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中国医务人员对医疗事故的恐惧与倦怠的关系：法律意识的中介作用。

The association between fear of malpractice and burnout among Chinese medical workers: The mediating role of legal consciousness.

机构信息

Department of Histology and Embryology, College of Basic Medicine, China Medical University, Shenyang, People's Republic of China.

College of Marxism, China Medical University, No.77 Puhe Road, Shenyang North New Area, Shenyang City, Liaoning Province, People's Republic of China.

出版信息

BMC Psychiatry. 2022 May 25;22(1):358. doi: 10.1186/s12888-022-04009-8.

DOI:10.1186/s12888-022-04009-8
PMID:35614448
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9130988/
Abstract

BACKGROUND

As a major reason for defensive medicine, the status and effect of "fear of malpractice" among Chinese medical staff is an important topic that needs to be studied. Our study investigated fear of malpractice among Chinese medical workers, assessed its association with burnout, and explored the mediating role of legal consciousness between these factors.

DESIGN

A quantitative, cross-sectional study.

SETTING

All respondents were investigated using a self-report questionnaire. Demographic characteristics and measurements including a fear of malpractice scale, and a burnout and legal consciousness scale were employed. The effect of fear of malpractice on burnout was examined by carrying out a binary regression analysis. A mediation model was used to test the mediating role of legal consciousness.

PARTICIPANTS

The study sample included 1031 doctors and nurses (297 male and 734 female; age = 36.3 ± 8.98).

RESULTS

The average score of fear of malpractice was 20.97 ± 5.34. Respondents with higher levels of fear of malpractice were more prone to burnout ([OR] = 2.865; 95% CI 1.942-4.226). Legal consciousness partially and negatively mediated the effect of fear of malpractice on burnout.

CONCLUSION

High levels of fear of malpractice were found among Chinese medical workers, and this fear had a significant effect on burnout. Legal consciousness may be a resource that can alleviate burnout.

摘要

背景

作为防御性医疗的主要原因之一，中国医务人员的“恐医”状况及其影响是一个需要研究的重要课题。本研究调查了中国医务人员对医疗事故的恐惧，评估了其与职业倦怠的关系，并探讨了法律意识在这两个因素之间的中介作用。

设计

定量、横断面研究。

地点

所有受访者均通过自报问卷进行调查。人口统计学特征和测量包括对医疗事故的恐惧量表、倦怠和法律意识量表。通过进行二元回归分析来检查对医疗事故的恐惧对职业倦怠的影响。使用中介模型来检验法律意识的中介作用。

参与者

研究样本包括 1031 名医生和护士（男性 297 名，女性 734 名；年龄=36.3±8.98）。

结果

对医疗事故的恐惧平均得分为 20.97±5.34。对医疗事故恐惧程度较高的人更容易出现职业倦怠（[OR]=2.865；95%CI 1.942-4.226）。法律意识部分且负向中介了对医疗事故的恐惧对职业倦怠的影响。

结论

中国医务人员对医疗事故的恐惧程度较高，这种恐惧对职业倦怠有显著影响。法律意识可能是减轻倦怠的一种资源。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad61/9131567/585c92c15cd3/12888_2022_4009_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad61/9131567/b7e01bbf6cbf/12888_2022_4009_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad61/9131567/585c92c15cd3/12888_2022_4009_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad61/9131567/b7e01bbf6cbf/12888_2022_4009_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad61/9131567/585c92c15cd3/12888_2022_4009_Fig2_HTML.jpg

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