宋娅敏, 王文朋. 上海市浦东新区基层医疗机构医技人员职业倦怠现状及其影响因素分析[J]. 职业卫生与应急救援, 2024, 42(1): 26-30, 68. DOI: 10.16369/j.oher.issn.1007-1326.2024.01.005
引用本文: 宋娅敏, 王文朋. 上海市浦东新区基层医疗机构医技人员职业倦怠现状及其影响因素分析[J]. 职业卫生与应急救援, 2024, 42(1): 26-30, 68. DOI: 10.16369/j.oher.issn.1007-1326.2024.01.005
SONG Yamin, WANG Wenpeng. Investigation on the current status and influencing factors of occupational burnout among medical technicians in primary health care institutions in Shanghai Pudong New Area[J]. Occupational Health and Emergency Rescue, 2024, 42(1): 26-30, 68. DOI: 10.16369/j.oher.issn.1007-1326.2024.01.005
Citation: SONG Yamin, WANG Wenpeng. Investigation on the current status and influencing factors of occupational burnout among medical technicians in primary health care institutions in Shanghai Pudong New Area[J]. Occupational Health and Emergency Rescue, 2024, 42(1): 26-30, 68. DOI: 10.16369/j.oher.issn.1007-1326.2024.01.005

上海市浦东新区基层医疗机构医技人员职业倦怠现状及其影响因素分析

Investigation on the current status and influencing factors of occupational burnout among medical technicians in primary health care institutions in Shanghai Pudong New Area

  • 摘要:
    目的 了解上海市浦东新区基层医疗机构医技人员职业倦怠现状并分析可能的影响因素,改善该人群职业健康状况。
    方法 于2021年5—8月以随机选择的上海市浦东新区20家社区卫生服务中心的医技人员作为研究对象。采用《马斯勒职业倦怠量表-通用版》(Maslach Burnout Inventory-General Survey,MBI-GS)调查研究对象职业倦怠情况。利用logistic回归模型分析影响基层医疗机构医技人员职业倦怠的相关因素。
    结果 共发放问卷301份,回收有效问卷295份,有效回收率为98.01%。基层医疗机构医技人员职业倦怠的情感耗竭、去人格化、个人成就感3个维度的得分分别为(9.28 ± 5.70)、(8.47 ± 5.32)、(17.74 ± 7.67)分。职业倦怠检出率为65.42%(193/295)。二分类多因素logistic回归分析结果显示:女性发生职业倦怠的风险是男性的1.095倍(P < 0.05),31~40岁的调查对象发生职业倦怠的风险是≤ 30岁的1.927倍(P < 0.05),月收入为6 000~6 999元的调查对象发生职业倦怠风险是月收入 < 5 000元的1.259倍(P < 0.05),工龄为5~ < 10年和10~ < 20年的调查对象发生职业倦怠风险是工龄 < 5年的1.683和1.307倍(均P < 0.05),高级职称调查对象发生职业倦怠风险是初级及以下职称的0.711倍(P < 0.05),周工作时间≥ 50 h的调查对象发生职业倦怠风险是 < 40 h的2.168倍(P < 0.05),不上夜班的调查对象发生职业倦怠的风险是上夜班的0.803倍(P < 0.05)。
    结论 上海市浦东新区基层医疗机构医技人员职业倦怠情况不乐观。基层医疗机构应重视女性、中青年、周工作时间较长和上夜班的医技人员的心理健康状况,实施必要的健康干预措施,加大针对性的关怀与支持。

     

    Abstract:
    Objective To understand the current status of occupational burnout among medical technicians in primary health care institutions in Shanghai Pudong New Area and to analyze the possible influencing factors so as to improve the occupational health of this population.
    Methods From May to August 2021, medical technicians from 20 community health service centers in Pudong New Area, Shanghai, were randomly selected as the study subjects. The Maslach Burnout Inventory-General Survey (MBI-GS) was used to investigate occupational burnout. The logistic regression model was used to analyze the related factors affecting occupational burnout.
    Results A total of 301 questionnaires were received, and 295 were valid, with a valid recovery rate of 98.01%. The scores of emotional exhaustion, depersonalization, and personal accomplishment, the three dimensions of occupational burnout of medical technicians in primary health care institutions, were (9.28 ± 5.70), (8.47 ± 5.32), and (17.74 ± 7.67), respectively. The frequency of occupational burnout was 65.42% (193/295). The binary multivariate logistic regression analysis showed that the risk of occupational burnout for females was 1.095 times that of males (P < 0.05); the risk of occupational burnout in individuals aged 31-40 years was 1.927 times that of those aged ≤ 30 years (P < 0.05); the risk of occupational burnout in individuals with a monthly income of 6 000-6 999 yuan was 1.259 times that of those with a monthly income < 5 000 yuan (P < 0.05); the risk of occupational burnout in individuals with a working time of 5 to < 10 years and 10 to < 20 years was 1.683 and 1.307 times that of those with a working time < 5 years (P < 0.05); the risk of occupational burnout in individuals with senior titles was 0.711 times that of those with junior titles (P < 0.05); the risk of occupational burnout in individuals with a weekly working time ≥ 50 h was 2.168 times that of those with a weekly working time < 40 h (P < 0.05); and the risk of occupational burnout in individuals not working night shifts was 0.803 times that of those doing (P < 0.05).
    Conclusions The occupational burnout situation of medical technicians in primary health care institutions in Pudong New Area was not optimistic. Primary health care institutions should pay attention to their mental health status, specifically the female, the young and middle-aged, the staff with longer weekly working hours and working night shifts, implement necessary health intervention measures, and increase targeted care and support.

     

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