南京军区南京总医院医务人员职业倦怠现状调查分析

The investigate analysis of job burnout from the medical staff in Nanjing General Hospital of Nanjing Military Region

目的随着国家医疗体制改革的不断深入,医生执业环境的特殊性使得国内医生的职业倦怠问题逐渐成为关注的焦点。文中旨在调查医务人员的职业倦怠现状,并探讨其原因,为有效预防和消除职业倦怠提供参考。方法采用河南大学李永鑫教授编制的工作倦怠问卷(Chinese Maslach burnout inventory,CMBI),以南京军区南京总医院医务人员为调查对象,发放问卷500份,收回489份,有效问卷478份,有效率97.8%。结果军队医院医务人员情感耗竭总分为(21.96±7.54)分,低于临界值(25分);去人性化及个人成就感减低分别为(11.7±7.44)分、(16.07±6.03)分,略高于临界值(11、16分);按照职业倦怠诊断标准,医务人员人群中42.07%轻度倦怠,27.41%中度倦怠,5.33%重度倦怠。主要原因是受年龄、婚姻、学历、岗位等因素的影响。结论职业倦怠普遍存在,医院管理者应高度重视医务人员的身心健康。

Objective With the development of the national health system reform, the peculiarity of certified doctor environ-ment makes domestic doctors′job burnout become a focus.The aim of this study was to study the present situation and reseason of the clinician job burnout, and to provide reference for the prevention and eliminatation of the job burnout effectivelly. Methods Chi-nese Maslach burnout inventory （ CMBI） , written by Professor Li Yongxin in Henan University was used in this study.Five hundred questionnaires were sent to medical staff in Nanjing General Hospital of Nanjing Military Region, and 489 copies were taken back.Four hundred and seventy eight copies were effective with the ratio of 97.8%. Results The emotion exhaust general mark of medical staff in army hospital was （21.96 ±7.54）, which was below critical mark （25）.The deindividuality and the lower of individual a-chievement feeling were （11.7 ±7.44） and （16.07 ±6.03）,respectively, which were slightly above critical mark （11, 16）.Accord-ing to the diagnostic criteria of job burnout, 42.07%of medical staff were mild job burnout, 27.41%were moderate job burnout, and 5.35%were serious job burnout. Conclusion Job burnout exists widely, and hospital manager should highly pay attention to the body and mind health of medical staff.