某三甲专科医院医务人员焦虑、抑郁、压力情况及其与职业倦怠的关系  

Situation of anxiety,depression,and stress among medical staff in a Grade-A tertiary specialized hospital and their relationships with job burnout

作　　者：东保吉[1] 惠利平 孜乃提古丽·克热木 玉苏甫·玉赛音 高慧 夏比旦·吐逊江 李文玉[2] DONG Baoji;HUI Liping;Zinaitiguli Keranmu;Yusufu Yusaiyin;GAO Hui;Xiabidan Tusunjiang;LI Wenyu(Administration Office of Infection,The Sixth Affiliated Hospital of Xinjiang Medical University,Urumqi 830002,China)

机构地区：[1]新疆医科大学第六附属医院感染管理办公室,新疆乌鲁木齐830002 [2]新疆医科大学第五附属医院感染管理办公室,新疆乌鲁木齐830011

出　　处：《山东医药》2025年第1期86-90,共5页Shandong Medical Journal

基　　金：新疆维吾尔自治区卫生健康保健科研专项项目(BG202414)。

摘　　要：目的调查某三甲专科医院医务人员焦虑、抑郁、压力情况并构建结构方程模型探究负面情绪与职业倦怠的关系,为促进医务人员心理健康提供参考。方法选择在新疆乌鲁木齐市某三甲专科医院工作的在职医务人员461例,采用线上问卷收集调查对象的年龄、性别、文化程度、婚姻状况、科室岗位分类、职称、工龄等一般人口学资料,采用焦虑自评量表(SAS)测评调查对象焦虑情况,抑郁自评量表(SDS)测评调查对象抑郁情况,压力知觉量表(PSS)测评调查对象工作压力情况,中国人职业倦怠量表(CMBI)测评调查对象职业倦怠情况。采用Spearman相关分析调查对象焦虑、抑郁、压力与职业倦怠的相关性,路径分析评估焦虑、抑郁、压力与职业倦怠之间的有向依赖以及直接和间接关系。结果461例调查对象中,女性、年龄25~35岁、已婚、学士、护士、初级职称、外科、手术室、从业时间在6~10年者居多,其中10.4%的调查对象存在焦虑症状,20.4%存在抑郁症状,50.6%存在压力症状;不同性别、年龄、婚姻状况、职称的研究对象SDS评分比较差异具有统计学意义,不同年龄、职称、工龄的研究对象PSS评分比较差异具有统计学意义(P均<0.05)。95.4%的调查对象存在职业倦怠,其中20.5%存在轻度职业倦怠、69.5%存在中度职业倦怠、10.0%存在重度职业倦怠;不同性别、岗位的研究对象职业倦怠水平比较差异具有统计学意义(P均<0.05)。Spearman相关分析显示,焦虑、抑郁、压力与职业倦怠均呈正相关关系(r分别为0.345、0.327、0.348,P均<0.01),焦虑、抑郁与压力均呈正相关关系(r分别为0.555、0.247,P均<0.01),焦虑与抑郁呈正相关关系(r为0.614,P<0.01)。路径分析结果显示,压力对焦虑、抑郁和职业倦怠均具有直接正向影响(β分别为0.586、0.192、0.235,P均<0.01),抑郁对职业倦怠具有直接正向影响(β为0.217,P<0.01),焦虑、压力对�Objective To investigate the anxiety,depression,and stress levels of medical staff in a Grade-A tertiary specialized hospital and to construct a structural equation model to explore the relationship between negative emotions and job burnout,so as to provide a reference for promoting the mental health of medical staff.Methods A total of 461 in-service medical staff working in a Grade-A tertiary specialized hospital in Urumqi,Xinjiang were selected.Online questionnaires were used to collect the general demographic data of the subjects,such as age,gender,educational level,marital status,department and position classification,professional title,and working years.The Self-Rating Anxiety Scale(SAS)was used to evaluate the anxiety of the subjects,the Self-Rating Depression Scale(SDS)was used to evaluate the depression of the subjects,the Perceived Stress Scale(PSS)was used to evaluate the work stress of the subjects,and the Chinese Maslach Burnout Inventory(CMBI)was used to evaluate the job burnout of the subjects.Spearman correlation analysis was used to analyze the correlation between anxiety,depression,stress and job burnout of the subjects,and path analysis was used to evaluate the direct and indirect relationships and directed dependencies among anxiety,depression,stress and job burnout.Results Among the 461 subjects,most were female,aged 25-35 years,married,with a bachelor´s degree,nurses,with junior professional titles,in the surgical department,operating room,and with 6-10 years of working experience.Among them,10.4%of the subjects had anxiety symptoms,20.4%had depression symptoms,and 50.6%had stress symptoms.There were statistically significant differences in the SDS scores of the subjects with different genders,ages,marital statuses,and professional titles,and there were statistically significant differences in the PSS scores of the subjects with different ages,professional titles,and working years(all P<0.05).95.4%of the subjects had job burnout,among which 20.5%had mild job burnout,69.5%had moderate job bur

关 键 词：医务人员 焦虑 抑郁 工作压力 职业倦怠 

分 类 号：R192[医药卫生—卫生事业管理]