某市医务场所暴力与医护人员工作倦怠和亚健康的关系
发布时间：2018-08-24 17:22
【摘要】：目的 1.调查某市市级医院中不同人口学特征医护人员遭受医务场所暴力的现状。 2.分析医务场所暴力与医护人员工作倦怠之间的关系。 3.分析医务场所暴力与医护人员亚健康的关系,为改善医护人员的工作倦怠和亚健康状态提供依据。 方法 整群抽取该市综合医院6所,随机抽取一线医护人员对其个人基本情况、遭受暴力状况、工作倦怠状况和亚健康状况进行问卷调查。调查数据使用Visual Foxpro6.0建库录入,并对数字及逻辑进行审查；使用SPSS13.0进行统计学分析和处理,采用发生率和构成比对医护人员遭受暴力情况进行统计描述,采用卡方检验对发生率和构成比进行比较；针对医护人员工作倦怠和亚健康各维度得分情况采用x±s进行描述,两独立样本均数比较采用t检验、多组均数比较采用方差分析(ANOVA)。检验水准a=0.05。 结果 1.医务场所暴力的现状医务场所暴力发生率为46.1%。30岁到40岁年龄、本科及以上学历和门急诊医护人员最容易遭受暴力攻击(P0.05)。不同性别、年龄、职业、学历和科室的医护人员遭受医务场所暴力形式有所不同,差异有统计学意义(P0.05)。医务场所暴力的来源中,家属或探视者占比例最多；候诊时间或等待治疗时间过长是暴力发生的主要原因。暴力事件发生后,医护人员大部分是与对方讲道理。 2.医务场所暴力与工作倦怠的关系遭受过暴力(包括四种不同暴力形式)的医护人员在情绪衰竭和去人格化两个维度得分高于未遭受过暴力的医护人员,差异有统计学意义(P0.05)；不同暴力来源医护人员的去人格化维度得分差异有统计学意义(P0.05)；采取不同应对方式的医护人员在去人格化和个人成就感维度的得分差异有统计学意义(P0.05)。 3.医务场所暴力与亚健康的关系遭受过暴力(包括四种不同暴力形式)的医护人员在生理亚健康、心理亚健康和社会亚健康三个维度得分高于未遭受过暴力的医护人员,差异有统计学意义(P0.05)；遭受患者本人暴力的医护人员在亚健康的三个维度得分均高于遭受患者家属或探视者暴力的医护人员,差异有统计学意义(P0.05)；不同应对方式的医护人员在亚健康的三个维度得分不同,差异有统计学意义(P0.05)。 结论 医务场所暴力已成为全球性的社会问题,直接危害了医护人员的健康,可以导致医护人员身心极度疲惫、工作热情丧失,与医护人员的工作倦怠和亚健康状况相关。因此,要降低医务场所暴力发生率,减轻医护人员工作倦怠程度,改善医护人员亚健康状况,政府、社会及医院都应该高度重视,积极采取各种切实有效的措施,最大限度的降低医务场所暴力发生率,以减少医护人员的工作倦怠和亚健康程度,从而进一步提高医疗质量,更好的为患者服务,促进社会和谐稳定。
[Abstract]:Objective 1. To investigate the current situation of different demographic characteristics of medical personnel in a city hospital by medical site violence. 2. To analyze the relationship between medical workplace violence and job burnout of medical staff. 3. To analyze the relationship between health care workers and to provide evidence for improving job burnout and sub-health status of medical staff. Methods six general hospitals in the city were selected by cluster sampling, and the first line medical staff were randomly selected to investigate their personal basic situation, violence, job burnout and sub-health status. The survey data were recorded using Visual Foxpro6.0 database, and the numbers and logic were examined. SPSS13.0 was used for statistical analysis and processing, and the incidence and composition ratio was used to describe the situation of health care workers being subjected to violence. The incidence rate and composition ratio were compared by chi-square test, the scores of job burnout and sub-health were described by x 卤s, the mean of two independent samples was compared by t test, and the analysis of variance (ANOVA).) was used in multi-group mean comparison. The inspection level is 0. 05. Result 1. The prevalence of violence in medical settings was 46.1 years old from 30 to 40 years old. Undergraduate education and emergency medical staff were the most vulnerable to violence attack (P0.05). Different gender, age, occupation, educational background and department of medical personnel suffered from different forms of violence in medical settings, the difference was statistically significant (P0.05). Among the sources of violence in medical facilities, the proportion of family members or visitors was the largest, and the long waiting time or waiting time for treatment was the main cause of violence. In the aftermath of the violence, most health care workers spoke to each other. 2. 2. The relationship between workplace violence and job burnout was significantly higher in the medical staff who had suffered violence (including four different forms of violence) in emotional exhaustion and depersonalization than those who had not suffered violence (P0.05). The scores of depersonalization of medical staff from different sources of violence were statistically significant (P0.05), and the scores of depersonalization and personal accomplishment of medical staff with different coping styles were significantly different (P0.05). The relationship between violence and sub-health in medical settings was significantly higher than that of those who had not been subjected to violence in the three dimensions of physical sub-health, mental sub-health and social sub-health, which included four different forms of violence. The difference was statistically significant (P0.05); the scores of the three dimensions of sub-health of the medical staff who suffered from the patient's own violence were higher than those of the patient's family members or visitors (P0.05). Different coping styles of health care workers in the three dimensions of sub-health scores were different, the difference was statistically significant (P0.05). Conclusion violence in medical facilities has become a global social problem, which directly endangers the health of medical staff and can lead to extreme mental and physical exhaustion and loss of enthusiasm. It is associated with job burnout and sub-health status of health care workers. Therefore, in order to reduce the incidence of violence in medical facilities, reduce the degree of job burnout of medical personnel, and improve the sub-health status of medical staff, the government, society and hospitals should attach great importance to it and actively take all kinds of practical and effective measures. To minimize the incidence of violence in medical settings, to reduce job burnout and sub-health of medical staff, so as to further improve the quality of medical care, better service for patients, promote social harmony and stability.
