广西南宁市630名医务人员职业压力及形成原因的调查研究

An investigation and analysis of the reasons that cause occupational stress of 630 medical workers in Naning of Guangxi Zhuang Autonomous Region

目的:探讨医务人员职业压力(Occupational Stress,OS)的状况与形成原因。方法:通过整群随机抽样的方法,对广西南宁市较具代表性的10家医院的630名医务人员进行问卷式调查,并对调查资料进行统计学处理和分析。结果:(1)认为OS中度及以上的高达96.5%,认为较大或(和)很大的达到80.8%;OS分布不平衡,高级别医院及高职称人员OS最大;OS与被调查者的性别、工龄、职称、执业类别、执业学科和执业医院的等级均有显著的统计学差异。(2)OS形成原因顺位从高到低排序分别是执业风险(46.2%)、医患关系(41.7%)、工作量(41.3%)、认为OS中度及以上的高达96.5%,认为较大或(和)很大的达到80.8%;OS分布不平衡,高级别医院及高职称人员OS最大;OS与被调查者的性别、工龄、职称、执业类别、执业学科和执业医院的等级均有显著的统计学差异。(2)OS形成原因顺位从高到低排序分别是执业风险(46.2%)、医患关系(41.7%)、工作量(41.3%)、工作待遇(41.3%)执业环境(18.3%)、个人能力(14.4)和创收压力(10.0%)。结论:广西南宁市医务人员的OS特点是过高、分布不平衡,且成因复杂。

The purpose of this thesis is to discuss the status and causes of Occupational Stress （OS）. By cluster random sampling, questionnaires are given to 630 medical workers in 10 representative hospitals in Nanning of Guangxi Zhuang Autonomous Region and the results of which are stalislically processed and analyzed. The results of the investigation reveal the following facts. Firstly, there are as much as 96.5% of medical workers Ihink the OS is of medium level or higher; the distribution of OS is imbalanced, with medial workers in high-class hospitals and of high ranks having the highest OS： OS has obvious statistic difference according to the gender, service year, title, occupational category, occupational discipline and hospitals of the investigated medical workers. Secondly, the causes of OS rank from the highest to the lowest as follows, occupational risk（46.2%）, the relationship between doctors and patients （41.7%）, working load （41.3%）, salary （41.3%）, occupational environment （18.3%）, competence（14.4%） and pressure from generating revenue （10.0%）. Finally a conclusion is reached that the OS of medical workers in Nanning in Guangxi Zhuang Autonomous Region is high, of imbalanced distribution and of complicated causes.