursing care service institutions in Guangzhou and Suzhou.UWES-9 was used to assess the situation of work engagement.The work engagement scores of staff members with different features were compared.Multiple linear regression analysis was adopted to analyze the influencing factors of work engagement based on ABC-X model.Results:A total of 244 valid questionnaires were collected.The total score of the work engagement scale was(32.46±10.34),which was ideal.There were statistical differences in the scores of work engagement among different occupations,titles,education levels,promotion time,job satisfaction,career prospect and job burnout levels(P<0.05).In the established ABC-X model,work engagement was associated with occupations,job satisfaction,career prospect,education levels and job burnout;the above factors were also associated with most of the dimensions of work engagement(P<0.05).Conclusion:The integrated medical and nursing care staff had ideal work engagement,which might be associated with occupations,job satisfaction,career prospect,education levels,and job burnout.

关 键 词：医养结合 工作人员 职业倦怠 工作投入 

分 类 号：R195[医药卫生—卫生统计学]