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波兰医疗体系中医务人员职业倦怠综合征与工作条件之间的关系

The Relationship Between Burnout Syndrome Among the Medical Staff and Work Conditions in the Polish Healthcare System.

作者信息

Głębocka Alicja

机构信息

The Andrzej Frycz Modrzewski University, 1 Gustawa Herlinga-Grudzińskiego Street, Cracow, Poland.

出版信息

Adv Exp Med Biol. 2017;968:61-70. doi: 10.1007/5584_2016_179.

Abstract

Psychologists emphasize that people employed in social service organizations are vulnerable to chronic stress and burnout syndrome caused by a close and unsatisfied interpersonal relationship. However, emotional exhaustion, depersonalization, and a feeling of diminished personal accomplishment can be attributed to other external factors. One of them is poor living and occupational conditions. According to a report by OECD, the healthcare system in Poland is the worst among the member countries. The aim of the present study was to define the relationship between occupational burnout and the rating of the Polish healthcare system among the medical staff. The study included 224 participants. The Maslach Burnout Inventory and the Dehumanized Behavior and the Głębocka and Rużyczka scale of Behavioral Indicators of Patient's Dehumanization were applied. The evaluations of the healthcare system were also collected. The results demonstrate that physicians were the group of most emotionally exhausted and, simultaneously, most life-satisfied persons, while nurses presented the highest level of dehumanization and the lowest level of satisfaction from life achievements. Only did physicians evaluate the healthcare system as a relatively good one. They were also more tolerant of latent dehumanization. A relationship between the dimensions of burnout and the evaluation of healthcare system were observed. The emotionally exhausted or prone to dehumanization persons were more likely to evaluate the Polish healthcare system negatively.

摘要

心理学家强调,受雇于社会服务组织的人员容易受到因密切且不满意的人际关系所导致的慢性压力和职业倦怠综合征的影响。然而,情感耗竭、去个性化以及个人成就感降低可能归因于其他外部因素。其中之一是恶劣的生活和工作条件。根据经合组织的一份报告,波兰的医疗体系在成员国中是最差的。本研究的目的是确定职业倦怠与波兰医疗体系在医务人员中的评级之间的关系。该研究包括224名参与者。应用了马氏职业倦怠量表、去人性化行为量表以及患者去人性化行为指标的格莱博茨卡和鲁日奇卡量表。还收集了对医疗体系的评价。结果表明,医生是情感耗竭程度最高的群体,同时也是对生活满意度最高的人群,而护士表现出去人性化程度最高且对生活成就的满意度最低。只有医生将医疗体系评价为相对较好。他们对潜在的去人性化也更宽容。观察到职业倦怠维度与医疗体系评价之间存在关系。情感耗竭或容易去人性化的人更有可能对波兰医疗体系给予负面评价。

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