我们的网站为什么显示成这样?

可能因为您的浏览器不支持样式,您可以更新您的浏览器到最新版本,以获取对此功能的支持,访问下面的网站,获取关于浏览器的信息:

|本期目录/Table of Contents|

疫情防控常态化背景下疫苗集中接种点医务人员职业倦怠现况调查(PDF)

《现代预防医学》[ISSN:1003-8507/CN:51-1365/R]

期数:
2022年09期
页码:
1564-1567
栏目:
环境与职业卫生
出版日期:
2022-05-15

文章信息/Info

Title:
Job burnout of medical workers in centralized vaccination sites during normalized epidemic prevention and control period
作者:
钱怡男1刘思浚1周轶敏1袁磊1汪娜2陈旭鹏2苟莉莉2
1.南京医科大学公共卫生学院社会医学与健康教育学系,江苏省 南京市 211166;
2.南京市疾病预防控制中心健康教育科
Author(s):
QIAN Yi-nan* LIU Si-jun ZHOU Yi-min YUAN Lei WANG Na CHEN Xu-peng GOU Li-li
*Department of Social Medicine and Health Education, School of Public Health, Nanjing Medical University, Nanjing, Jiangsu 211166, China
关键词:
社会支持 职业倦怠 疫苗接种 医务人员
Keywords:
Social support Job burnout Vaccination Medical workers
分类号:
R135
DOI:
-
文献标识码:
A
摘要:
目的 本研究调查新冠疫苗全面接种时期相关医务人员的职业倦怠状况,探讨个体因素以及社会支持对倦怠水平的影响。方法 在南京市12个行政区中随机抽取4个辖区的新冠疫苗集中接种点,将全部医务人员共428名作为研究对象进行问卷调查,问卷包括人口学特征、中文版职业倦怠量表和社会支持量表。结果 医务人员情感耗竭、人格解体、个人成就感降低维度得分分别为(17.99±7.89)、(7.20±3.52)和(12.07±5.30)分。多元线性回归分析结果显示,上司支持(β=-0.180, P< 0.05)、同事支持(β=-0.180, P< 0.05)为情感耗竭的保护因素,已婚、问诊岗位为情感耗竭的危险因素(β=0.161、β=0.095,P值均< 0.05),女性是人格解体的保护因素(β=-0.096,P< 0.05),亲友支持(β=-0.235, P< 0.05)是人格解体的保护因素,已婚是人格解体的危险因素(β=0.142,P< 0.05),同事支持(β=-0.168, P< 0.05)、亲友支持(β=-0.210, P< 0.05)、工龄(β=-0.154, P< 0.05)为个人成就感降低的保护因素,硕士学历是个人成就感降低的危险因素(β=0.126,P < 0.05)。结论 重视提高全方面社会支持,重点关注已婚、男性、硕士学历以及较短工龄医务人员的心理健康。
Abstract:
Objective To investigate the job burnout level of medical workers who worked in centralized COVID-19 vaccination sites during normalized epidemic prevention and control period, and to explore the impact of individual factors and social support on the burnout level among medical workers. Methods A total of 428 medical workers from four administrative regions of Nanjing were selected as research subjects. To assess job burnout levels, and explore the affecting factors of job burnout and the impact of social support, we designed an online questionnaire which included demographic characteristics, Chinese Maslach job burnout inventory and social support scale. Results The scores of emotional exhaustion, depersonalization and low personal accomplishment among medical workers who worked in centralized COVID-19 vaccination sites in Nanjing were(17.99±7.89),(7.20±3.52)and(12.07±5.30), respectively. The results of multiple linear regression analysis showed that supervisor support(β=-0.180, P<0.05), colleagues support(β=-0.180, P<0.05)were protective factors of emotional exhaustion, while married and consultation were risk factors of emotional exhaustion(β=0.161, β=0.095, P<0.05). Female was the protective factor of depersonalization(β=-0.096, P<0.05). Familial support(β=-0.235, P<0.05)was also the protective factor of depersonalization, while being married was the risk factors of depersonalization(β=0.142, P<0.05). Colleagues support(β=-0.168, P<0.05), familial support(β=-0.210, P<0.05), working years(β=-0.154, P<0.05)were the protective factors of low personal accomplishment(P<0.05), and master’s degree was a risk factor for low personal accomplishment(β=0.126, P<0.05). Conclusion In the context of normalized epidemic prevention and control period, we should pay attention to improving the social support in various aspects, caring for the long-serving-years, married and high-professional title workers, which can effectively alleviate the job burnout level of the medical workers in centralized vaccination sites in Nanjing.

