上海市闵行区社区医务人员领悟社会支持状况及影响因素分析  

Perceived social support of medical staffs working in community health service institutions in Shanghai Minhang District

作　　者：沈琦[1] 刘帅[1] 陈斌 慕永红 韦彤彤 Shen Qi;Liu Shuai;Chen Bin;Mu Yonghong;Wei Tongtong(Huacao Community Health Service Center of Minhang District,Shanghai 201107,China)

机构地区：[1]上海市闵行区华漕社区卫生服务中心,上海201107

出　　处：《中华全科医师杂志》2024年第7期694-701,共8页Chinese Journal of General Practitioners

基　　金：上海市闵行区卫生健康委员会科研项目(2021MW61,2022MW32);复旦-闵行健康联合体合作项目(2020FM15)。

摘　　要：目的探索上海市闵行区社区医务人员的领悟社会支持状况及影响因素。方法该研究为横断面调查。于2022年9月至2023年1月,采用分层抽样法,以上海市闵行区为调查地点,抽取8所社区卫生服务中心,对在岗医务人员进行问卷调查,包括自行设计的一般资料问卷、领悟社会支持量表,一般自我效能感量表、职业生活质量量表、特质应对方式量表。比较不同人口学特征、一般自我效能感、共情疲劳、特质应对方式的社区医务人员的领悟社会支持状况,分析影响因素;评估共情疲劳状况对社区医务人员领悟社会支持能力的影响。结果发放问卷181份,回收有效问卷178份,有效回收率98.34%。领悟社会支持3个维度中家庭支持得分(17.11±8.87)分,朋友支持得分(17.08±8.41)分,其他支持得分(19.89±4.09)分,总分(60.99±11.71)分;低支持状态者2名(1.12%),中等支持状态者81名(45.51%),高支持状态者95名(53.37%)。单因素分析显示,不同年龄、婚姻、专业、职称、工作满意度、积极或消极应对方式、一般自我效能感、共情疲劳者的领悟社会支持程度有明显差异,差异有统计学意义(P<0.05)。多因素分析结果显示,与年龄<40岁者相比,≥40岁者的领悟社会支持程度较高(OR=2.792,95%CI:1.051~7.418);与公共卫生专业者相比,临床医学、护理、其他医技专业者的领悟社会支持程度较高(OR=4.024,95%CI:1.479~10.953;OR=2.941,95%CI:1.031~8.393;OR=3.996,95%CI:0.543~29.409);与自评工作较不满意者相比,自评工作较满意、满意度一般者的领悟社会支持程度较低(OR=0.200,95%CI:0.051~0.781;OR=0.320,95%CI:0.146~0.701);与轻度和中度共情疲劳者相比,高度共情疲劳者的领悟社会支持程度均较低(OR=0.406,95%CI:0.182~0.909)。除其他支持与继发性创伤应激外,领悟社会支持总分及其各维度与共情满意呈正相关,与职业倦怠、继发性创伤应激呈负相关(P<0.05);回归分析显示,�Objective To survey the perceived social support status and influencing factors of medical staffs working in community health service institutions in Shanghai Minhang District.Methods The study was a cross-sectional study.From September 2022 to January 2023,a survey on the status of perceived social support was conducted among 181 medical staffs working in community health service institutions in Shanghai Minhang District.The self-designed general information questionnaire,perceived social support scale,general self-efficacy scale,quality of professional life scale,and trait coping style scale were used in the survey.The effects of demographic characteristics,general self-efficacy,empathy fatigue and trait coping style on perceived social support status of community medical workers were analyzed.Results A total of 181 questionnairs were distributed and 178 valid ones returned with a valid recovery rate of 98.3%.In three dimensions of perceived social support,family support scored(17.11±8.87),friend support scored(17.08±8.41),other support scored(19.89±4.09),and the total score of understanding social support was(60.99±11.71).There were 2 cases of low support status(1.12%),81 cases of intermediate support status(45.51%),and 95 cases of high support status(53.37%).Univariate analysis showed that there were significant differences in perceived social support among participants with different ages,marriage status,majors,professional titles,job satisfaction,positive or negative coping styles,general self-efficacy,and empathy fatigue(P<0.05).Multivariate logistic regression analysis showed that people aged 40 and above had a higher degree of perceived social support than those under 40(OR=2.792,95%CI:1.051-7.418,P<0.05);compared with public health professionals,clinical medicine,nursing and other medical technique professionals had a higher degree of perceived social support(OR=4.024,95%CI:1.479-10.953;OR=2.941,95%CI:1.031-8.393;OR=3.996,95%CI:0.543-29.409,all P<0.05);compared with those who were less satisfied wit

关 键 词：社区卫生中心 医务人员 社会支持 影响因素 

分 类 号：R192[医药卫生—卫生事业管理]