广东省新型冠状病毒肺炎疫情防控人员离职倾向及其影响因素研究

  目的  了解广东省COVID-19疫情防控人员离职倾向的现状及其影响因素，探讨社会支持的调节效应，为提高防疫队伍的稳定性提供参考依据。  方法  采用自制在线问卷对广东省的疾病预防控制中心和基层医疗卫生机构中参与过COVID-19疫情防控工作的人员进行调查，通过层次回归分析离职倾向的影响因素及社会支持的调节效应。  结果  本研究共调查2 168名疫情防控人员，632人(29.15%)有离职倾向。高级职称、在疾病预防控制中心工作、有编制、每日睡眠时间≥6 h、工作满意度和领导/同事/亲戚支持对疫情防控人员的离职倾向存在负向作用，而工作通宵和休息日加班对离职倾向具有促进作用。交互作用项“工作满意度×家人支持”在工作满意度和离职倾向之间存在负向调节效应。  结论  COVID-19疫情期间广东省疫情防控人员的离职倾向较高，完善疫情防控工作的激励机制，提高人员的工作满意度，为防疫人员提供更多支持可降低其离职倾向。

Turnover intention and associated factors among public health workers during the fight against COVID-19 in Guangdong Province

  Objective  To realize the current situation and influencing factors of turnover intention among public health workers fighting against COVID-19 in Guangdong Province, explore the moderating effect of social support, and provide evidence for improving the stability of epidemic prevention team.  Methods  A self-constructed online questionnaire was used to investigate the personnel of Centres for Disease Control and Prevention and primary health care institutes in Guangdong Province. Hierarchical regression analysis was conducted to examine the associated factors of turnover intention and the moderating role of social support.  Results  A total of 2 168 participants were collected, of which 632(29.15%) had turnover intention. Anti-epidemic public health workers with senior title, working in CDC, having a fixed establishment, sleeping ≥ 6 h, showing more job satisfaction and reporting higher leadership/colleague/relative support had lower turnover intention, while those working overnight and working overtime on rest days were more likely to report turnover intention. The interaction term "job satisfaction × family support" had a negative moderating effect on the relationship between job satisfaction and turnover intention.  Conclusions  A relatively high turnover intention is reported among public health workers during the fight against COVID-19 in Guangdong Province. Improving the incentive mechanism, increasing job satisfaction and providing more support to primary health workers may reduce their turnover intention.