医生工作满意度与职业紧张的关系

Job Satisfaction and Occupational Stress among Doctors

目的探讨医生工作满意度与职业紧张的关系,提高医生工作满意度。方法采用横断面调查方法,于2010年的11、12月随机抽取辽宁省某市4所综合医院的355名医生进行问卷调查。应用明尼苏达满意度问卷(MSQ)测量工作满意度,工作内容问卷(JCQ)及付出-回报失衡问卷(ERI)测量职业紧张,多元回归分析探讨医生工作满意度与职业紧张的关系。结果该市医生工作满意度总分为61.52±13.55。按照多元线性回归标准化系数的顺序,决策自主、内在投入、上级支持、技术自主、回报及外在付出与医生工作满意度密切相关。结论医生职业紧张对工作满意度有预测作用。应降低职业紧张,保护和增进医生的身心健康,提高其工作满意度及医疗服务质量。

[Objective]To explore the relationship between job satisfaction and occupational stress aiming at increasing the job satisfaction among doctors. [Methods]A cross-sectional study was conducted during November——December 2010.The study population recruited 355 doctors from 4 hospitals of one city in Liaoning Province,job satisfaction was measured by Minnesota Satisfaction Questionnaire（MSQ） and occupational stress was measured by Job Content Questionnaire（JCQ） and Effort-Reward Imbalance Questionnaire（ERI）.The multiple linear regression analysis was performed to explore relationship between job satisfaction and occupational stress. [Results]The mean score of job satisfaction was 61.52±13.55.Job satisfaction was associated with standardized coefficients in the sequence of decision autonomy,internal investment,supervisor support,skill discretion,return and extrinsic effort. [Conclusion]Occupational stress is a predicator of job satisfaction.Occupational stress should be reduced aiming at protecting the doctor＇s physical and mental health,improving the work satisfaction and medical service quality.