医务人员职业倦怠情况与人文关怀需求的调查分析

Investigation and analysis of job burnout and humanistic care demand of hospital staff

目的通过调查医务人员职业倦怠现状及影响因素,了解其身心健康状态,为探索医务人员人文关怀与健康关爱路径提供依据。方法采用自编基本情况问卷、MBI-GS职业倦怠量表,调查某三级综合医院350名医务人员。采用独立样本t检验、单因素方差分析、logistic回归分析、词频分析进行统计。结果职业倦怠总体检出率为67.84%。情绪衰竭、去个性化、成就感低落维度,中、重度检出率分别为17.84%、7.02%、44.15%。不同人口学特征的医务人员职业倦怠检出差异有统计学意义(P<0.05)。logistic回归分析结果显示,工作压力是职业倦怠发生的主要危险因素(OR=3.312,95%CI:1.895~5.79,P<0.01)。词频调查结果显示,医务人员对人文关怀需求较高。结论医务人员存在不同程度的职业倦怠,需要加强对高风险人员的关注,建立人文关怀与健康关爱支持体系。

Objective To investigate the status and influencing factors of medical staff job burnout,as well as to understand medical staff physical and mental health status,in order to provide a foundation for hospitals to implement humanistic care and health care for medical staff.Methods A total of 350 medical staff members from a tertiary general hospital were interviewed using a self-completion basic situation questionnaire and the MBI-GS burnout scale.342 questionnaires were effectively collected and statistically analyzed by the independent sample T test,one-way AN OVA,Pearson correlation analysis,multiple linear regression analsis and word frequency analysis.Results The score of emotional exhaustion in the three dimensions of job burnout was(2.003±1.167),and the detection rates of mild,moderate,and severe were 82.16%,15.21%and 2.63%,respectively.The deindividuation score was(1.262±1.085),The score of emotional exhaustion in the three dimensions of job burnout was(2.003±1.167),and the detection rates of mild,moderate,and severe were 82.16%,15.21%and 2.63%,respectively.With the detection rates of mild,moderate and severe were 92.98%,5.56%and 1.46%,respectively.The score of low sense of personal achievement was(2.232±1.366),and the detection rates of mild,moderate and severe were55.85%,42.10%and 2.05%,respectively.The burnout scores of medical staff with different demographic characteristics were significantly different(P<0.05).Burnout was found to be significantly related to gender,age,marital status,education level,job position,working years,work pressure,and self-health status(P<0.01).A linear relationship existed between gender,marital status,education level,job position,job pressure,physical health status,and job burnout.According to the results of a word frequency survey,medical staff have a high demand for humanistic care activities organized by hospitals.Conclusion Medical personnel experience varying degrees of job burnout.Health workers who are at high risk of burnout require extra care.Take reasonable measures to reduce the occurrence of job burnout in light of the factors influencing the occurrence of job burnout.We will create a humanistic care and health care support system for medical staff in order to promote their physical and mental health,increase their health literacy,and better serve patients.