综合医院医技人员职业倦怠调查及影响因素

目的 对重庆市大型综合医院医技人员的职业倦怠进行调查及相关因素进行分析,提高医院管理部门对医技人员的重视,达到防治医技人员职业倦怠、提高医疗安全的目的.方法 采用整群抽样方法,对重庆市3家综合医院176名医技人员进行问卷调查.结果 医技人员职业倦怠轻、中、重度的检出率分别是38.07％,29.55％,6.25％；情感耗竭检出率22.16％,人格解体检出率46.02％,成就感减低检出率51.14％；医技人员在人格解体纬度上显著高于医护人员(t=3.069,P＜0.01)；大专以下学历在情感衰竭纬度上的评分显著高于本科及硕士以上学历(F=3.862,P＜0.01)；神经质(β=0.191,P＜0.01)与精神质(β=-0.126,P＜0.01)对情感衰竭有显著的预测作用,神经质(β=0.182,P＜0.01)、掩饰性(β=-0.132,P＜0.01)和自我效能(β=0.124,P＜0.01)对人格解体有显著预测作用,掩饰性(β=-0.170,P＜0.01)和自我效能(β=-0.247,P＜0.01)对人格成就感减低有显著预测作用.结论 医技人员职业倦怠程度总体上来说较为严重,人格特征及自我效能在一定程度上可以预测职业倦怠.

Job Burnout of Medical Scientist in General Hospital and Its Influencing Factors

Objective To investigate job burnout and its influencing factors of medical scientists in general hospital.Methods By questionnaire,using cluster sampling method,176 medical scientists from three general hospitals were investigated.Results The detection rate of emotional exhaustion,depersonalization and diminution of personal accomplishment respectively were 22.16%,46.02%,51.14%;The detection rate of light,medium and heavy job burnout respectively were 38.07%,29.55%,6.25%;The score of medical scientists was significantly higher than medical staff in depersonalization（t=3.069,P0.01）;The score of medical scientists of under junlor undergraduate degree was significantly higher than bachelor and master＇s degree（F=3.862,P0.01）;Neuroticism（β=0.191,P0.01）and Psychoticism（β=-0.126,P0.01）could predict emotional exhaustion;Neuroticism（β=0.182,P0.01）,Lie（β=-0.132,P0.01）and Self-efficacy（β=0.124,P0.01）could predict depersonalization;Lie（β=-0.170,P0.01）and Self-efficacy（β=-0.247,P0.01）could predict diminution of personal accomplishment negatively.Conclusion The job burnout of medical scientists is serious,the personality characteristics and self-efficacy can predict job burnout in some extent.