医务人员职业倦怠与健康生产力受损的关联

发布时间：2019-05-09 05:42

【摘要】：[目的]分析医务人员职业倦怠与隐性缺勤所致健康生产力受损之间的关联关系。[方法]采用分层抽样方法,选择上海医务工会下辖的8家三级医院职工为调查对象进行调查。采用通用职业倦怠问卷(MBI-GS)中文版进行医务人员职业倦怠的评估,采用斯坦福隐性缺勤问卷(SPS-6)中文版评估隐性缺勤所致健康生产力受损的状况。[结果]在2313份给出职业倦怠完整量表信息的有效问卷中,有74.2%的调查对象表现出不同程度的职业倦怠,医生和护士的职业倦怠率分别为73.2%和84.0%;隐性缺勤所致健康生产力受损平均得分为15.24±3.89。不同年龄、岗位、工龄、职称、编制、倒班、情感耗竭、人格解体、个人成就感及职业倦怠间,隐性缺勤所致健康生产力受损程度不同,差异均有统计学意义(P0.05);但不同性别、学历间隐性缺勤所致健康生产力受损差异则无统计学意义(P0.05)。在调整了社会经济水平和工作性质等变量后,logistic回归分析显示职业倦怠与隐性缺勤所致健康生产力受损的关联关系依然存在,说明这种关联不会因社会经济地位以及工作性质的改变而不同。[结论]医务人员的职业倦怠与隐性缺勤所致健康生产力受损间可能存在密切关联,即随着职业倦怠程度的增加,隐性缺勤所致健康生产力受损的程度越大。
[Abstract]:[objective] to analyze the relationship between occupational burnout and health productivity impairment caused by recessive absenteeism. [methods] by means of stratified sampling, the workers of 8 hospitals under the jurisdiction of Shanghai Medical Trade Union were selected as the object of investigation. The Chinese version of the General Job Burnout questionnaire (MBI-GS) was used to evaluate the occupational burnout of medical staff, and the Chinese version of the Stanford implicit absence questionnaire (SPS-6) was used to evaluate the state of health productivity impairment caused by recessive absenteeism. [results] of the 2313 valid questionnaires, 74.2% showed different degrees of job burnout, and the job burnout rates of doctors and nurses were 73.2% and 84.0%, respectively, and the job burnout rates of doctors and nurses were 73.2% and 84.0%, respectively, and the job burnout rates of doctors and nurses were 73.2% and 84.0%, respectively. The average score of health productivity impairment caused by recessive absenteeism was 15.24 卤3.89. Different age, position, length of service, professional title, establishment, shift, emotional exhaustion, personality disintegration, personal accomplishment and job burnout, hidden absence caused by different degrees of health productivity damage, the difference was statistically significant (P0.05); However, there was no significant difference in health productivity damage caused by recessive absence of education between different sexes (P0.05). After adjusting the socio-economic level and the nature of work, logistic regression analysis showed that the relationship between job burnout and health productivity impairment caused by recessive absenteeism still existed. This association does not vary depending on the socio-economic status or the nature of the job. [conclusion] there may be a close relationship between the occupational burnout of medical staff and the impairment of health productivity caused by recessive absence, that is, with the increase of the degree of occupational burnout, the greater the degree of impairment of health productivity caused by recessive absenteeism.
【作者单位】：复旦大学公共卫生学院预防医学教研室(公共卫生安全教育部重点实验室);上海市卫生和计划生育委员会医务工会;上海市精神卫生中心;
【分类号】：R395

【参考文献】