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工作满意度、职业倦怠综合征与抑郁症状之间的关系:对巴西一家教学医院专业人员的分析。

The relationship between job satisfaction, burnout syndrome and depressive symptoms: An analysis of professionals in a teaching hospital in Brazil.

作者信息

Oliveira Alan Maicon de, Silva Marcus Tolentino, Galvão Taís Freire, Lopes Luciane Cruz

机构信息

School of Pharmaceutical Sciences, São Paulo State University, Araraquara.

School of Pharmaceutical Sciences of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.

出版信息

Medicine (Baltimore). 2018 Dec;97(49):e13364. doi: 10.1097/MD.0000000000013364.

Abstract

Research shows an instability in the way workers in the healthcare field live, and a prevalence of an unhealthy lifestyle. Exhaustion, an overload of obligations and responsibilities and dissatisfaction are all factors that may result in both physical and mental disorders. The aim of our study is to analyze the association between individual and occupational aspects of hospital workers and their job satisfaction, burnout syndrome, and depressive symptoms, as well as the relationship between these 3 factors.A transversal study was carried out from August to November 2016 in a teaching hospital that is a reference in healthcare to 13 cities in the State of São Paulo, Brazil. Workers with an employment relationship of a period of 3 months or longer were included in the study. Subjects for the study were recruited through random probability sampling. Data were collected using psychometric tools in order to analyze job satisfaction (Job Satisfaction Survey [JSS]), the presence of burnout syndrome (Maslach Burnout Inventory [MBI]) and depressive symptoms (Patient Health Questionnaire-9). Adjusted analyses were conducted and the prevalence ratio (PR) was calculated using Poisson regression. The partial least squares structural equation modeling (PLS-SEM) was used for the analyses.The final sample of this study comprised 271 professionals. Administrative workers or technical support workers from the hospital showed to be more satisfied in their jobs compared to the healthcare professionals (P = .02). Time of professional activity was also associated with job satisfaction (P = .03). Men displayed burnout syndrome approximately twice as often as women (PR = 1.98; 95% CI: 1.03-3.79; P = .04). Workers who had a low household income presented a predominance twice as high of depressive symptoms (PR = 2.84; 95% CI: 1.24-6.51; P = .01). PLS-SEM confirmed the causal and inverse relationship between burnout syndrome and job satisfaction (P < .001). Depressive symptoms were considered predictors for professional exhaustion (P < .001).Personal and occupational factors of hospital workers were associated with job satisfaction, burnout syndrome, and depressive symptoms. The absence of burnout was identified as a predictive aspect for job satisfaction, and depressive symptoms as a predictor for professional exhaustion.

摘要

研究表明,医疗领域工作人员的生活方式不稳定,不健康的生活方式普遍存在。疲惫、义务和责任过重以及不满都是可能导致身心障碍的因素。我们研究的目的是分析医院工作人员的个人和职业方面与其工作满意度、倦怠综合征和抑郁症状之间的关联,以及这三个因素之间的关系。

2016年8月至11月,在巴西圣保罗州13个城市的一家作为医疗保健参考的教学医院进行了一项横断面研究。研究纳入了工作关系持续3个月或更长时间的工作人员。通过随机概率抽样招募研究对象。使用心理测量工具收集数据,以分析工作满意度(工作满意度调查[JSS])、倦怠综合征的存在情况(马氏倦怠量表[MBI])和抑郁症状(患者健康问卷-9)。进行了调整分析,并使用泊松回归计算患病率比值(PR)。采用偏最小二乘结构方程模型(PLS-SEM)进行分析。

本研究的最终样本包括271名专业人员。与医疗专业人员相比,医院的行政人员或技术支持人员对工作更满意(P = 0.02)。职业活动时间也与工作满意度相关(P = 0.03)。男性出现倦怠综合征的频率约为女性的两倍(PR = 1.98;95%置信区间:l.03 - 3.79;P = 0.04)。家庭收入低的工作人员出现抑郁症状的比例高出两倍(PR = 2.84;95%置信区间:1.24 - 6.51;P = 0.01)。PLS-SEM证实了倦怠综合征与工作满意度之间存在因果和反向关系(P < 0.001)。抑郁症状被认为是职业倦怠的预测因素(P < 0.001)。

医院工作人员的个人和职业因素与工作满意度、倦怠综合征和抑郁症状相关。没有倦怠被确定为工作满意度的预测因素,而抑郁症状是职业倦怠的预测因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2349/6310545/1db59d6f99cb/medi-97-e13364-g001.jpg

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