School of Educational Science, Ludong University, Yantai, China.
Appl Psychol Health Well Being. 2023 Feb;15(1):425-446. doi: 10.1111/aphw.12387. Epub 2022 Aug 16.
Subjective well-being is a crucial index measuring the mental health of medical staffs, and it is necessary to examine the changes in subjective well-being (SWB) level of Chinese medical staffs with time. A cross-temporal meta-analysis was performed using papers that measured the SWB level of Chinese medical staffs between 2004 and 2020. Moreover, a time-lag analysis was conducted to define whether the macro-social indicators can explain the changes in SWB. A total of 47 papers were included in the final sample. The results revealed that score of SWB was significantly negatively correlated with the year. Score of SWB was significantly associated with six social indicators of economic condition (the residents' consumption level, housing prices, and old-age dependency ratio), social connectedness (the divorce rate and the urbanization level), and overall threat (the crime rate), which indicated that social change may account for the decline of Chinese medical staffs' SWB level. Our study revealed a decreasing trend of Chinese medical staffs' SWB level over time, which was associated with macro-social changes in diverse areas. In addition, combined with the corresponding macro-social indicators, a three-dimensional theoretical framework is proposed to explain the SWB for medical staffs as a group.
主观幸福感是衡量医务人员心理健康的重要指标,有必要随着时间的推移考察中国医务人员主观幸福感(SWB)水平的变化。本研究使用了 2004 年至 2020 年间测量中国医务人员 SWB 水平的论文,进行了跨时间元分析。此外,还进行了时滞分析,以确定宏观社会指标是否可以解释 SWB 的变化。共有 47 篇论文被纳入最终样本。结果表明,SWB 得分与年份呈显著负相关。SWB 得分与经济状况的六个社会指标(居民消费水平、房价和老年抚养比)、社会联系(离婚率和城市化水平)和总体威胁(犯罪率)显著相关,这表明社会变化可能是导致中国医务人员 SWB 水平下降的原因。本研究揭示了中国医务人员 SWB 水平随时间的推移呈下降趋势,这与不同领域的宏观社会变化有关。此外,结合相应的宏观社会指标,提出了一个三维理论框架,以解释作为一个群体的医务人员的 SWB。