军队医院不同身份医务工作者幸福感指数与一般自我效能感的调查分析

Investigation of well-being index and self-efficacy among medical staff in different positions in military hospitals

目的：调查分析军队医院现役军人、非现役文职人员及聘用合同制医务工作者的幸福感指数、一般自我效能感及不同身份医务工作者之间的差异。方法采用幸福感指数和一般自我效能感量表对13所军队医院的1851名医务工作者进行问卷调查，并进行比较。结果军队医院现役军人、非现役文职人员和聘用合同制医务工作者幸福感指数得分分别为（11．25±2．24），（10．67±2．12），（10．09±2．43）分，低于成人常模（11．81±2．23）分，差异有统计学意义（t值分别为-4．806，-7．999，-25．004；P＜0．01）。军队医院现役军人、非现役文职人员和聘用合同制医务工作者自我效能感得分分别为（2．46±0．60），（2．18±0．54），（2．39±0．51）分，低于成人常模2．86分，差异有统计学意义（t值分别为-12．910，-18．790，-32．788；P＜0．01）。现役军人、非现役文职人员和聘用合同制医务工作者幸福感指数和一般自我效能感比较差异均有统计学意义（ F值分别为36．206，19．439；P＜0．01）。结论军队医务工作者幸福感指数较低，一般自我效能感较差，以非现役文职人员和聘用合同制人员尤为突出。

Objective To explore and analyze the difference of well-being index and self-efficacy among medical staff including military , inactive civilian and contract staff in different positions in military hospitals.Methods Totals of 1 851 medical staff from different positions of 13 military hospitals were investigated by the well-being index and self-efficacy questionnaire to compare the difference .Results The scores of military, civilian and contract staff in well-being index were （11.25 ±2.24）, （10.67 ±2.12） and （10.09 ±2.43）, respectively, which were lower than adult norm （11.81 ±2.23） with significant differences （t=-4.806, -7.999, -25.004, respectively;P＆lt;0.01）.The scores of military, civilian and contract staff in self-efficacy were （2.46 ±0.60）, （2.18 ±0.54） and （2.39 ±0.51）, respectively, which were lower than adult norm （2.86） with significant differences （t =-12.910, -18.790, -32.788, respectively; P ＆lt;0.01）.The scores of well-being index and self-efficacy showed significant differences in military , civilian and contract staff （F=36.206,19.439,respectively; P＆lt;0.01）.Conclusions Army medical staff’ s well-being index and self-efficacy are low , especially among civilian and contract staff .