淮安市基层公共卫生服务人员职业倦怠状况及影响因素分析

Analysis on job burnout status and its influencing factors of grassroots public health service personnel in Huaian city

目的了解淮安市社区与乡镇基层公共卫生服务人员职业倦怠现状及其影响因素,为制定综合防控措施提供科学依据。方法于2017年1~3月,采用普查方式,使用自编一般人口学资料调查表、职业倦怠通用量表(MBI-GS)对该市1 074名基层公共卫生服务人员进行问卷调查。结果调查对象职业倦怠总体阳性率为58.7%(630/1074),轻度倦怠率为51.3%(551/1074),重度倦怠率为7.4%(79/1074);多元有序logistic回归分析显示,男性(OR=1.32)、患慢性疾病(OR=1.92)、每天工作时间>7h(OR=1.40)、工作单位(乡镇卫生院)(OR=1.31)是职业倦怠发生的独立危险因素;年龄41~50岁(OR=0.58)、≥51岁(OR=0.45)是职业倦怠发生的保护因素。结论该地区基层公卫人员的职业倦怠检出率较高,倦怠状况比较严重,性别、年龄、每日工作时间、健康状况、工作单位是职业倦怠的主要影响因素。

Objective To analyze the status of job burnout among the community and township public health workers,and to provide scientific basis for formulating comprehensive prevention and control measures.Methods A census sampling method was used to investigate the job burnout by using the self-made general demographic data questionnaire and the MBI-GS in HuaiAn.Results A total of 1074 valid questionnaires were collected,and the total physical examination rate of job burnout was 58.7%,51.3%were mild burnout,7.4%were highly burnout.Multivariate ordered logistic regression analysis showed that sex(OR=1.32),chronic disease(OR=1.92)、and daily working hours greater than 7h(OR=1.40)、township health center(OR=1.31)were independent risk factors for occupational burnout.The age"≥51"(OR=0.45)、"41~"(OR=0.58)are the independent protective factors for the occurrence of job burnout.Conclusion Job burnout detection rate was high in the staff of essential public health service,sex,daily working hours,health status,age and work unit are the main factors influencing job burnout.