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工作压力源、个人紧张和应对资源对中国医疗专业人员职业倦怠的影响:结构方程模型。

Effect of work stressors, personal strain, and coping resources on burnout in Chinese medical professionals: a structural equation model.

机构信息

Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, China.

出版信息

Ind Health. 2012;50(4):279-87. doi: 10.2486/indhealth.ms1250. Epub 2012 May 30.

Abstract

The present study analyzes the effect of work stressors, personal strain and coping resources on burnout among Chinese medical professionals. A total of 2,721 medical professionals were selected using the stratified cluster sampling method. A Chinese version of the Maslach Burnout Inventory-General Survey was used to measure burnout, whereas the Occupation Stress Inventory-Revised Edition was used to evaluate work stressors, personal strain, and coping resources. The structural equation model (SEM) was established to test the effect of work stressors, personal strain, and coping resources on burnout. Among the predictive factors for burnout, work stressors and personal strain were the primary risk factors, whereas coping resources make up the important protective factor. The result from SEM indicated that work stressors had both direct and indirect effects on burnout, with the indirect effect mediated by both personal strain and coping resources. Coping resources only affected burnout indirectly, as mediated by personal strain, whereas personal strain affected burnout independently. The results suggest that work stressors, personal strain, and coping resources play important roles in burnout among medical professionals. To prevent burnout, such countermeasures as controlling the work stressors, reducing personal strain, and strengthening coping resources are recommended.

摘要

本研究分析了工作压力源、个人紧张和应对资源对中国医疗专业人员职业倦怠的影响。采用分层整群抽样方法,共选取 2721 名医疗专业人员。采用中文版 Maslach 职业倦怠量表-一般量表评估倦怠,采用职业紧张量表修订版评估工作压力源、个人紧张和应对资源。采用结构方程模型(SEM)检验工作压力源、个人紧张和应对资源对倦怠的影响。在倦怠的预测因素中,工作压力源和个人紧张是主要的危险因素,而应对资源是重要的保护因素。SEM 的结果表明,工作压力源对倦怠既有直接影响,也有间接影响,间接影响通过个人紧张和应对资源的中介作用。应对资源仅通过个人紧张对倦怠产生间接影响,而个人紧张则独立影响倦怠。结果表明,工作压力源、个人紧张和应对资源在医疗专业人员的倦怠中起着重要作用。为了预防倦怠,可以采取控制工作压力源、减少个人紧张和加强应对资源等对策。

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