精神科医师职业认同问题分析

Analysis of professional identity of psychiatrists

目的分析精神专科医师职业认同现状及影响因素,在此基础上提出一些针对性对策建议。方法2020年6月—8月,采用简单随机抽样的方法,以自编量表式问卷对Z市3所精神专科医院160名精神科医师进行调查,回收有效问卷152份,有效回收率为95.00%。分析不同指标的精神科医师职业认同得分,采用多元线性回归分析其影响因素。结果精神科医师职业认同总得分(3.82±0.51)分,其中职业行为得分最高,职业信念得分最低。不同学历、职称、是否为带教老师、收入情况、职业动机对精神科医师的职业认同得分比较,差异有统计学意义(P<0.05)。多元回归分析显示,是否为带教老师、收入情况、职业动机是影响精神科医师职业认同水平的主要因素(R^(2)=0.311,P<0.05)。结论精神科医师职业认同总体水平较高,仍有提升空间,职业动机、是否为带教老师、收入情况是其职业认同水平的主要影响因素,可通过增加培训途径、优化岗位划分与收入结构、重视临床带教来提高职业认同水平。

Objective To analyze the status quo of psychiatrists’professional identity and influencing factors,and to put forward some targeted countermeasures and suggestions on this basis.Methods From June to August 2020,a simple random sampling method was used to survey 160 psychiatrists from three psychiatric hospitals in Z city with a self-compiled scale questionnaire.A total of 152 valid questionnaires were returned,and the effective recovery rate was 95.00%.The professional identification scores of psychiatrists with different indicators were analyzed,and multiple linear regression was used to analyze its influencing factors.Results The total score of psychiatrists’occupational identity was(3.82±0.51)points,among which the score of professional behavior was the highest and the score of professional belief was the lowest.There was a statistically significant difference in the professional identification scores of psychiatrists with different educational backgrounds,professional titles,whether they were teachers,income status,and professional motivation(P<0.05).Multiple regression analysis showed that whether they were teachers,income status,and professional motivation were the main factors that affected the level of psychiatrists’professional identity(R^(2)=0.311,P<0.05).Conclusion The overall level of psychiatrists’professional identity is relatively high,and there is still room for improvement.Professional motivation,whether they are teachers,and income status are the main factors affecting their professional identity.This can be done by increasing training channels,optimizing job division and income structure,and paying attention to it.Clinical teaching to improve the level of professional recognition.