基层医务人员职业倦怠与抑郁症状及离职倾向的关系

The occupational burnout and its relationship with depressive symptoms and resignation tendency in primary medical staff

目的 了解基层医务人员职业倦怠情况以及与睡眠困扰、抑郁症状、离职倾向的关系,为医务人员的心理健康服务工作提供参考意见。方法 对长沙市基层医务人员进行线上问卷调查,问卷包括一般人口学资料问卷、失眠严重程度调查问卷、患者健康问卷抑郁量表、通用职业倦怠问卷和离职意向量表。结果 存在睡眠困扰的687人(67.5%),有抑郁症状的228人(22.4%),存在职业倦怠的700人(68.8%)。相关分析结果显示,职业倦怠与睡眠困扰、抑郁症状、离职倾向呈正相关(r=0.477、0.659、0.576,P值均<0.001);睡眠困扰与抑郁症状、离职倾向呈正相关(r=0.621、0.326,P值均<0.001);抑郁症状与离职倾向呈正相关(r=0.439,P<0.001)。结论 基层医务人员存在较高水平的职业倦怠,且职业倦怠与抑郁症状及离职倾向有关,应重点关注基层医务人员的心理状况。

Objective To explore the occupational burnout of primary medical staff and its relationship with sleep distress,depressive symptoms and resignation tendency,and to provide reference opinions for the mental health services of primary medical staff.Methods An online survey of primary medical staff in Changsha was conducted including general demographic data questionnaire,insomnia severity index,physical health questionnaire,Maslach Burnout Inventory General Survey and turnover intention scale.Results 687(67.5%)had sleep distress,228(22.4%)had depressive symptoms,and 700(68.8%)had burnout.The results of the correlation analysis showed that,burnout was positively correlated with sleep distress,depressive symptoms,and turnover intention(r=0.477,0.659,0.576,P<0.001).Sleep distress was positively associated with depressive symptoms and turnover intention(r=0.621,0.326,P<0.001).Depressive symptoms were positively associated with turnover intention(r=0.439,P<0.001).Conclusion Primary medical staff have a high level of occupational burnout,and occupational burnout was correlated with depressive symptoms and turnover tendency,so the psychological status of staff should be emphasized.