首页|医生压力源与工作投入的关系:工作反刍的中介作用

医生压力源与工作投入的关系:工作反刍的中介作用

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目的 分析医生不同性质的压力源与工作投入间的关系,探究工作反刍在二者之间的中介效应,从而为医院管理者从压力源视角进行有效管理提供理论依据。方法 采用分层随机抽样方法,利用挑战性-阻碍性压力量表、简化版工作投入量表、工作反刍问卷、积极、消极完美主义量表收集信息,于2021年5-9月选取北京市7所公立医院的481名医生进行调查,数据分析采用Pearson相关分析、多元线性回归分析以及Process宏程序等。结果 问题解决沉思在挑战性压力源与工作投入之间的中介效应显著(β=1。071,P<0。01),情感反刍在阻碍性压力源与工作投入间中介效应显著(β=-0。496,P<0。01);积极完美主义在问题解决沉思与工作投入间调节作用显著(β=0。024,P<0。05),消极完美主义在情感反刍与工作投入间的调节作用显著(β=0。027,P<0。05)。结论 医院管理者可以引导医生将反刍内容聚焦于问题解决而非情感角度,以及针对医生的不同人格特征采取个性化的管理模式。
Research on the Relationship Between Doctors'Stressors and Work Engagement Based on Work-related Rumination
Objective To explore the relationship between doctors'different types of stressors and job involve-ment,and explore the mediating effect of job rumination between the two,so as to provide theoretical basis for hospi-tal managers to effectively manage from the perspective of stressors.Methods A stratified random sampling method was used to investigate 481 doctors from 7 public hospitals in Beijing from May to September 2021 using the Cha-llenging Obstructive Stress Scale,Simplified Work Engagement Scale,Work Rumination Questionnaire,and Positive and Negative Perfectionism Scale.The data were analyzed using correlation analysis,stepwise regression analysis,and Process macro program.Results Problem-solving meditation showed intermediary effect between challenging stre-ssors and job involvement(β=1.071,P<0.01)significantly,while emotion rumination had intermediary effect be-tween obstructive stressors and job involvement significantly(β=0.496,P<0.01);positive perfectionism had adjust-ment effect between problem-solving reflection and job involvement(β=0.024,P<0.05)significantly,negative per-fectionism significantly regulated emotion rumination and job involvement(β=0.027,P<0.05).Conclusion Hospi-tal managers can guide doctors to ruminate content focusing on problem-solving,rather than emotional point of view,and take personalized actions according to the different personality characteristics of doctors.

DoctorsPressure sourceWork engagementWork-related ruminationPerfectionism

傅怡铭、侯晓婷、谢金营、于丽玲

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首都医科大学医学人文学院,北京,100069

医生 压力源 工作投入 工作反刍 完美主义

北京市社会科学基金项目

18GLB039

2024

中国社会医学杂志
华中科技大学同济医学院

中国社会医学杂志

CSTPCD
影响因子:1.193
ISSN:1673-5625
年,卷(期):2024.41(5)