中医医生职业承诺对工作倦怠的影响

目的 探讨中医医生工作倦怠现状及职业承诺对工作倦怠的影响.方法 采用中医医生职业承诺问卷和Maslach的工作倦怠量表一服务版(MBI-HSS)对507名中医医生进行测试.结果 年龄<30岁的中医医生成就感评分最低(2.352±0,660),与30～、40～岁组(分别为2.136±0.704、2.127±0.628)比较,差异有统计学意义(P<0.01);高学历中医医生的情绪衰竭、缺乏人情味评分高于低学历者,差异有统计学意义(P<0.01).职业承诺对工作倦怠有明显的负向影响(P<0.01).职业承诺不同维度对工作倦怠各维度的影响作用不同,职业风险承诺是情绪衰竭的主要预测因素;专业效能承诺是缺乏人情味的主要预测因素;情感认同承诺是个人成就感的主要预测因素.结论 职业承诺是工作倦怠的一个有效的预测变量,提岛职业承诺水平是预防中医医生工作倦怠的一项重要措施.

Effect of occupational commitment on job burnout of traditional Chinese medicine doctors

Objective To investigate the status of job burnout in traditional Chinese medicine(TCM) doctors and explore the effect of occupational commitment on job burnout. Methods A test of occupational commitment and job burnout was carried out in 507 TCM doctors with occupational commitment questionnaire and Maslach Burnout Inventory-Human Services Survey (MBI-HSS). Results The age group of <30 years scored lowest (2.352±0.660) in personal accomplishment compared with 30 years old group and 40 years old group (2.136±0.704) and (2.127±0.628) respectively](P<0.01). The score of emotional exhaustion and deper-sonalization increased with educational levels. There was significantly negative correlation between job burnout and occupational commitment (P<0.01). Occupational commitment had significant effect on job burnout (P< 0.01). Occupational trouble commitment was a major predictor for emotional exhaustion (P<0.01). Professional self-efficacy commitment was a major predictor for depersonalization (P<0.01). Affective commitment was a major predictor for personal accomplishment (P<0.01). Conclusion Occupational commitment is a good predictor for job burnout. Improving occupational commitment is an important measure to prevent job burnout.