基于MBI-GS量表调查急诊科医务人员职业倦怠现状及影响因素
Investigation of occupational burnout status and influencing factors among emergency department healthcare workers using the MBI-GS Scale
罗玲霞 1李婧 2吴芳 2彭小贝 3周芳意1
作者信息
- 1. 中南大学湘雅医院护理教研室,长沙 410008;中南大学湘雅医院国家老年疾病临床研究中心,长沙 410008;中南大学湘雅医院急诊科,长沙 410008
- 2. 中南大学湘雅医院急诊科,长沙 410008
- 3. 中南大学湘雅医院重症医学中心,长沙 410008
- 折叠
摘要
目的:当前急诊科医务人员的职业倦怠发生率高,其职业健康值得关注,医疗机构建立完善的职业健康体系至关重要.本研究旨在了解急诊科医务人员的职业倦怠现状,分析其影响因素,为预防急诊科医务人员职业倦怠提供参考.方法:采取便利抽样的方法,通过问卷星平台,于2022年12月至2023年1月对急诊科医务人员进行横断面调查.采用马斯拉克倦怠调查普适(Maslach Burnout Inventory-General Survey,MBI-GS)量表评价医务人员的职业倦怠水平,采用单因素分析及二元Logistic回归分析探索急诊科医务人员发生职业倦怠的影响因素.结果:回收有效问卷1173份,其中职业倦怠者946人(80.65％),轻中度和重度职业倦怠者的比例分别为73.57％和7.08％.急诊医务人员职业倦怠3个维度得分:情感耗竭(emotional exhaustion,EE)为2.33±0.31;去人格化(depersonalization,DP)为 1.88±0.28;低个人成就感(low personal accomplishment,LPA)为 3.20±0.39.总均分为 2.46±0.22.急诊科医务人员职业倦怠与是否独生子女(OR=1.362,95％CI-0.707～-0.058)、平均每月晚夜班数量(OR=1.167,95％CI0.091～0.272)、工作中亲身经历过职场暴力事件(OR=1.094,95％CI0.027～0.195)有关(均P＜0.05).结论:急诊科医务人员职业倦怠发生率高,管理者需采取有效的措施及时干预,以降低急诊科医务人员的职业倦怠,保障急诊科医务工作的顺利开展.
Abstract
Objective:The incidence of occupational burnout among emergency department healthcare workers is high,and their occupational health deserves attention.Establishing a comprehensive occupational health system in medical institutions is crucial.This study aims to understand the current status of occupational burnout among emergency department healthcare workers,analyze its influencing factors,and provide references for preventing burnout in this population.Methods:A cross-sectional survey was conducted using convenience sampling through the Questionnaire Star platform from December 2022 to January 2023 among emergency department healthcare workers.The Maslach Burnout Inventory-General Survey(MBI-GS)scale was used to assess the level of occupational burnout,and univariate analysis and binary Logistic regression analysis were employed to explore the influencing factors of burnout.Results:A total of 1 173 valid questionnaires were collected,with 946(80.65％)respondents experiencing occupational burnout.The proportions of mild-to-moderate and severe burnout were 73.57％and 7.08％,respectively.The scores for the three dimensions of burnout among emergency department healthcare workers were as follows:emotional exhaustion(EE)2.33±0.31;depersonalization(DP)1.88±0.28;low personal accomplishment(LPA)3.20±0.39.The overall score was 2.46±0.22.Factors associated with occupational burnout included being an only child(OR=1.362,95％CI-0.707 to-0.058),the average number of night shifts per month(OR=1.167,95％CI 0.091 to 0.272),and personal experience of workplace violence(OR=1.094,95％CI 0.027 to 0.195)(all P＜0.05).Conclusion:The incidence of occupational burnout is high among emergency department healthcare workers.Effective measures should be taken by management to promptly intervene,reduce burnout,and ensure the smooth functioning of emergency medical services.
关键词
急诊科/医务人员/职业倦怠/马斯拉克倦怠调查普适量表Key words
emergency department/healthcare workers/occupational burnout/Maslach Burnout Inventory-General Survey Scale引用本文复制引用
出版年
2024
NETL
NSTL
万方数据