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基层卫生应急工作人员睡眠时长对职业倦怠的影响

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目的 了解基层卫生应急工作人员睡眠时长对职业倦怠状况的影响,为缓解其职业倦怠提供依据.方法 采用多中心便利抽样的方法,对深圳市龙华区、定州市、青岛市1 012名区级卫生应急相关工作人员进行问卷调查.采用马斯勒倦怠量表(Maslach burnout inventory-general survey,MBI-GS)测量基层医务人员职业倦怠情况.采用logistic回归分析模型及分层分析控制混杂因素,以探讨睡眠情况对于职业倦怠的影响.结果 区级卫生应急相关工作人员睡眠不足与职业倦怠均处于较高水平,57.02%被调查对象每天睡眠<6 h;90.42%被调查对象存在职业倦怠情况,19.17%存在高度职业倦怠.睡眠<6 h(OR=2.28,95%CI:1.61~3.25,P<0.001)及疫情期间睡眠时间减少(OR=3.89,95%CI:2.20~6.89,P<0.001)均与高度职业倦怠正相关;其中睡眠<6 h与高度情绪疲惫感、高度工作冷漠感及高度无工作成就感3个维度均呈正相关;睡眠时间减少与高度情绪疲惫感正相关.≤40 岁(OR=3.10,95%CI:1.96~4.91,P=0.038)、未婚/离异(OR=5.96,95%CI:2.58~13.78,P=0.010)、未育(OR=4.33,95%CI:2.06~9.10,P=0.049)、月收入≤5 000 元(OR=2.88,95%CI:1.90~4.37,P=0.027)的人群中,睡眠<6 h与职业倦怠的关联更强.结论 通过保证卫生应急工作人员的睡眠时间,可以缓解职业倦怠情况,以便其更好地应对突发公共卫生事件.
The impact of sleeping behaviors on burnout among health emergency staff
Objective To investigate the relationship between sleeping status and burnout among health emergency staff.Methods A multi-center convenience sampling method was employed,and a total of 1 012 health emergency staff were recruited from Longhua District of Shenzhen City,Qingdao City,and Dingzhou City.A questionnaire survey,which included the Maslach burnout inventory-general survey(MBI-GS),was conducted to assess the participants'sleeping and burnout status.Logistic regression model and sub-group analysis were utilized to explore the relationship between sleeping status and burnout after adjusting for confounding variables.Results Among the participants,57.02%experienced sleep deprivation,defined as having less than 6 hours of sleep per night,90.42%participants were classified as burnout,with 19.17%being highly burnout.The study found a positive relationship between both sleep deprivation(OR=2.28,95%CI:1.61-3.25,P<0.001)and shortened sleeping time during COVID-19(OR=3.89,95%CI:2.20-6.89,P<0.001)and burnout.Sleep deprivation was found to be positively associated with exhaustion,cynicism,and professional efficacy,while shortened sleeping time was only related to exhaustion.Moreover,the relationship between sleep deprivation and burnout was found to be amplified in specific subgroups,including individuals aged 40 or younger(OR=3.10,95%CI:1.96-4.91,P=0.038),not married(OR=5.96,95%CI:2.58-13.78,P=0.010),those without children(OR=4.33,95%CI:2.06-9.10,P=0.049),and those with a monthly income of ≤ 5 000 yuan(OR=2.88,95%CI:1.90-4.37,P=0.027).Conclusions This study highlights the importance of ensuring sufficient sleeping time for health emergency staff,in order to alleviate burnout and enhance their ability to cope with health emergencies.

Sleep durationJob burnoutHealth emergency

刘丽珍、曲翌敏、曹赫、陈宏标、江宇

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深圳市龙华区疾病预防控制中心,深圳 518109

中国医学科学院北京协和医学院群医学及公共卫生学院,北京 100730

睡眠时长 职业倦怠 卫生应急

深圳市龙华区2021年科技创新专项资金

2548A20210413B5F45A7

2024

中华疾病控制杂志
中华预防医学会 安徽医科大学

中华疾病控制杂志

CSTPCD北大核心
影响因子:1.862
ISSN:1674-3679
年,卷(期):2024.28(1)
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