吉林省基层医疗机构医务人员工作倦怠与心理健康状况调查

发布时间：2018-07-25 14:15

【摘要】：背景：医生由于工作的性质很易成为工作倦怠的高发群体,对其健康和家庭乃至事业的影响及危害不容忽视。特别是工作在基层医疗机构一线的医务人员肩负着治病救人的任务,工作时间长,劳动强度密集,在体力和精力上往往比上级医院的医务人员承受更大的压力。这一群体的心理压力是多因素相互作用的复杂系统。但是,目前对于基层医疗机构一线医务人员心理健康状况和工作倦怠情况的研究,国内外鲜有报道,所以当前有必要对这一群体的身心健康特点及其应对问题、社会支持、生活事件等有关应激因素的相关性作调查和研究分析。目的：通过对吉林省基层医疗机构一线医务人员心理健康状况、工作倦怠及其相关影响因素的研究,旨在了解吉林省基层医疗机构医务人员心理健康状况、工作倦怠的特点及其影响因素,为研究这一群体工作倦怠和心理健康问题积累经验,并为预防和进一步的干预措施提供参考。方法：参考《国家卫生服务调查社区卫生服务中心、乡镇/街道卫生院调查表》和《国家卫生服务调查社区卫生服务站、村卫生室调查表》制作调查问卷,利用此问卷和马斯勒倦怠感量表对调查对象进行测查,测查结果分别采用t检验、方差分析、pearson相关分析进行统计学处理。结果： 1.调查吉林省基层医疗机构医务人员总数为1306人。收回有效问卷1192份,回收率91.27%。 2.工作倦怠在婚姻状况方面的差异无统计学意义；而在年龄、技术职称、健康行为、不良嗜好等方面的差异有统计学意义。 3.情绪衰竭、情感疏远两个维度与心理健康状况呈显著正相关,职业效能感低与心理健康状况呈负相关,说明工作倦怠者易伴随心理健康问题。结论： 1.基层医疗机构医务人员的总体心理健康状况较差,工作倦怠程度较高。 2.人口统计学因素年龄、职称、工龄、学历等；不良行为因素吸烟、饮酒；健康行为因素；社会保障因素均在工作倦怠的某几个维度产生影响。 3.有力的社会、组织支持可以减轻个体医务工作者的工作倦怠体验,改善心理健康状况。
[Abstract]:Background: because of the nature of work, doctors can easily become a high incidence group of job burnout, and their health, family and even career impact and harm can not be ignored. Especially the medical personnel who work in the primary medical institutions shoulder the task of curing and rescuing the patients. The working hours are long and the intensity of labor is intensive. They often bear more pressure in physical strength and energy than the medical staff in higher hospitals. The psychological stress of this group is a complex system of multi-factor interaction. However, there are few reports at home and abroad on the psychological health status and job burnout of first-line medical personnel in primary medical institutions. Therefore, it is necessary to support the physical and mental health of this group and its coping problems. Life events and other related stress factors were investigated and analyzed. Objective: to study the mental health status, job burnout and related factors of the medical staff in primary medical institutions in Jilin Province, in order to understand the mental health status of medical staff in primary medical institutions in Jilin province. The characteristics of job burnout and its influencing factors can accumulate experience for the study of job burnout and mental health problems of this group and provide reference for prevention and further intervention. Methods: the questionnaire was made according to the questionnaire of the National Health Service Survey Community Health Service Center, Township / Street Health Center and the National Health Service Survey Community Health Service Station and Village Health Office. The questionnaire and Marsler Burnout scale were used to test the subjects. The results were analyzed by t test and Pearson correlation analysis. Results: 1. The total number of medical personnel in primary medical institutions in Jilin Province was 1306. 1192 valid questionnaires were collected, and the recovery rate was 91.27%. Job burnout had no significant difference in marital status, but significant difference in age, technical title, health behavior, bad habits and so on. The two dimensions of emotional exhaustion and emotional alienation were positively correlated with mental health status, and the low occupational efficacy was negatively correlated with mental health status, indicating that job burnout was liable to accompany mental health problems. Conclusion: 1. The general mental health status of medical personnel in primary medical institutions was poor, and the degree of job burnout was higher. 2. 2. Demographic factors, age, professional title, length of service, education, etc.; Bad behavioral factors smoking, drinking, health behavior factors, social security factors in a number of dimensions of job burnout. 3. Strong social, organizational support can reduce the individual medical workers' job burnout experience and improve their mental health.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2011
【分类号】：R197.2;R395

【参考文献】