基层医务人员职业倦怠与抑郁症状及离职倾向的关系

The occupational burnout and its relationship with depressive symptoms and resignation tendency in primary medical staff

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2024, 51(5)
作者
作者单位

长沙市疾病预防控制中心 ;
芙蓉区疾病预防控制中心 ;

摘要
[目的] 了解基层医务人员职业倦怠情况以及与睡眠困扰、抑郁症状、离职倾向的关系,为医务人员的心理健康服务工作提供参考意见。[方法] 对长沙市基层医务人员进行线上问卷调查,问卷包括一般人口学资料问卷、失眠严重程度调查问卷、患者健康问卷抑郁量表、通用职业倦怠问卷和离职意向量表。不同组间的评分的差异用Mann-Whitney U检验或Kruskal-Wallis H检验,职业倦怠(耗竭、愤世嫉俗、成就感低落)、睡眠困扰、抑郁症状、离职倾向评分使用相关分析。[结果] 共计1041名人员参与问卷调查,有效问卷1018份,问卷有效率为97.79 % ;存在睡眠困扰的687人(67.5%),有抑郁症状的228人(22.4%),存在职业倦怠的700人(68.8%)。相关分析结果显示,职业倦怠与耗竭、愤世嫉俗、成就感低落、睡眠困扰、抑郁症状、离职倾向呈正相关(r= 0.810、0.844、0.587、0.477、0.659、0.576,P<0.01);耗竭与愤世嫉俗、成就感低落、睡眠困扰、抑郁症状、离职倾向呈正相关(r= 0.815、0.107、0.547、0.702、0.535,P<0.01);愤世嫉俗与成就感低落、睡眠困扰、抑郁症状、离职倾向呈正相关(r= 0.217、0.472、0.655、0.591,P<0.01);成就感低落与睡眠困扰、抑郁症状、离职倾向呈正相关(r= 0.076、0.169、0.209,P<0.05/0.01);睡眠困扰与抑郁症状、离职倾向呈正相关(r= 0.621、0.326,P<0.01);抑郁症状与离职倾向呈正相关(r= 0.439,P<0.01)。[结论] 基层医务人员存在较高水平的职业倦怠,且职业倦怠与抑郁症状及离职倾向有关,应重点关注基层医务人员的心理状况。
Abstract
[Background] To explore the job burnout of primary medical staff and its relationship with sleep distress, depressive symptoms and resignation tendency, and to provide reference opinions for the mental health services of primary medical staff. [Methods] An online survey of primary medical staff in Changsha was conducted including general demographic data questionnaire, insomnia severity index, physical health questionnaire, Maslach Burnout Inventory General Survey and turnover intention scale. Mann-Whitney U test and Kruskal-Wallis H test were used to test the differences of scores among different demographic groups, job burnout (including exhaustion, cynicism, and reduced personal accomplishment), sleep distress, depressive symptoms and turnover intention scores were analyzed by partial correlation analysis. [Results] A total of 1041 people participated in the questionnaire, with 1018 valid questionnaires effective 97.79%; 687 (67.5%) had sleep distress, 228 (22.4%) had depressive symptoms, and 700 (68.8%) had burnout. The results of the correlation analysis showed that, burnout was positively correlated with exhaustion, cynical, reduced personal accomplishment, sleep distress, depressive symptoms, and turnover intention (r= 0.810, 0.844, 0.587, 0.477, 0.659, 0.576, P< 0.01); Depletion was positively correlated with cynicism, reduced personal accomplishment, sleep distress, depressive symptoms, and turnover intention (r= 0.815, 0.107, 0.547, 0.702, 0.535, P< 0.01); Cynicism was positively correlated with reduced personal accomplishment, sleep distress, depressive symptoms, and turnover intention (r= 0.217, 0.472, 0.655, 0.591, P< 0.01); Reduced personal accomplishment was positively associated with sleep distress, depressive symptoms, and turnover intention (r= 0.076, 0.169, 0.209, P< 0.05/0.01); Sleep distress was positively associated with depressive symptoms and turnover intention (r= 0.621, 0.326, P< 0.01); Depressive symptoms were positively associated with turnover intention (r= 0.439, P< 0.01). [Conclusion] Primary medical staff have a high level of job burnout, and job burnout was correlated with depressive symptoms and turnover tendency, so the psychological status of staff should be emphasized.
关键词
医务人员;职业倦怠;抑郁症状
KeyWord
Medical staff; Job burnout; depressive symptoms
基金项目
页码 1462-1466
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张林,黄霜,陈海燕,胡劲松*. 基层医务人员职业倦怠与抑郁症状及离职倾向的关系 [J]. 国际精神病学杂志. 2024; 51; (5). 1462 - 1466.

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