首页|云南省艾滋病抗病毒治疗医护人员的职业倦怠及影响因素分析

云南省艾滋病抗病毒治疗医护人员的职业倦怠及影响因素分析

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目的 了解云南省艾滋病抗病毒治疗医护人员的职业倦怠现状及影响因素.方法 采用整群抽样的方法,对 2022年 1 月发布于云南省艾滋病抗病毒治疗信息管理系统的自制一般信息调查表、中文版 Maslach 职业倦怠量表(Chinese version of Maslach burnout inventory,CMBI)进行调查.结果 共收到有效问卷 442 份,抗病毒治疗医护人员的职业倦怠检出率为 53.39%,情感耗竭检出率为 15.61%,人格解体检出率为 21.04%,成就感降低检出率为 38.01%.二元Logistic回归分析结果显示,加班频率高(OR=2.793,95%CI:1.844~4.213)、报酬公平性低(OR=0.676,95%CI:0.496~0.921)的医护人员更易发生情感耗竭;报酬公平性低(OR=0.705,95%CI:0.547~0.908)的医护人员更易出现人格解体;加班频率低(OR=0.749,95%CI:0.572~0.981)、工作在乡镇治疗点(省、州市级OR=0.377,95%CI:0.161~0.883;县级OR=0.438,95%CI:0.242~0.794)更易出现成就感降低.结论 云南省抗病毒治疗医护人员的职业倦怠呈现中等水平,个人成就感降低较严重.建议优化抗病毒治疗工作流程,合理规划奖励机制,重视乡镇一级医护人员的身心健康,从而缓解医护人员的职业倦怠状况.
Analysis of job burnout and influencing factors in medical staff providing highly active antiretroviral therapy for people living with human immunodeficiency virus in Yunnan province
Objective To understand the status and influencing factors of job burnout in medical staff providing highly active antiretroviral therapy(HAART)for people living with human immunodeficiency virus(HIV)in Yunnan province.Methods Using cluster sampling method,the self-made general information questionnaire and Chinese version of Maslach burnout inventory(CMBI)were published in Yunnan province HAART information management system in January 2022 for investigation.Results A total of 442 valid questionnaires were received.The detection rate of job burnout was 53.39%,emotional exhaustion was 15.61%,depersonalization was 21.04%,and reduced personal accomplishment was 38.01%.Binary Logistic regression analysis showed that the medical staff with high frequency of working overtime(OR=2.793,95%CI:1.844-4.213)and low equity of pay(OR=0.676,95%CI:0.496-0.921)were more prone to emotional exhaustion.The medical staff with low equity of pay(OR=0.705,95%CI:0.547-0.908)were more prone to depersonalization.The medical staff with low frequency of working overtime(OR=0.749,95%CI:0.572-0.981)and work in primary HAART sites(tertiary OR=0.377,95%CI:0.161-0.883,secondary OR=0.438,95%CI:0.242-0.794)were more prone to low personal accomplishments.Conclusion The status of job burnout among medical staff providing HAART for people living with HIV in Yunnan province is at middle level and has a significant reduction of personal accomplishments.It is suggested to alleviate the burnout of medical staff through improving workflow of HAART,planning reasonable rewarding system,valuing the physical and mental health of primary medical staff.

Acquired immunodeficiency syndromeAntiretroviral therapyJob burnoutInfluence factor

张娅玲、张莎、张月华、劳云飞

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云南省传染病医院关怀部,云南昆明 650301

艾滋病 抗病毒治疗 职业倦怠 影响因素

云南省科技厅科技重大专项

202102AA310005

2024

中国现代医生
中国医学科学院

中国现代医生

影响因子:1.571
ISSN:1673-9701
年,卷(期):2024.62(16)
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