基层医务人员职业倦怠现状及其影响因素分析  

Analysis of the current status and influencing factors of occupational burnout among grassroots medical staff

作　　者：王热勤[1] 李江红[1] 杨琪 樊娟娟 刘芳[3] 李志平 WANG Reqin;LI jianghong;YANG Qi;FAN Juanjuan;LIU Fang;LI Zhiping(Tianshui Center for Disease Control and Prevention,Tianshui,Gansu 741000,China;不详)

机构地区：[1]天水市疾病预防控制中心,甘肃天水741000 [2]甘肃中医药大学公共卫生学院 [3]甘肃省疾病预防控制中心

出　　处：《医学动物防制》2024年第9期884-888,共5页Journal of Medical Pest Control

基　　金：甘肃省自然科学基金(21JrR7RA656)。

摘　　要：目的分析基层医务人员职业倦怠的发生情况和可能的影响因素,为提升基层医务人员工作效率提供依据。方法2022年5月采用多阶段随机抽样方法,抽取天水市7个县区35个卫生院/社区卫生服务中心的172名相关基层医务人员进行调查。结果职业倦怠总阳性检出率为84.30%,不同年龄、从事专业类别、专业工作年数、专业兴趣、工作环境、收入满意程度、工作满意程度、每次锻炼时间和每周锻炼时间的职业倦怠阳性率差异有统计学意义(χ^(2)=17.964、10.577、9.664、20.258、9.824、19.999、8.339、16.684、16.190,P<0.05)。logistic回归分析显示,专业兴趣(OR=5.296,95%CI:1.797~15.607)和每周锻炼时间(OR=0.372,95%CI:0.172~0.804)是职业倦怠的影响因素。结论天水市基层医务人员职业倦怠发生率较高,专业兴趣低者、每周锻炼时间少者,发生职业倦怠的风险越高,建议提升医务人员的专业兴趣,加强体育锻炼,以减少职业倦怠的发生。Objective To analyze the occurrence and possible influencing factors of occupational burnout among grassroots medical staff,and provide a basis for improving the work efficiency of the grassroots medical staff.Methods In May 2022,the multi-stage random sampling method was used to select 172 grassroots medical staff from a total of 35 health centers/community health service centers in 7 counties and districts in Tianshui City for investigation.Results The overall positive detection rate of occupational burnout was 84.30%,and the difference in the positive rate of occupational burnout among different ages,professional categories practiced,years of professional work,professional interests,working environments,income satisfaction level,work satisfaction level,exercise time per session,and exercise time per week were statistically significant(χ^(2)=17.964,10.577,9.664,20.258,9.824,19.999,8.339,16.684,16.190,P<0.05).Logistic regression analysis showed that professional interest(OR=5.296,95%CI:1.797-15.607)and weekly exercise time(OR=0.372,95%CI:0.172-0.804)were the influencing factors of occupational burnout.Conclusion The incidence rate of occupational burnout among grassroots medical staff in Tianshui City is relatively high.Those with low professional interest and less exercise time per week have a higher risk of occupational burnout.It is recommended to increase the professional interest of medical staff and strengthen physical exercise to reduce the incidence of occupational burnout.

关 键 词：基层 医务人员 职业倦怠 现状 分析 

分 类 号：R192[医药卫生—卫生事业管理]