[1]刘媛,刘国祥.临床医生职业倦怠现状及相关因素研究[J].第三军医大学学报,2020,42(03):288-293.
 LIU Yuan,LIU Guoxiang.Job burnout in clinicians: current status and related factors [J].J Third Mil Med Univ,2020,42(03):288-293.
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临床医生职业倦怠现状及相关因素研究(/HTML )
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《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
42卷
期数:
2020年第03期
页码:
288-293
栏目:
公共卫生与预防医学
出版日期:
2020-02-15

文章信息/Info

Title:
Job burnout in clinicians: current status and related factors 
作者:
刘媛刘国祥
陆军军医大学(第三军医大学)
Author(s):
LIU Yuan LIU Guoxiang

Army Medical University (Third Military Medical University), Chongqing, 400038, China

关键词:
医患关系职业认同职业倦怠结构方程模型
Keywords:
doctor-patient relationship professional recognition job burnout structural equation model
分类号:
R192.3; R395.6
文献标志码:
A
摘要:

目的探讨临床医生职业倦怠现状与影响机制。方法向重庆3所三甲综合医院医生发放医患关系量表、医生职业认同量表和职业倦怠量表,有效回收529份,采用结构方程建模的方法分析变量间的关系。结果①不同性别、年龄、科室、每周工作时长分组的医生在情感衰竭、去人性化、低成就感上的差异有统计学意义(P<005)。②临床医生视角下的医患关系与职业倦怠各维度(情感衰竭、去人性化、低成就感)呈显著负相关,职业认同与职业倦怠各维度呈显著负相关;临床医生视角下的医患关系与职业认同呈显著正相关。③职业认同是医患关系、情感衰竭的部分中介变量,医患关系对情感衰竭的直接效应为-0.31,以职业认同为中介变量的间接效应为-0.05,总效应为-0.36。职业认同是医患关系、去人格化的中介变量,医患关系对去人格化的直接效应为-0.359,以职业认同为中介变量的间接效应为-0.11,总效应为-0.469。职业认同是医患关系、低成就感的中介变量,经完全中介效应检验,医患关系以职业认同为完全中介变量对低成就感造成的间接效应为-0.12(RMSEA=0.08,NFI=0.92,CFI=0.94,χ2/df=4.37)。结论职业认同是医患关系与情感衰竭、去人格化的部分中介变量,是医患关系与低成就感的完全中介变量,医患关系是职业认同影响低成就感的根本来源。

Abstract:

ObjectiveTo survey the current status and analyze the influencing mechanism of job burnout in clinicians. MethodsWe distributed Doctor-patient Relationship Scale, Doctor’s Professional Identity Scale and Maslach Burnout Inventory-General Survey (MBI-GS) to 550 clinicians in 3 general hospitals in Chongqing, and received 529 valid responses. Structural equation modeling was used to analyze the relationship between the variables. ResultsGender, age, departments, and working hours per week were all significantly associated with emotional exhaustion, depersonalization, and low sense of achievement among the clinicians (P<0.05). The doctor-patient relationship from the perspective of clinicians had a significant negative correlation with the dimension scores (emotional exhaustion, depersonalization, and low sense of achievement) of job burnout; professional recognition was negatively correlated with job burnout in all dimensions and positively with the doctor-patient relationship from the clinicians’ perspective. Professional recognition was a mediator of doctor-patient relationship and low sense of achievement, which was also verified by the test of complete mediator effect. The indirect effect of professional recognition as a complete intermediary variable was -0.12 on low sense of achievement (RMSEA=0.08, NFI=0.92, CFI=0.94, χ2/df=4.37). ConclusionProfessional recognition is a partial intermediary variable between doctor-patient relationship, emotional exhaustion and depersonalization, and is a complete mediator variable between doctor-patient relationship and low sense of achievement among the clinicians. The doctor-patient relationship is the fundamental source of low professional recognition and low sense of achievement. 

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更新日期/Last Update: 2020-02-06