青年医务人员工作压力与发展需求分析——以重庆大学附属人民医院为例  

Analysis of work stress and development needs among young medical staff:a case study of Chongqing General Hospital of Chongqing University

作　　者：王书韵 曾艺妮 王中灿 彭任欢 WANG Shuyun;ZENG Yini;WANG Zhongcan;PENG Renhuan(the Communist Youth League of Chongqing General Hospital,Chongqing University,Chongqing 401147,China;Department of Geriatrics,Chongqing General Hospital,Chongqing University,Chongqing 401147,China)

机构地区：[1]重庆大学附属人民医院重庆市人民医院团委,重庆401147 [2]重庆大学附属人民医院重庆市人民医院老年病科,重庆401147

出　　处：《中国研究型医院》2024年第3期9-13,共5页Chinese Research Hospitals

基　　金：重庆市人民医院医学科研创新基金管理研究项目(Y2023GLYJXM05)。

摘　　要：目的 了解青年医务人员临床和科研工作压力及需求,以提高青年医务人员心理健康水平。方法 本研究采用自行设计的调查问卷进行匿名调查。以重庆大学附属人民医院265名青年医务人员为研究对象,压力评分采用李克特5级评分法;调查问卷内容包括一般人口学特征、临床和科研工作压力及来源、职业发展需求3个维度。符合正态分布的计量资料以xˉ±s表示、采用t检验或ANOVA分析;不符合者以M(Q1,Q3)表示、采用Mann-Whitney U秩和检验。计数资料以人数(%)表示,采用χ2检验或Fisher精确检验。结果 共发放调查问卷265份,有效回收率98.1%(260/265)。性别与青年医务人员的临床工作压力显著相关,男性的临床工作压力明显高于女性(P<0.01);年龄、学历、岗位、聘用方式均与青年医务人员科研工作压力显著相关(P均<0.05)。临床工作压力来源占比前3位分别为:临床考核制度与职称晋升76.9%(200/260),工作量大、工作时间长66.2%(172/260),技术要求高、知识更新快60.0%(156/260);科研工作压力来源占比前3位分别为:论文发表82.7%(215/260),学历提升72.3%(188/260),研究开展68.8%(179/260)。青年医务人员职业发展需求占比前3位分别为:优化临床考核及职称制度88.5%(230/260),提供临床和科研技能培训或专题讲座86.9%(226/260),进修和学历提升78.5%(204/260)。结论 男性医务人员的临床工作压力大于女性,高学历医务人员的科研工作压力较大;医院应实行针对性措施,优化青年医务人员的晋升与进修制度、增加技能培训、提供进修和学历提升机会,缓解工作压力,从而促进医院高质量可持续发展。Objective To understand the clinical and research work pressure and needs of young medical personnel in order to improve their psychological well-being.Methods This study conducted an anonymous survey using a self-designed questionnaire.The research subjects were 265 young medical personnel from Chongqing General Hospital,Chongqing University.Stress levels were assessed using the Likert 5-point scale;the questionnaire included 3 dimensions:general demographic characteristics,clinical and research work stress and sources,and professional development needs.Normally distributed metric data were expressed as xˉ±s and analyzed using t-test or ANOVA;non-normally distributed data were expressed as M(Q1,Q3)and analyzed using the Mann-Whitney U test.Count data were presented as numbers(%)and analyzed using theχ2 test or Fisher's exact test.Results A total of 265 questionnaires were distributed,with an effective response rate of 98.1%(260/265).Gender was significantly associated with clinical work stress among young medical personnel,with males experiencing significantly higher clinical work stress than females(P<0.01);age,education level,position,and employment type were all significantly associated with research work stress among young medical personnel(all P<0.05).The top three sources of clinical work stress were:clinical assessment system and promotion of professional titles 76.9%(200/260),heavy workload and long working hours 66.2%(172/260),and high technical requirements and rapid knowledge updates 60.0%(156/260);the top three sources of research work stress were:publication of papers 82.7%(215/260),educational advancement 72.3%(188/260),and research development 68.8%(179/260).The top three professional development needs of young medical personnel were:optimization of clinical assessment and professional title promotion system 88.5%(230/260),conducting clinical and research skills training or seminars 86.9%(226/260),and further education and educational advancement 78.5%(204/260).Conclusions Male medical personne

关 键 词：医务人员 职业满意 工作压力 

分 类 号：R192[医药卫生—卫生事业管理]