东莞市医护人员职业倦怠现状及其影响因素分析  

Analyzing the current status and influencing factors of occupational burnout among medical staff in Dongguan City

作　　者：孙铭薇 叶斯阳 黄淑芸 吴飞 林德明 SUN Mingwei;YE Siyang;HUANG Shuyun;WU Fei;LIN Deming(不详;Faculty of Medicine,Macao University of Science and Technology,Macao 999078,China)

机构地区：[1]澳门科技大学医学院,中国澳门999078 [2]广东医科大学公共卫生学院,广东东莞523808 [3]东莞市水乡中心医院,广东东莞523142

出　　处：《中国职业医学》2024年第4期381-384,共4页China Occupational Medicine

基　　金：广东省医学科学技术研究基金(A2024643)。

摘　　要：目的分析东莞市医护人员职业倦怠现状及其影响因素。方法采用分层抽样的方法,选择东莞市8家医院1007名医护人员为研究对象。采用《Maslach职业倦怠量表—人类服务调查版》《道德创伤症状量表(医务人员版)》调查其职业倦怠和道德创伤情况。采用二分类logistic回归分析法分析职业倦怠影响因素。结果医护人员职业倦怠检出率为46.2%,道德创伤检出率为48.1%。二分类logistic回归分析结果显示,在排除年龄、婚姻状况、文化程度、宗教信仰、职称、医院属性等混杂因素的影响后,男性医护人员罹患职业倦怠的风险高于女性(P<0.01),工龄≤10年医护人员罹患职业倦怠的风险高于工龄>10年者(P<0.01),有道德创伤的医护人员罹患职业倦怠的风险高于无道德创伤者(P<0.01)。结论东莞市医护人员职业倦怠较普遍,其职业倦怠受到性别、工龄和道德创伤等因素影响。Objective To analyze the current status and influencing factors of occupational burnout among medical staff in Dongguan City.Methods A total of 1007 medical staff from eight hospitals in Dongguan City were selected as the study subjects using the stratified sampling method.The Maslach Burnout Inventory-Human Service Survey and Moral Injury Symptom Scale(Healthcare Professionals Edition)were used to assess occupational burnout and moral injury among these study subjects.Binary logistic regression analysis was conducted to identify the influencing factors of occupational burnout.Results The detection rate of occupational burnout among the medical staff was 46.2%,and the detection rate of moral injury was 48.1%.The result of binary logistic regression analysis showed that after controlling for confounding factors such as age,marriage status,educational level,religious belief,professional title,and hospital characteristics,male medical staff had a higher risk of occupational burnout than female staff(P<0.01).Medical staff with≤10 years of work experience had a higher risk of occupational burnout than those with>10 years of work experience(P<0.01).Additionally,medical staff with moral injury had a higher risk of occupational burnout than those without moral injury(P<0.01).Conclusion Occupational burnout is relatively common among medical staff in Dongguan City and is influenced by factors such as gender,working years,moral injury,and others.

关 键 词：医护人员 职业倦怠 道德创伤 影响因素 

分 类 号：R13[医药卫生—劳动卫生] R395.6[医药卫生—公共卫生与预防医学]