广州市番禺区医务人员生理亚健康影响因素分析

Analysis on influencing factors of physiological subhealth of medical personnel in Panyu District,Guangzhou

目的 调查医务人员生理亚健康状态及其与各影响因素之间的效应关系,提出针对医务人员生理亚健康状态的防护策略。方法 使用问卷调查2022年12月至2023年1月期间广州市番禺区39家医疗卫生机构内672名医务人员的生理亚健康状况,采用通径分析法分析医务人员生理亚健康状态与各影响因素之间的效应关系。结果 医务人员的生理亚健康评定平均分为(28.47±7.74)分(满分44分)。医务人员生理亚健康状态正向影响总效应排前3位的因素分别是自觉工作能积极影响他人生活的程度、自觉工作成就感和规律用餐,标准化总效应分别为0.358、0.296、0.263;负向影响总效应的前3位因素分别是压力感受、每周加班天数和每天平均工作时间,标准化总效应分别为-0.627、-0.144、-0.097。结论 医务人员生理亚健康状态的发生是多因素共同促成的,建议医疗卫生机构通过减轻工作压力、培养员工积极的工作态度、合理安排工作量、倡导健康生活方式等措施降低医务人员生理亚健康状态的发生率。

Objective To investigate the physiological subhealth status of medical personnel and its effect relationship with the various influencing factors,and put forward the protective strategy against the physiological subhealth status of medical personnel.Method A questionnaire was used to investigate the physiological subhealth status of 672 medical personnel in 39 medical and health institutions in Panyu District,Guangzhou from December 2022 to January 2023,and the effect relationship between the physiological subhealth status of medical personnel and various influencing factors was analyzed by path analysis.Results The average score of physiological subhealth assessment for medical personnel was(28.47±7.74)out of 44.The top three factors that positively affected the total effect of the physiological subhealth status of medical personnel were the degree to which they perceive their work to positively affect the lives of others,their sense of work achievement,and regular dining,with standardized total effects of 0.358,0.296,and 0.263,respectively.The top three factors for the negative total effect were stress perception,weekly overtime days,and average working time per day,with standardized total effects of-0.627,-0.144,and-0.097,respectively.Conclusions The occurrence of physiological subhealth among medical personnel is caused by multiple factors.It is recommended that medical and health institutions reduce the incidence of physiological subhealth among medical personnel by reducing work pressure,cultivating positive work attitudes among employees,arranging workload reasonably,and advocating healthy lifestyles.