南京市综合医院麻醉科医护人员职业倦怠的影响因素

Influence factors of job burnout of medical staff in the anesthesiology department of Nanjing general hospital

目的了解南京市麻醉科医护人员职业倦怠现状,分析影响职业倦怠的各种因素。方法选择5家医院263名麻醉相关人员进行问卷调查。应用马氏工作倦怠量表-服务行业版(Maslach Burnout Inventory-Human Service Survey,MBI-HSS)和一般资料问卷,用非条件logistic回归分析模型分析职业倦怠的影响因素。结果所调查的麻醉科医护人员的职业倦怠总检出率为80.53%,重度倦怠的检出率为8.01%。多因素分析显示,没有行政职务(OR=0.164,95%CI:0.065~0.415)、工作之余经常聊天放松(OR=0.360,95%CI:0.167~0.776)、健康状况好(OR=0.441,95%CI:0.239~0.815)、工作强度低(OR=0.505,95%CI:0.273~0.934)、增加月收入(OR=0.478,95%CI:0.328~0.696)会减少医务人员的职业倦怠;而每月手术抢救次数多(OR=1.754,95%CI:1.094~2.813)、没有业余兴趣爱好(OR=2.069,95%CI:1.145~3.739)、建议不能得到及时反馈(OR=2.244,95%CI:1.213~4.154)、缺乏良好职业发展(OR=2.087,95%CI:1.196~3.642)会增加医务人员的职业倦怠。结论南京市麻醉科医务人员职业倦怠较普遍,且职业倦怠与多种因素有关。

Objective To investigate the current status of job burnout levels among medical staff in the anesthesiology department of Nanjing City and to identify its influencing factors.Methods Maslach Burnout Inventory-Human Service Survey(MBI-HSS)and the general information questionnaires were used to evaluate the job burnout status among 263 medical staff members from five hospitals in Nanjing.The unconditional logistic regression model was employed to investigate the influeneing factors of job burnout.Results The detection rate of job burnout and severe job burnout among doctors and nurses in the anesthesiology department were 80.53%and 8.01%,respectively.Multivariate logistic regression analysis showed that being not an administrator(OR=0.164,95%CI:0.065-0.415),regular after-work socializing(OR=0.360,95%CI:0.167-0.776),having good health condition(OR=0.441,95%CI:0.239-0.815)and having low working intensity(OR=0.505,95%CI:0.273-0.934),increasing monthly income(OR=0.478,95%CI:0.328-0.696)were associated with decreased risk of job burnout.Conversely,having high number of emergency rescue per month(OR=1.754,95%CI:1.094-2.813),without hobbies after work(OR=2.069,95%CI:1.145-3.739),can not receive feedback for requirement timely(OR=2.244,95%CI:1.213-4.154),lack of good career development(OR=2.087,95%CI:1.196~3.642)were associated with a increased risk of job burnout.Conclusions Job burnout is common among medical staff in anesthesiology department of Nanjing City,and the burnout was associated with a variety of factors.