医师职业倦怠影响因素的多水平模型分析  

Multi-level Model Analysis of Factors Influencing Physicians'Job Burnout

作　　者：王睿 韩此林 曹渊卿 杨小燕 WANG Rui;HAN Cilin;CAO Yuanqing;YANG Xiaoyan(The Medical Department,Yan’an Hospital,Kunming Yunnan 650051,China)

机构地区：[1]昆明市延安医院医务部,云南昆明650051

出　　处：《昆明医科大学学报》2024年第11期67-72,共6页Journal of Kunming Medical University

基　　金：昆明市卫生健康委员会卫生科研基金资助项目(2022-12-05-005)。

摘　　要：目的分析医师职业倦怠的影响因素。方法采用多阶段分层随机抽样方法抽取云南省5个地区10家二级以上公立综合性医院共计1190名医师,使用职业倦怠量表(MBI-GS)作为调查工具,现场进行问卷调查,采用多水平分析模型拟合医师职业倦怠得分与相关影响因素的关系。结果被调查地区医师职业倦怠检出率为45.3%,情绪衰竭、工作态度、成就感3个维度的得分低于常模;两水平模型分析发现,医师职业倦怠得分在科室层面有聚集性,组内相关系数ICC=0.1181;影响因素包括:每周工作时间、工作压力、工作满意度、睡眠时长、健康状况和休闲时间。结论医师职业倦怠受多种因素影响,应针对性进行干预;医师职业倦怠在科室层面存在聚集性,从科室内部消除不良因素也具有现实意义。Objective To analyze the factors influencing physician job burnout.Methods A multistage stratified random sampling method was adopted to select a total of 1190 physicians from 10 public general hospitals above the second level in 5 regions of Yunnan Province.Self-filled questionnaire and MBI-GS were used for the investigation,and a multi-level regression model was used to fit the relationship between the physician burnout score and the related influencing factors.Results The incidence of physician burnout in the investigated area was 45.3%.The scores of the emotional exhaustion,work attitude and sense of achievement were lower than the norm.The two-level model analysis found that the physician job burnout scores were clustered at the department level,and the intra-group correlation coefficient(ICC=0.1181).The influencing factors included working hours per week,working pressure,occupational satisfaction,sleep,health status and leisure time.Conclusion Physician job burnout is affected by many factors and should be intervened.Because of the aggregation of physician burnout at the department level,it is also of practical significance to eliminate adverse factors from within the department.

关 键 词：职业倦怠 多水平模型 影响因素 医师 

分 类 号：R192[医药卫生—卫生事业管理] R181.37[医药卫生—公共卫生与预防医学]