工作家庭冲突、工作控制感在三级甲等医院麻醉医生工作压力与职业倦怠间的中介作用  

Mediating role of work family conflict and work control in the relationship between work stress and job burnout among anesthesiologists in grade-A tertiary hospitals

作　　者：李娟 LI Juan(Department of Anesthesiology,Mianyang Central Hospital,School of Medicine,University of Electronic Science and Technology of China,Mianyang,Sichuan 621000,China)

机构地区：[1]电子科技大学医学院附属绵阳医院,绵阳市中心医院麻醉科,四川绵阳621000

出　　处：《职业与健康》2025年第1期29-35,共7页Occupation and Health

摘　　要：目的了解四川省三级甲等医院麻醉医生工作压力、工作家庭冲突、工作控制感和职业倦怠现状,分析工作压力对职业倦怠的影响机制。方法2023年2—3月,采用便利抽样法,选取四川省5所三级甲等医院276名麻醉医生为调查对象。采用一般资料调查表、工作家庭冲突量表、工作控制感量表、工作压力量表和职业倦怠量表进行资料收集。构建并检验工作家庭冲突和工作控制感的链式中介模型。结果276名三级甲等医院麻醉医生工作压力得分为(28.07±7.61)分,工作家庭冲突得分为(26.55±6.71)分,工作控制感得分为(49.16±11.45)分,职业倦怠得分为(54.50±18.64)分。职业倦怠总分及各维度评分与工作压力、工作家庭冲突呈正相关(r>0,P<0.05),与工作控制感呈负相关(r<0,P<0.05)。工作家庭冲突和工作控制感在麻醉医生工作压力与职业倦怠间存在中介效应,总间接效应值为0.264,占总效应的37.39%。其中工作家庭冲突和工作控制感对职业倦怠的特定中介效应分别占16.57%和13.88%,两者的链式中介作用占6.94%。结论四川省三级甲等医院麻醉医生职业倦怠处于中等水平,工作家庭冲突、工作控制感在工作压力对麻醉医生职业倦怠影响机制中的多重中介作用成立。医院管理者应关注职业倦怠水平高的麻醉医生,降低其工作压力和工作家庭冲突,提升工作控制感,以进一步改善麻醉医生职业倦怠感。Objective To investigate the current situation of work stress,work-family conflict,work control and job burnout of anesthesiologists in grade-A tertiary hospitals in Sichuan Province,and to analyze the influence mechanism of work stress on job burnout.Methods From February to March 2023,a convenience sampling method was used to select 276 anesthesiologists from 5grade-A tertiary hospitals in Sichuan Province as the survey subjects.The general information questionnaire,work-family conflict scale,work control sense scale,work stress scale and job burnout scale were used for data collection.Construct and test the chain mediation model of work family conflict and the sense of work control.Results The work stress score of 276 anesthesiologists in grade-A tertiary hospitals was(28.07±7.61)points,the work-family conflict score was(26.55±6.71)points,the work control score was(49.16±11.45)points,and the job burnout score was(54.50±18.64)points.The total score of job burnout and the scores of each dimension were positively correlated with work stress and work-family conflict(r>0,P<0.05),and negatively correlated with work control(r<0,P<0.05).There was a mediating effect between work-family conflict and work control on the relationship between work stress and occupational burnout among anesthesiologists,with a total indirect effect value of 0.264,accounting for 37.39%of the total effect.The specific mediating effects of work-family conflict and work control on job burnout accounted for 16.57%and13.88%,respectively,and the chain mediating effect of the two accounted for 6.94%.Conclusion The job burnout of anesthesiologists in grade-A tertiary hospitals in Sichuan Province is at a medium level,and the multiple mediating effects of work-family conflict and work control on the impact mechanism of work stress on job burnout of anesthesiologists are established.Hospital managers should pay attention to anesthesiologists with high levels of job burnout,reduce their work pressure and work-family conflict,and enhance their sense

关 键 词：手术室 麻醉医生 工作家庭冲突 工作控制感 工作压力 职业倦怠 链式中介 

分 类 号：R181.31[医药卫生—流行病学]