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伊朗东北部基层医疗服务提供者的职业倦怠及其影响因素

Burnout and its Influencing Factors among Primary Health Care Providers in the North East of Iran.

作者信息

Amiri Mohammad, Khosravi Ahmad, Eghtesadi Ahmad Reza, Sadeghi Zakieh, Abedi Ghasem, Ranjbar Mansour, Mehrabian Fardin

机构信息

Department of Public Health, School of Public Health, Shahroud University of Medical Sciences, Shahroud, Iran.

Center for Health Related social and Behavioral Sciences Research, Shahroud University of Medical Sciences, Shahroud, Iran.

出版信息

PLoS One. 2016 Dec 8;11(12):e0167648. doi: 10.1371/journal.pone.0167648. eCollection 2016.

Abstract

INTRODUCTION

Burnout is a popular research topics in service providing jobs, including the health care field. This study aimed at assessing the level of job burnout and to consider the important antecedents which might be related to job burnout among primary health care providers in Iran.

METHODS

The participants in this applied cross-sectional study which was conducted in 2013 were 548 primary health care providers who were randomly selected from among those working in Shahroud, Sabzevar, Neishabour, Bojnord (provinces located in the north east of Iran). Maslach Burnout Inventory (MBI) was administered to the participants and the collected data were analyzed using SPSS through chi-square test and ordinal logistic regression model.

RESULTS

The burnout mean score among the participants was 54.1 ± 27.2 and the mean scores of burnout components i.e., emotional exhaustion, depersonalization and personal accomplishment were 15.5 ± 13.6, 3.7 ± 5.4 and 35.5 ± 13.5 respectively. In terms of levels of burnout, 64.2% of the participants showed low levels (n = 352), 18.4% average levels (n = 101) and 17.3% high levels (n = 95). A significant relationship was observed between burnout, job resources and interest in job (p ≤ 0.05). However, no significant relationship was observed between burnout and the place (university) of working, age, satisfaction with income, experience, gender, level of education, marital status, housing status, having a second job and place of residence (p ≥0.05).

CONCLUSION

Lack of personal accomplishment was highly prevalent among the participating primary health care providers. Lack of career advancement and job transfer opportunities may play a role in the burnout of primary health care providers. Therefore, paying attention to this aspect may help to reduce burnout and even increase job engagement.

摘要

引言

职业倦怠是包括医疗保健领域在内的服务性工作中一个热门的研究课题。本研究旨在评估伊朗基层医疗服务提供者的职业倦怠水平,并探讨可能与职业倦怠相关的重要影响因素。

方法

本应用横断面研究于2013年开展,研究对象为从伊朗东北部的沙赫鲁德、萨卜泽瓦尔、内沙布尔、博季诺尔德工作的基层医疗服务提供者中随机抽取的548人。研究人员对参与者进行了马氏职业倦怠量表(MBI)测试,并使用SPSS通过卡方检验和有序逻辑回归模型对收集到的数据进行分析。

结果

参与者的职业倦怠平均得分为54.1±27.2,职业倦怠各维度的平均得分,即情感耗竭、去个性化和个人成就感分别为15.5±13.6、3.7±5.4和35.5±13.5。在职业倦怠水平方面,64.2%的参与者表现为低水平(n = 352),18.4%为中等水平(n = 101),17.3%为高水平(n = 95)。职业倦怠、工作资源和工作兴趣之间存在显著关系(p≤0.05)。然而,职业倦怠与工作地点(大学)、年龄、收入满意度、工作经验、性别、教育程度、婚姻状况、住房状况、是否有第二份工作以及居住地点之间未观察到显著关系(p≥0.05)。

结论

参与研究的基层医疗服务提供者中,个人成就感缺失的情况非常普遍。缺乏职业晋升和工作调动机会可能是基层医疗服务提供者职业倦怠的一个因素。因此,关注这一方面可能有助于减少职业倦怠,甚至提高工作投入度。

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