摘要
目的调查外科住院医师压力源和职业倦怠现状并探讨影响因素,为降低压力和缓解职业倦怠提供参考。方法采用压力源量表和职业倦怠量表对2016年9月—2019年6月于首都医科大学附属北京友谊医院参加外科住院医师规范化培训的145例住院医师的压力和职业倦怠情况进行问卷调查。了解压力与职业倦怠在外科住院医师中的存在情况,并分析压力源与职业倦怠各维度的线性相关性。男性132例,女性13例;年龄(26.62±1.45)岁,年龄范围22~30岁。采用SPSS19.0软件进行统计学分析。正态分布的计量资料采用均数±标准差(Mean±SD)表示;计数资料采用频数、构成比表示。压力源与职业倦怠各维度的线性相关性采用Pearson相关性分析。结果外科住院医师压力的总体平均分为(2.51±0.57)分,在各维度中社会因素和工作负荷的评分较高,分别为(3.02±0.58)分和(3.00±0.62)分。职业倦怠的调查结果显示,有7例(4.8%)存在重度的职业倦怠;在情感衰竭维度,有14例(9.7%)存在重度倦怠;在玩世不恭维度,有21例(14.5%)存在重度倦怠;在成就感降低维度,仅有19例(13.1%)为轻度倦怠,有17例(11.7%)存在重度倦怠。进一步分析压力源各维度与职业倦怠各维度的线性相关关系,多数存在正向线性相关关系,尤其情绪衰竭与工作负荷(r=0.411,P<0.05)、成就感降低与社会因素(r=0.429,P<0.05)的相关系数较大。结论外科住院医师的压力和职业倦怠均处在一个较高的水平,为降低压力和缓解职业倦怠既需要加强住院医师的自我管理,也需要完善社会支持系统建设。
Objective To investigate the current situation of stressors and job burnout among surgical residents and to explore the influencing factors,so as to provide evidences for reducing stress and relieving job burnout.Methods The stressor scale and job burnout scale were used to investigate the stress and burnout of 145 residents who attended the standardized training of surgical residents in Beijing Friendship Hospital,Capital Medical University from September 2016 to June 2019,to understand the existence of stress and job burnout in surgical residents,and analyze the linear correlation between each dimension of stressors and each dimension of burnout.There were 132 males and 13 females,who were(26.62±1.45)years old,ranged from 22 to 30 years.SPSS19.0 software was used for statistical analysis.The measurement data of normal distribution were expressed as Mean±SD Counting data were expressed by frequency and constituent ratio.Pearson correlation analysis was used to analyze the linear correlation between each dimension of stressors and each dimension of job burnout.Results The total score of surgical resident stress was 2.51±0.57.The scores of social factors and workload were higher in each dimension 3.02±0.58 and 3.00±0.62,respectively.The burnout survey showed that 7 residents(4.8%)had severe burnout.In the dimension of emotional exhaustion,there were 14 residents with severe burnout.In the dimension of cynicism,there were 21 residents(14.5%)had severe burnout.In the dimension of reduced personal accomplishment,there were 19 residents(13.1%)of mild burnout and 17 residents(11.7%)of severe burnout.Further analysis of the linear correlation between each dimension of stressors and each dimension of burnout showed that most of them were positively linear correlated.In particular,emotional exhaustion and workload(r=0.411,P<0.05),reduced personal accomplishment and social factors(r=0.429,P<0.05)had a relatively large correlation coefficient.Conclusions The stress and burnout of surgical residents were at a high level.In order to reduce the stress and relieve the burnout,it is necessary to strengthen the residents′self-management and improve the social support system.
作者
陈建军
董浩
魏文革
Chen Jianjun;Dong Hao;Wei Wenge(Department of Education,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)
出处
《国际外科学杂志》
2019年第12期850-853,共4页
International Journal of Surgery
基金
北京市医院管理中心"青苗"计划专项经费资助(QML20170108)。
