Department of Public Health, Medical College of Qinghai University, Xining 810001, Qinghai, China.
Health Development Research Center, Medical College of Qinghai University, Xining 810001, Qinghai, China.
Int J Environ Res Public Health. 2020 Mar 12;17(6):1848. doi: 10.3390/ijerph17061848.
This study aimed to examine the degrees of job burnout and occupational stressors and their associations among healthcare professionals from county-level health alliances in Qinghai-Tibet Plateau, China.
A cross-sectional study was conducted in county-level health alliances in Qinghai Province, China, in November 2018. The Maslach Burnout Inventory-General Survey and the 38-item Chinese version of the "Scale for occupational stressors on clinicians" were used. Medical staff in four health alliances from two counties were invited to complete the questionnaire.
A total of 1052 (age: 34.06 ± 9.22 years, 79.1% females) healthcare professionals were included, 68.2% (95% CI: 65.2-71.0%) of the participants had job burnout symptoms. Occupational stressors had positive associations with moderate (OR = 1.06, 95% CI: 1.05-1.07) and serious (OR = 1.15, 95% CI: 1.13-1.19) level of job burnout. Stressors from vocational interest produced the greatest magnitude of odds ratio (OR = 1.76, 95% CI: 1.62-1.92) for serious degree of burnout, followed by doctor-patient relationship, interpersonal relationship as well as other domains of occupational stressors.
Job burnout was very common among healthcare professionals working in Chinese county-level health alliances, different occupational stressors had associations with job burnout. Appropriate and effective policies and measures should be developed and implemented.
本研究旨在调查中国青藏高原县级医疗联盟卫生专业人员的工作倦怠程度和职业压力源,并探讨它们之间的关联。
2018 年 11 月在中国青海省县级医疗联盟中进行了一项横断面研究。使用了 Maslach 职业倦怠量表通用版和 38 项中文版“临床医生职业压力源量表”。邀请来自两个县的四个医疗联盟的医务人员完成问卷。
共纳入 1052 名(年龄:34.06±9.22 岁,79.1%为女性)卫生专业人员,68.2%(95%置信区间:65.2-71.0%)的参与者存在工作倦怠症状。职业压力源与中度(OR=1.06,95%置信区间:1.05-1.07)和严重(OR=1.15,95%置信区间:1.13-1.19)水平的工作倦怠呈正相关。职业兴趣产生的压力源对严重程度倦怠的比值比(OR)最大(OR=1.76,95%置信区间:1.62-1.92),其次是医患关系、人际关系以及其他职业压力源领域。
中国县级医疗联盟卫生专业人员的工作倦怠现象非常普遍,不同的职业压力源与工作倦怠存在关联。应制定和实施适当有效的政策和措施。