College of the Humanities and Social Sciences, China Medical University, Shenyang, People's Republic of China.
Department of Histology and Embryology, College of Basic Medicine, China Medical University, Shenyang, People's Republic of China.
BMC Public Health. 2021 Apr 23;21(1):777. doi: 10.1186/s12889-021-10535-z.
Sustained attention to the prevalence and associated factors of burnout in China is important for the health care service quality and related reform. In this study, we investigated the prevalence of job burnout among medical staff in Liaoning province, China; performed a survey of subjective perception ranking for the main stressors among respondents; estimated the effect of stresses from work tasks and the relationship with patients on job burnout in order to provide improved strategy and suggestion for hospital administrators.
The respondents were from 8 hospitals in 3 cities in Liaoning province, China. Data were collected and analyzed including the following sections: (1) demographic characteristics; (2) work situations; (3) ranking of six stressors; (4) job burnout scale; (5) effort-reward imbalance scale; (6) work violence scale; (7) fear of malpractice scale. A total of 1056 individuals became the study objects. A statistical analysis and hierarchical linear regression analysis were performed to explore the prevalence of burnout and the effects of stressors.
The prevalence of job burnout was 20.5, and 72.9% of all respondents reported a least one symptom of burnout. The respondents who were male, 30-39 years old, had a master's degree or high and working hours > 60 h per week, came from obstetrics and gynecology or pediatrics profession prone to job burnout. The relationship with patients and work tasks are the top two ranking stressors in the subjective perception survey. Regression analysis showed that the relationship with patients explained 19.2, 16.8 and 2.0% of variance in burnout subscales EE, DP and PA, respectively and work tasks explained 23.5, 16.0 and 5.24% of variance in burnout subscales EE, DP and PA, respectively.
The Chinese medical staff had high prevalence of job burnout. Some factors of demographic and work situations were associated with job burnout. The medical staff considered the relationship with patients and work tasks are the two major stressors. These two stressors are also the major indicators associated with job burnout. The hospital administrators should be aware of the risk of burnout. Efforts should be made to ameliorate the status of job burnout.
持续关注中国的 burnout 患病率及其相关因素，对于提高医疗服务质量和相关改革至关重要。本研究旨在调查中国辽宁省医务人员的 burnout 患病率；对受访者的主要压力源进行主观感知排名调查；评估工作任务和与患者的关系压力对 burnout 的影响，为医院管理者提供改善策略和建议。
本研究的受访者来自中国辽宁省 3 个城市的 8 家医院。收集和分析以下数据：（1）人口统计学特征；（2）工作情况；（3）6 种压力源的排名；（4）职业倦怠量表；（5）努力-回报失衡量表；（6）工作暴力量表；（7）医疗事故恐惧量表。共有 1056 人成为研究对象。采用统计分析和层次线性回归分析方法，探讨 burnout 的患病率和压力源的影响。
burnout 的患病率为 20.5%，72.9%的受访者至少出现一种 burnout 症状。男性、30-39 岁、硕士及以上学历、每周工作时间>60 小时、来自妇产科或儿科的受访者更易发生 burnout。与患者的关系和工作任务是主观感知调查中排名前两位的压力源。回归分析显示，与患者的关系分别解释了倦怠子量表 EE、DP 和 PA 中 19.2%、16.8%和 2.0%的变异，工作任务分别解释了倦怠子量表 EE、DP 和 PA 中 23.5%、16.0%和 5.24%的变异。
中国医务人员 burnout 患病率较高。人口统计学和工作情况的一些因素与 burnout 有关。医务人员认为与患者的关系和工作任务是两个主要压力源。这两个压力源也是与 burnout 相关的主要指标。医院管理者应意识到 burnout 的风险，并努力改善 burnout 状况。
