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卫生部门员工的职业倦怠及相关因素

Job Burnout and Related Factors among Health Sector Employees.

作者信息

Bazmi Elham, Alipour Abbas, Yasamy Mohamad Taghi, Kheradmand Ali, Salehpour Soosan, Khodakarim Soheila, Soori Hamid

机构信息

Safety Promotion and Injury Prevention Research Center. (SBMU Employees' Health Cohort center), Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Epidemiology, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Iran J Psychiatry. 2019 Oct;14(4):309-316.

Abstract

Job burnout can cause physical and psychological damage and reduce job efficiency, especially in difficult jobs such as health care fields. This study aimed to assess the association between the level of job burnout and some contributing factors among health care providers in Iran. This study was performed on the data derived from 1807 participants from the first phase of the employees' health cohort in 2017-2018. The data were collected using as a self-administrated tool utilizing Maslach Burnout Inventory. The questionnaire scores ranged from never to everyday, with 3 levels of burnout as well as burnout itself; then, the scores were categorized as low, moderate, or high. Ordinal logistic regression model was used to adjust ordinal dependent variables. The mean score of the total burnout was 16.5±7.77 and was associated with work experience and age group (p < 0.001). The components of burnout consisted of emotional exhaustion (8.9± 9.0), depersonalization (23± 2.9), and personal accomplishment (34± 8.6). Emotional exhaustion was related to sex (less among males, OR=0.48) and type of job (less among officials compared to health care staff, OR=0.488). Composite burnout was more common among younger staff (OR= 3.85). Depersonalization was associated with duty shift workers (OR=2.42). Job burnout is a major concern, and lack of personal accomplishment, as a component of burnout, was highly prevalent among Iranian health care employees. Being a single woman, health care provider, and having more than 20 years of work experience with a duty shift were contributing factors for burnout experience. Monitoring symptoms of burnout and its associated factors in the workplace and proposing an alternative organizational and behavioral system and sharing it with relevant authorities may help prevent or reduce job burnout and its deleterious effects.

摘要

职业倦怠会导致身体和心理损害,并降低工作效率,尤其是在医疗保健领域等困难工作中。本研究旨在评估伊朗医疗保健提供者的职业倦怠水平与一些影响因素之间的关联。 本研究基于2017 - 2018年员工健康队列第一阶段1807名参与者的数据进行。数据通过使用马氏职业倦怠量表这一自我管理工具收集。问卷得分范围从从不到每天,有3个职业倦怠水平以及职业倦怠本身;然后,得分被分为低、中或高。使用有序逻辑回归模型来调整有序因变量。 总职业倦怠的平均得分为16.5±7.77,与工作经验和年龄组相关(p < 0.001)。职业倦怠的组成部分包括情感耗竭(8.9±9.0)、去个性化(23±2.9)和个人成就感(34±8.6)。情感耗竭与性别(男性较少,OR = 0.48)和工作类型(与医疗保健人员相比,官员较少,OR = 0.488)有关。综合职业倦怠在年轻员工中更常见(OR = 3.85)。去个性化与轮班工作者有关(OR = 2.42)。 职业倦怠是一个主要问题,作为职业倦怠组成部分的个人成就感缺失在伊朗医疗保健员工中非常普遍。单身女性、医疗保健提供者以及有20多年轮班工作经验是职业倦怠经历的影响因素。监测工作场所职业倦怠的症状及其相关因素,并提出替代的组织和行为系统并与相关当局分享,可能有助于预防或减少职业倦怠及其有害影响。

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