职业倦怠在儿科住院医师规范化培训学员心理韧性与离职意愿间的中介作用

The mediating role of occupational burnout in the relationship between psychological resilience and turnover intention among pediatric residents during standardized training

目的本研究旨在探讨儿科住院医师规范化培训学员心理韧性与离职意愿之间的关系,以及职业倦怠在二者间的中介作用。方法2024年3月在浙江大学医学院附属儿童医院使用心理资本量表、职业倦怠量表和离职意愿量表对在培的儿科住培学员进行问卷调查,正态分布的均数比较采用t检验,多分类的比较采用单因素分析,相关性分析使用Pearson相关。使用R软件对数据进行相关性分析与中介效应分析。结果109名被调查儿科住培学员平均年龄为(26.00±2.19)岁,职业倦怠得分为(53.30±12.18),心理韧性得分为(20.22±5.14)。离职意愿与心理韧性呈负相关(P<0.05),与职业倦怠、情绪衰竭、去个性化以及低成就感呈正相关(P<0.05)。职业倦怠量表中去个性化与情绪衰竭两个维度在心理韧性与离职意愿之间起到部分中介作用,中介效应分别为-0.10与-0.07,分别占总效应的34.48%与24.14%。结论提高儿科住培学员的心理韧性,或有助于降低其离职意愿,去个性化与情绪衰竭在二者间起中介作用。

Objective To investigate the relationship between psychological resilience and turnover intention among pediatric residents during standardized training,with a focus on the mediating role of occupational burnout.Methods A questionnaire survey was administered in March 2024 to pediatric residents at Children's Hospital,Zhejiang University School of Medicine.The survey utilized the Psychological Capital Scale,Maslach Burnout Inventory,and Turnover Intention Scale.Normally distributed means were compared using t-tests,multicategorical comparisons were conducted using one-way analysis of variance,and correlations were analyzed using Pearson's correlation coefficient.R software was used for both correlation and mediation analyses.Results The 109 surveyed pediatric residents with an average age of(26.00±2.19)years showed an average occupational burnout score of(53.30±12.18)and an average psychological resilience score of(20.22±5.14).Turnover intention was negatively correlated with psychological resilience(P<0.05)and positively correlated with occupational burnout,emotional exhaustion,depersonalization,and personal achievement(P<0.05).Depersonalization and emotional exhaustion dimensions in the Occupational Burnout Scale partially mediated the relationship between psychological resilience and turnover intention,with mediation effects of-0.10 and-0.07,respectively,which accounted for 34.48%and 24.14%of the total effects.Conclusions Enhancing the psychological resilience of pediatric residents during training may reduce their turnover intention.Depersonalization and emotional exhaustion plays mediating roles.