北京朝阳区医生职业倦怠与其应对方式的关系研究  

Study of the relationship between job burnout and coping style of doctors in Chaoyang District,Beijing

作　　者：周连红[1] 宁丽[1] 宋珺[2] 丁璐[3] 马良 徐会利 罗凤基[1] 张曼华[4] 孟海英[1] 刘懿叶 马妮娜[4] 徐唯 

机构地区：[1]北京市朝阳区疾病预防控制中心,北京100021 [2]北京市朝阳区精神疾病预防控制中心,北京100025 [3]北京市朝阳区第三医院,北京100121 [4]首都医科大学,北京100069

出　　处：《慢性病学杂志》2015年第6期605-608,共4页Chronic Pathematology Journal

基　　金：首都卫生发展科研专项(2014-3-7037)

摘　　要：目的探讨医生的职业倦怠与其应对方式的关系,以期为医生的职业倦怠的防治工作提供参考信息。方法采用马氏工作倦怠量表—服务行业版(Maslach Burnout Inventory-Human Service Survey,简称MBI-HSS)及简易应对方式问卷对1 611名医生进行调查。运用SPSS13.0对数据进行描述性分析、简单相关分析、多元逐步回归分析。结果①在情绪衰竭及成就感两个维度上分别有44.4%和36.1%的被试处于中高度倦怠水平。②相关分析显示情绪衰竭、人格解体与积极应对呈显著性负相关(r分别为-0.190和-0.192,P<0.01),与消极应对呈显著性正相关(r分别为0.216和0.190,P<0.01);成就感与积极应对呈显著性正相关(r为0.403,P<0.01),与消极应对呈显著性负相关(r为-0.071,P<0.01)。③应对方式的具体条目对情绪衰竭、人格解体、成就感三维度的多元逐步回归分析显示"尽量看到事物好的一面"、"找出几种不同的解决问题的方法"、"寻求业余爱好,积极参加文体活动"、"不把问题看得太严重"、"试图休息或休假,暂时把问题(烦恼)抛开"、"通过吸烟、喝酒、服药和吃东西来解除烦恼"等条目进入回归方程(R^2=13.7%~22.4%)。结论医生群体存在较严重的职业倦怠,应对方式的选择对其职业倦怠具有重要预测作用。Objective To explore the relationship between job burnout and coping style of doctors,and provide aid for intervention of job burnout problem.Methods A total of 1 611 doctors were surveyed with Maslach Bumout Inventory-Human Service Survey(MBIHSS) and Simplified Coping Style Questionnaire(SCSQ).Data analyses including descriptive analysis,simple correlation analysis and multiple stepwise regression analysis were performed using SPSS 13.0.Results In the dimension of emotional exhaustion,44.4%of the subjects were at moderate levels.In the dimension of achievement,36.1%were at moderate levels.Emotional exhaustion and depersonalization were correlated negatively with active coping style(r=-0.190 and-0.192,respectively;P<0.01),and positively with passive coping style(r=0.216 and 0.190,P<0.01).Achievement were positively correlated with active coping style(r=0.403,P<0.01),and negatively with passive coping style(r=- 0.071,P<0.01).Multiple stepwise regression analysis showed that the variables including 'try to see the bright side of things', 'To find several different ways to solve the problem', 'Seek hobby,actively participate in sports activities', ' Not to look at the issue too seriously', 'trying to break or vacation,the problem temporarily(trouble) aside', 'With smoking,drinking,eating and medication to relieve the troubles', 'waiting for miracles' were significant in various multiple regression models(R^2=13.7%-22.4%).Conclusions There is serious job burnout among doctor population.The coping style is an important predictor of doctors' job burnout.

关 键 词：职业倦怠 应对方式 医生 

分 类 号：R47[医药卫生—护理学]