某三级甲等医院医务人员的主观幸福感

目的：了解三级甲等综合医务人员直接面对病人对其主观幸福感的影响。方法：采用中国城市居民幸福感量表简本(subjective well-being scale for Chinese citizen，SWBS-cc20)，于2012，2013及2014年5月对湖南省某三级甲等综合性医院医务人员进行调查。结果：医务人员的主观幸福感评分较高(81.67±12.33)；在10个分维度中，家庭氛围、成长进步及人际适应得分最高；知足充裕、心理健康及身体健康得分最低。职称、工作性质、受教育程度及职业影响医务人员的主观幸福感。直接面对病人的医务人员主观幸福感低于非直接面对病人者(t=–4.80，P<0.001)；直接面对病人的医务人员在知足充裕维度(OR=0.079，95% CI：1.278~2.214，P<0.001)高于非直接面对病人者，在心理健康(OR=1.315，95% CI：1.023~1.690，P<0.05)及身体健康(OR=1.313，95% CI：1.029~1.677，P<0.05)维度低于非直接面对病人者。结论：医务人员的主观幸福感较高。直接面对病人的医务人员主观幸福感总体低于非直接面对病人者；且在知足充裕维度高于非直接面对病人者，在心理健康及身体健康维度低于非直接面对病人者。

Status of subjective well-being for medical staff in a tertiary hospital

Objective: To investigate the status of subjective well-being (SWB) for medical staffs who contact with patients directly in a tertiary hospital.Methods: Staffs from a tertiary hospital in Hunan province were investigated the SWB Scale (SWBS-cc20) from 2012 to 2014.Results: The scores of SWB for medical staffs are high (81.67±12.33). Among the 10 sub-dimensions of SWB, medical staffs performed the best in family atmosphere, personal growth, and interpersonal adaptation, while performed the worst in physical health, mental health and material contentment. Title, job nature, education and occupation significantly affected the status of SWB. Staffs who directly connected with patients have less scores of SWB than those who do not (t=–4.80, P<0.001). Moreover, they perform better in contentment (OR=0.079, 95% CI 1.278 to 2.214, P<0.001), but worse in mental health (OR=1.315, 95% CI 1.023 to 1.690, P<0.05) and physical health (OR=1.313, 95% CI 1.029 to 1.677, P<0.05).Conclusion: Medical staffs have high scores of SWB. Staffs who directly connected with patients have less scores of SWB than those who do not. Moreover, they perform better in contentment, but worse in mental health and physical health.