医生压力源与工作投入的关系:工作反刍的中介作用  

Research on the Relationship Between Doctors'Stressors and Work Engagement Based on Work-related Rumination

作　　者：傅怡铭 侯晓婷 谢金营 于丽玲[1] FU Yiming;HOU Xiaoting;XIE Jinying;YU Liling(School of Medical Humanities,Capital Medical University,Beijing,100069,China)

机构地区：[1]首都医科大学医学人文学院,北京100069

出　　处：《中国社会医学杂志》2024年第5期555-559,共5页Chinese Journal of Social Medicine

基　　金：北京市社会科学基金项目(18GLB039)。

摘　　要：目的分析医生不同性质的压力源与工作投入间的关系,探究工作反刍在二者之间的中介效应,从而为医院管理者从压力源视角进行有效管理提供理论依据。方法采用分层随机抽样方法,利用挑战性-阻碍性压力量表、简化版工作投入量表、工作反刍问卷、积极、消极完美主义量表收集信息,于2021年5-9月选取北京市7所公立医院的481名医生进行调查,数据分析采用Pearson相关分析、多元线性回归分析以及Process宏程序等。结果问题解决沉思在挑战性压力源与工作投入之间的中介效应显著(β=1.071,P<0.01),情感反刍在阻碍性压力源与工作投入间中介效应显著(β=-0.496,P<0.01);积极完美主义在问题解决沉思与工作投入间调节作用显著(β=0.024,P<0.05),消极完美主义在情感反刍与工作投入间的调节作用显著(β=0.027,P<0.05)。结论医院管理者可以引导医生将反刍内容聚焦于问题解决而非情感角度,以及针对医生的不同人格特征采取个性化的管理模式。Objective To explore the relationship between doctors'different types of stressors and job involvement,and explore the mediating effect of job rumination between the two,so as to provide theoretical basis for hospital managers to effectively manage from the perspective of stressors.Methods A stratified random sampling method was used to investigate 481 doctors from 7 public hospitals in Beijing from May to September 2021 using the Challenging Obstructive Stress Scale,Simplified Work Engagement Scale,Work Rumination Questionnaire,and Positive and Negative Perfectionism Scale.The data were analyzed using correlation analysis,stepwise regression analysis,and Process macro program.Results Problem-solving meditation showed intermediary effect between challenging stressors and job involvement(β=1.071,P<0.01)significantly,while emotion rumination had intermediary effect between obstructive stressors and job involvement significantly(β=0.496,P<0.01);positive perfectionism had adjustment effect between problem-solving reflection and job involvement(β=0.024,P<0.05)significantly,negative perfectionism significantly regulated emotion rumination and job involvement(β=0.027,P<0.05).Conclusion Hospital managers can guide doctors to ruminate content focusing on problem-solving,rather than emotional point of view,and take personalized actions according to the different personality characteristics of doctors.

关 键 词：医生 压力源 工作投入 工作反刍 完美主义 

分 类 号：R395.6[哲学宗教—心理学]