【学位授予单位】：郑州大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R395
本文编号：2201510
[Abstract]:Objective 1. To investigate the current situation of different demographic characteristics of medical personnel in a city hospital by medical site violence. 2. To analyze the relationship between medical workplace violence and job burnout of medical staff. 3. To analyze the relationship between health care workers and to provide evidence for improving job burnout and sub-health status of medical staff. Methods six general hospitals in the city were selected by cluster sampling, and the first line medical staff were randomly selected to investigate their personal basic situation, violence, job burnout and sub-health status. The survey data were recorded using Visual Foxpro6.0 database, and the numbers and logic were examined. SPSS13.0 was used for statistical analysis and processing, and the incidence and composition ratio was used to describe the situation of health care workers being subjected to violence. The incidence rate and composition ratio were compared by chi-square test, the scores of job burnout and sub-health were described by x 卤s, the mean of two independent samples was compared by t test, and the analysis of variance (ANOVA).) was used in multi-group mean comparison. The inspection level is 0. 05. Result 1. The prevalence of violence in medical settings was 46.1 years old from 30 to 40 years old. Undergraduate education and emergency medical staff were the most vulnerable to violence attack (P0.05). Different gender, age, occupation, educational background and department of medical personnel suffered from different forms of violence in medical settings, the difference was statistically significant (P0.05). Among the sources of violence in medical facilities, the proportion of family members or visitors was the largest, and the long waiting time or waiting time for treatment was the main cause of violence. In the aftermath of the violence, most health care workers spoke to each other. 2. 2. The relationship between workplace violence and job burnout was significantly higher in the medical staff who had suffered violence (including four different forms of violence) in emotional exhaustion and depersonalization than those who had not suffered violence (P0.05). The scores of depersonalization of medical staff from different sources of violence were statistically significant (P0.05), and the scores of depersonalization and personal accomplishment of medical staff with different coping styles were significantly different (P0.05). The relationship between violence and sub-health in medical settings was significantly higher than that of those who had not been subjected to violence in the three dimensions of physical sub-health, mental sub-health and social sub-health, which included four different forms of violence. The difference was statistically significant (P0.05); the scores of the three dimensions of sub-health of the medical staff who suffered from the patient's own violence were higher than those of the patient's family members or visitors (P0.05). Different coping styles of health care workers in the three dimensions of sub-health scores were different, the difference was statistically significant (P0.05). Conclusion violence in medical facilities has become a global social problem, which directly endangers the health of medical staff and can lead to extreme mental and physical exhaustion and loss of enthusiasm. It is associated with job burnout and sub-health status of health care workers. Therefore, in order to reduce the incidence of violence in medical facilities, reduce the degree of job burnout of medical personnel, and improve the sub-health status of medical staff, the government, society and hospitals should attach great importance to it and actively take all kinds of practical and effective measures. To minimize the incidence of violence in medical settings, to reduce job burnout and sub-health of medical staff, so as to further improve the quality of medical care, better service for patients, promote social harmony and stability.
【学位授予单位】：郑州大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R395
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