乌鲁木齐市医务行政工作人员甲状腺激素水平与职业倦怠的相关性分析

Correlation analysis on between thyroid hormone level and job burnout of medical administrative staff in Urumqi

目的 了解乌鲁木齐市医务行政工作人员的甲状腺激素水平与职业倦怠现状,分析甲状腺激素水平与职业倦怠的相关性。方法 采用横断面分析方法,于2021年3月,问卷调查乌鲁木齐市557名医务行政工作人员,调查内容包括调查对象一般特征,职业倦怠现状,并检测甲状腺激素水平包括三碘甲状腺原氨酸(triiodothyronine,T3)、甲状腺素(thyroxine,T4)和促甲状腺激素(thyroid-stimulating hormone,TSH)。结果 在调查的557人中,有128名医务行政工作人员存在不同程度的甲状腺激素水平异常,异常率为22.98%,甲状腺素激素总体水平异常率在性别、医院及学历间差异均有统计学意义(均P<0.05);有313人存在不同程度的职业倦怠,职业倦怠发生率为56.19%,在成就感低落维度中甲状腺激素水平正常组与异常组比较差异有统计学意义(P<0.05),T3、TSH和总体异常率水平在不同职业倦怠人群中比较,差异均有统计学意义(均P<0.05)。情绪衰竭、玩世不恭维度与T3呈负相关趋势,玩世不恭、成就感低落维度与TSH呈正相关趋势(均P<0.05),成就感低落维度(OR=1.064,95%CI=1.010~1.121)是甲状腺激素水平异常的危险因素。结论 (1)乌鲁木齐市医务行政工作人员甲状腺激素水平异常情况不容乐观,其中女性高于男性,三级医院人群高于其他等级医院。(2)乌鲁木齐市医务行政工作人员职业倦怠发生率较高,倦怠人群的甲状腺激素水平异常率高于非倦怠人群。(3)职业倦怠与甲状腺激素水平异常存在相关性。

Objective To understand the status of thyroid hormone levels and job burnout among medical administrative workersin Urumqi,explore the correlation between thyroid hormone levels and job burnout.Methods Using the method of cross-sectional study,a questionnaire survey was conducted among 557 medical administrative workers in Urumqi in March 2021.The investigation included the general characteristics of the subjects,the current situation of job burnout,and the levels of triiodothyronine (T3),thyroxine (T4) and thyroid-stimulating hormone (TSH).Results Among the 557 people surveyed,128 medical administrative workers had different degrees of abnormal thyroid hormone levels,and the abnormal rate was 22.98%.There were statistically significantdifferences in the overall abnormal rate of thyroid hormone levels among different genders,hospitals,and educational backgrounds(all P<0.05).There were 313 people with different degrees of occupational burnout,and the incidence of occupational burnout was 56.19%.In the dimension of low sense of achievement,the difference between between the normalthyroid hormonegroup and abnormal group was statistically significant(P<0.05).There were statistically significantdifferences in the T3,TSH and overall abnormal rate among population with different job burnout (all P<0.05).The dimensions of emotional exhaustion and cynicism were negatively correlated with T3,the dimensions of cynicism and low achievement was positively correlated with TSH(all P<0.05),and dimension of low achievement (OR=1.064,95%CI=1.010-1.121) was the risk factors forabnormal levels of thyroid hormone.Conclusions (1)The abnormal thyroid hormone levels of medical administrators inUrumqiare not optimistic.Among them,women are higher than men,and the population of tertiary hospitals is higher than that of other hospitals.(2)The occupational burnout rate of medical administrative staff inUrumqiis relatively high,and the abnormal rate of thyroid hormone levels in the burnout population is higher than that in the non-burnout population.(3)There is a correlation between job burnout and abnormal thyroid hormone levels.