农村艾滋病医护人员工作倦怠与社会支持关系

Relationship between social support and job burnout of doctors and nurses working on HIV/AIDS in countryside

目的了解河南省农村艾滋病医护人员工作倦怠的状况及其与社会支持的关系,为进行有效支持和干预提供帮助。方法采用工作倦怠量表(CMBI)和社会支持问卷(SSRS)对222名河南省农村艾滋病医护人员进行测试。结果河南省农村艾滋病医护人员在耗竭维度上的检出率为26.1%(58/222),人格解体维度的检出率为54.5%(121/222),成就感降低维度的检出率为4.5%(10/222);艾滋病医护人员的客观支持与成就感降低呈显著负相关(r=-0.151,P<0.05),主观支持与耗竭和成就感降低均呈显著负相关(r=-0.215,-0.176,P<0.01),支持利用度与成就感降低里显著负相关(r=-0.231,P<0.01);分层回归显示,主观支持对耗竭的预测作用差异有统计学意义(F=12.083,P<0.01),支持利用度对成就感降低的预测作用差异有统计学意义(F=10.842,P<0.01)。结论农村艾滋病医护人员的情感耗竭及人格解体症状较严重,社会支持对其工作倦怠有一定的影响。

Objective To explore the actual level of job burnout among doctors and nurses working on HIV/AIDS in countryside and its relationship with social support and to provide an aid for intervention of job burnout.Methods Chinese Maslach Burnout Inventory（CMBI） and Social Support Rating Scale（SSRS） were used in 222 doctors and nurses working on HIV/AIDS in cuntryside.Results The prevalence of emotional exhaustion was 26.1%（58/222）,depersonalization or dehumanization 54.5%（121/222）,personal accomplishment 4.5%（10/222）.Objective support was significantly negatively correlated with personal accomplishment（r=-0.151,P〈0.05）;Subjective support was significantly negatively correlated with emotional exhaustion and personal accomplishment（r=-0.215,-0.176,P〈0.01）;Use of support was significantly negatively correlated with personal accomplishment（r=-0.231,P〈0.001）.Hierarchical regression showed that the prediction of subjective support to emotional exhaustion was very significant（F=12.083,P〈0.01）,the prediction of use of support to personal accomplishment was very significant（F=10.842,P〈0.01）.Conclusion More importance should be attached to the job burnout of doctors and nurses working on HIV/AIDS and the influence of the social support.