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规范化培训的住院医师职业倦怠及职业选择的影响因素

张妍 张利 贾淼 阙建宇 高海飞 郭晓敏 陈丽霞

中国心理卫生杂志2025,Vol.39Issue(6):547-554,8.
中国心理卫生杂志2025,Vol.39Issue(6):547-554,8.DOI:10.3969/j.issn.1000-6729.2025.06.12

规范化培训的住院医师职业倦怠及职业选择的影响因素

Factors influencing occupational burnout and career choice among resident physicians during standardized training

张妍 1张利 1贾淼 1阙建宇 2高海飞 3郭晓敏 1陈丽霞1

作者信息

  • 1. 内蒙古自治区精神卫生中心,呼和浩特 010000
  • 2. 厦门市仙岳医院,厦门医学院附属仙岳医院,福建省精神医学中心,福建省精神疾病临床医学研究中心,福建厦门 361000
  • 3. 内蒙古医科大学精神卫生学院,呼和浩特 010000
  • 折叠

摘要

Abstract

Objective:To investigate the prevalence,related factors,and career implications of occupational burnout among resident physicians during standardized training in Inner Mongolia.Methods:This cross-sectional study used convenience sampling to enroll 2 891 resident physicians,assessing them with a self-developed general information questionnaire,socio-psychological scales,and a universal burnout inventory.Latent profile analysis clas-sified participants based on burnout dimensions,while logistic regression models examined the factors influencing burnout and their relationship with career choices.Results:Resident physicians were divided into low(59.0%),moderate(28.9%),and high(12.1%)burnout subgroups.Logistic regression showed that,compared to the low burnout group,significant risk factors included professional master's students(OR=0.44),working>70 hours weekly(OR=0.63),>4 night shifts monthly(OR=0.66),anxiety(mild OR=0.49;moderate OR=0.26;se-vere OR=0.14),depression(mild OR=0.38;moderate OR=0.24;severe OR=0.11),insomnia(mild OR=0.51;moderate OR=0.44;severe OR=0.38),low social support(OR=0.23),and low happiness index(OR=0.42).Male residents(OR=1.25)were less likely to experience burnout.High burnout residents were 5.11 times more likely to quit the medical profession.Conclusion:Training intensity and socio-psychological factors signifi-cantly contribute resident physicians' burnout levels,with severe burnout increase career attrition.

关键词

规范化培训/住院医师/职业倦怠/影响因素/职业选择

Key words

standardized training/resident physicians/job burnout/related factors/career choice

分类

预防医学

引用本文复制引用

张妍,张利,贾淼,阙建宇,高海飞,郭晓敏,陈丽霞..规范化培训的住院医师职业倦怠及职业选择的影响因素[J].中国心理卫生杂志,2025,39(6):547-554,8.

基金项目

2022年度内蒙古自治区卫生健康科技计划项目(202201153) (202201153)

中国心理卫生杂志

OA北大核心

1000-6729

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