中国全科医学2018，Vol.21Issue(2)：223-231,9.DOI:10.3969/j.issn.1007-9572.2017.00.005
北京市三级甲等医院青年医护人员职业倦怠现状及其影响因素分析
Job Burnout and Associated Factors among Young Health Care Providers in Tertiary Grade A Hospitals in Beijing
摘要
Abstract
BackgroundNowadays,job burnout is widespread in health care providers in China.For those who work at tertiary grade A hospitals in Beijing,especially the young,they suffer more due to excessive work load and pressure caused by a great number of visits from all over the country.Objective To investigate and analyze the job burnout and main associated factors among young health care providers in tertiary grade A hospitals in Beijing,so as to provide a basis for hospital managers to enact and formulate targeted effective prevention and intervention measures.Methods We conducted this cross-sectional study from August to October 2016.We enrolled 674 in-service health care providers aged less than 35 years from 5 tertiary grade A hospitals in Beijing (Beijing Anzhen Hospital,Capital Medical University;Beijing Friendship Hospital,Capital Medical University;Beijing Jishuitan Hospital;Beijing Hospital of Traditional Chinese Medicine;Beijing Huilongguan Hospital) by multistage and stratified random sampling and surveyed them by a questionnaire composing of a demographic data scale and the Chinese version of Maslach Burnout Inventory-Human Services Survey (MBI-HSS).The survey achieved a response rate of 98.4％(663/674).Multivariate Logistic regression analysis was performed to investigate the associated factors for the job burnout in in-service young health care providers.Results The average scores of the 663 final participants for the 3 dimensions,emotional exhaustion,depersonalization and reduced personal accomplishment,were 22(0,54),6(0,29)and 31(0,48) respectively.The average scores of depersonalization and reduced personal accomplishment were significantly differenced between the M norm and Hangzhou norm of nurses (P<0.05).The overall prevalence,prevalence of mild,moderate and severe level of job burnout was 65.0％(431/663),33.8％(224/663),19.5％(129/663),11.8％(78/663),respectively.Multivariate Logistic regression analysis found that,severe level of emotional exhaustion significantly varied by sex,pressures of life,department,monthly income,degree of cherishing the job position,number of concomitant diseases (P<0.05);severe level of depersonalization notably associated with the psychological decompression training,degree of cherishing the job position and number of concomitant diseases (P<0.05);psychological decompression training,department,job requirements and degree of cherishing the job position were associated factors for severe level of reduced personal accomplishment (P<0.05);psychological decompression training,degree of cherishing the job position and number of concomitant diseases were the factors substantially associated with severe level of job burnout (P<0.05).Conclusion The young health care providers in Beijing are under a high risk of job burnout.In view of this,it is recommended that the hospital management departments should carry out professional identity,professional self-concept and other professional values education,and regular psychological decompression training as well as recreational and sports activities to alleviate job burnout.关键词
职业倦怠/医务人员/护理人员/青年人/影响因素分析Key words
Job burnout/Medical staff/Nursing staff/Young adult/Root cause analysis分类
医药卫生引用本文复制引用
陈曲,刘旭,孟开..北京市三级甲等医院青年医护人员职业倦怠现状及其影响因素分析[J].中国全科医学,2018,21(2):223-231,9.基金项目
北京市医院管理局2016年度市属医院党建课题 （）