参考文献/References

[1] Maslach C, Leiter MP. Understanding the burnout experience: recent research and its implications for psychiatry[J]. World Psychiatry: Official Journal of the World Psychiatric Association(WPA), 2016, 15(2): 103-111.
[2] Sharifi M, Aa AsadiPooya, Mousavi-Roknabadi RS. Burnout among Healthcare Providers of COVID-19; a Systematic Review of Epidemiology and Recommendations[J]. Archives of Academic Emergency Medicine, 2021, 9(1): e7.
[3] Lemaire JB, Wallace JE. Burnout among doctors[J]. BMJ(Clinical Research ed.), 2017, 358: j3360.
[4] 刘媛,刘国祥.临床医生职业倦怠现状及相关因素研究[J].第三军医大学学报,2020,42(3):288-293.
[5] 聂世俊,李颂.哈尔滨市护士职业倦怠现状及其影响因素调查研究[J].中国医院管理,2019,39(7):69-71.
[6] Zhou XY, Pu JC, Zhong XN, et al. Burnout, psychological morbidity, job stress, and job satisfaction in Chinese neurologists[J]. Neurology, 2017, 88(18): 1727-1735.
[7] 李永鑫.三种职业人群工作倦怠的比较研究:基于整合的视角[D].上海:华东师范大学,2005.
[8] 杨陈,张学兵.儿科护士职业倦怠研究进展[J].职业与健康,2021,37(10):1427-1431.
[9] Vinokur A, Schul Y, Caplan RD. Determinants of perceived social support: interpersonal transactions, personal outlook, and transient affective states[J]. Journal of Personality and Social Psychology, 1987, 53(6): 1137-1145.
[10] 熊峰,林涌波,周静,等.常态化疫情防控下医务人员职业倦怠与社会支持相关性分析[J].公共卫生与预防医学,2021,32(4):113-115.
[11] Liu X, Chen J, Wang D, et al. COVID-19 outbreak can change the job burnout in health care professionals[J]. Frontiers in Psychiatry, 2020, 11: 563781.
[12] Xu W, Pan Z, Li Z, et al. Job burnout among primary healthcare workers in rural China: a multilevel analysis[J]. International Journal of Environmental Research and Public Health, 2020, 17(3): 727.
[13] 李燕,单梅青,蔡锋,等.新冠疫情下基层医务工作者心理状况的调查与研究[J].中国初级卫生保健,2021,35(3):73-75.
[14] Pappa S, Sakkas N, Sakka E. A year in review: sleep dysfunction and psychological distress in healthcare workers during the COVID-19 pandemic[J]. Sleep Medicine, 2021(21): S1389-9457(21)00391.
[15] Yang S, Liu D, Liu H, et al. Relationship of work-family conflict, self-reported social support and job satisfaction to burnout syndrome among medical workers in southwest China: A cross-sectional study[J]. PLOS One, 2017, 12(2): e0171679.
[16] Liu Y, Aungsuroch Y, Gunawan J, et al. Job stress, psychological capital, perceived social support, and occupational burnout among hospital nurses[J]. Journal of Nursing Scholarship: An Official Publication of Sigma Theta Tau International Honor Society of Nursing, 2021, 53(4): 511-518.
[17] Wang JL, Okoli C, He HJ, et al. Factors associated with compassion satisfaction, burnout, and secondary traumatic stress among Chinese nurses in tertiary hospitals: A cross-sectional study-ScienceDirect[J]. International Journal of Nursing Studies, 102(12): 103472.
[18] Soler JK, Yaman HK, Esteva M, et al. Burnout in European family doctors: the EGPRN study[J]. Family Practice, 2008, 25(4): 245-265.
[19] 张莎,唐立,劳云飞,等.医患关系、职业压力、人格特征对艾滋病防治医护人员职业倦怠的影响[J].中国职业医学,2021,48(3):283-287.
[20] 吴思谋,孙贵茜,漆伟,等.2017年四川省县市级疾病预防专业技术人员职业倦怠现状[J].职业与健康,2019,35(12):1592-1595.
[21] 张璇.上海市健康教育专职人员职业倦怠情况现况调查[J].健康教育与健康促进,2020,15(2):190-193, 209.

备注/Memo

备注/Memo:
基金项目:江苏省高校哲学社会科学研究基金项目(2021SJA0305)
作者简介:钱怡男(1997—),女,硕士在读,研究方向:职业流行病学和健康教育
通讯作者:刘思浚,E-mail: sjliu@njmu.edu.cn
更新日期/Last Update: 2022-05-13