Xiao Yunbei, Wang Jinguo, Chen Si, Wu Zhigang, Cai Jian, Weng Zhiliang, Li Chengdi, Zhang Xiaowei
Department of Urology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Emerg Med Australas. 2014 Dec;26(6):538-42. doi: 10.1111/1742-6723.12315. Epub 2014 Oct 15.
Chinese physicians are not only facing heavy work overloads, but also abuse and injury because of patient mistrust of physicians. The primary objective of the present study was to measure psychological distress, burnout levels and job satisfaction among Chinese emergency physicians.
All the physicians from the EDs of three large general hospitals were recruited to undertake a questionnaire-based survey from March to April 2012. The Hospital Anxiety and Depression Scale (HADS), Maslach Burnout Inventory-General Survey and Minnesota Satisfaction Questionnaire were used. Correlations between job satisfaction and psychological distress and burnout were calculated using the Pearson correlation. An outcome was considered statistically significant if P < 0.05.
Completed questionnaires were received from 205 (82.0%) physicians. The mean HADS anxiety subscale scores for the ED physicians and general population were 7.8 ± 3.4 and 4.7 ± 3.5, respectively (t = 1.526, P < 0.05). Additionally, the mean HADS depression subscale scores were 7.9 ± 3.6 and 4.7 ± 3.9, respectively (t = 1.567, P < 0.05). Fifty-two (25.4%) exhibited high levels of career burnout. All aspects of job satisfaction were significantly lower in the ED physicians compared with a previous report (P < 0.05). Burnout was significantly negatively correlated with intrinsic and extrinsic job satisfaction in the sampled population.
Psychological distress is prevalent in this group of ED physicians, and it deserves attention from the whole society. Burnout and job satisfaction among ED physicians are at a 'moderate' level. Burnout is negatively associated with higher job satisfaction.
中国医生不仅面临着繁重的工作负担，还因患者对医生的不信任而遭受辱骂和伤害。本研究的主要目的是测量中国急诊科医生的心理困扰、职业倦怠水平和工作满意度。
2012年3月至4月，招募了来自三家大型综合医院急诊科的所有医生进行问卷调查。使用医院焦虑抑郁量表（HADS）、马氏职业倦怠量表通用版和明尼苏达满意度问卷。采用Pearson相关分析计算工作满意度与心理困扰和职业倦怠之间的相关性。P<0.05时，结果被认为具有统计学意义。
共收到205名（82.0%）医生填写完整的问卷。急诊科医生和普通人群的HADS焦虑分量表平均得分分别为7.8±3.4和4.7±3.5（t=1.526，P<0.05）。此外，HADS抑郁分量表平均得分分别为7.9±3.6和4.7±3.9（t=1.567，P<0.05）。52名（25.4%）表现出高水平的职业倦怠。与之前的报告相比，急诊科医生的工作满意度各方面均显著较低（P<0.05）。在抽样人群中，职业倦怠与内在和外在工作满意度显著负相关。
心理困扰在这组急诊科医生中普遍存在，值得全社会关注。急诊科医生的职业倦怠和工作满意度处于“中等”水平。职业倦怠与较高的工作满意度呈负相关。
