中国西北地区三级甲等医院麻醉医生的职业倦怠与工作压力：一项横断面研究设计。
Burnout and job stress of anesthesiologists in the tertiary class A hospitals in Northwest China: A cross-sectional design.
作者信息
Yang Guang, Pan Lin-Yuan, Fu Xiao-Li, Qing Zhong, Dong Bu-Huai, Ye Jiu-Min
机构信息
Department of Anesthesiology, Xi'an Honghui Hospital Affiliated to Xi'an Jiaotong University, Xi'An, China.
Department of Orthopaedics, Xiangya Hospital, Central South University, Changsha, Hunan, China.
出版信息
Front Med (Lausanne). 2023 Apr 11;10:1140552. doi: 10.3389/fmed.2023.1140552. eCollection 2023.
PURPOSE
Our purpose was to assess job stress and burnout among anesthesiologists in the tertiary class A hospitals in Northwest China, analyze the possible causes and adverse consequences of increased job stress and burnout of anesthesiologists in this region, and put forward suggestions in combination with the current national policies.
METHODS
We sent 500 electronic questionnaires to all anesthesiologists practicing in the tertiary class A hospitals in Northwest China from 1960 to 2017 on April 2020. A total of 336 (67.2%) questionnaires were returned and could be used for analysis. Burnout and job stress were assessed by using the modified Maslach Burnout Inventory-Human Services Survey and Chinese Perceived Stress Scale, respectively.
RESULTS
First, as for emotional exhaustion, the situations of anesthesiologists with different working years and workloads are different with statistical significance ( < 0.05). Second, as for depersonalization, the situations of anesthesiologists with different ages, professional titles, working years, physical health status, and workload are different ( < 0.05). Third, as for personal accomplishment, the situations of anesthesiologists with different physical health status are different ( < 0.05). Finally, the regression results showed that the longer the fatigue working years and the worse the physical health of anesthesiologists in Northwest China, the more likely these two factors were to cause burnout ( < 0.05), as for job stress, there was a negative correlation between job stress and physical health status ( < 0.05).
CONCLUSION
Burnout and high job pressure are common among anesthesiologists in tertiary class A hospitals in Northwest China. We should focus on the allocation of labor intensity, pay attention to the physical and mental health of employees, establish targeted incentive mechanism, and improve the system of promotion and income rises for grassroots doctors. This may be not only conducive to the quality of medical care for patients but also conducive to the development of anesthesiology in China.
TRIAL REGISTRATION
Identifier: ChiCTR2000031316.
目的
评估中国西北地区三级甲等医院麻醉医生的工作压力和职业倦怠情况，分析该地区麻醉医生工作压力和职业倦怠增加的可能原因及不良后果，并结合当前国家政策提出建议。
方法
2020年4月，我们向1960年至2017年在中国西北地区三级甲等医院执业的所有麻醉医生发送了500份电子问卷。共收回336份（67.2%）问卷，可用于分析。分别使用改良的马氏职业倦怠量表-人类服务调查和中国感知压力量表评估职业倦怠和工作压力。
结果
第一，在情感耗竭方面，不同工作年限和工作量的麻醉医生情况存在差异，具有统计学意义（<0.05）。第二，在去人格化方面，不同年龄、职称、工作年限、身体健康状况和工作量的麻醉医生情况存在差异（<0.05）。第三，在个人成就感方面，不同身体健康状况的麻醉医生情况存在差异（<0.05）。最后，回归结果显示，中国西北地区麻醉医生的疲劳工作年限越长，身体健康状况越差，这两个因素导致职业倦怠的可能性就越大（<0.05），至于工作压力，工作压力与身体健康状况呈负相关（<0.05）。
结论
中国西北地区三级甲等医院的麻醉医生中职业倦怠和高工作压力较为普遍。我们应关注劳动强度的分配，关注员工的身心健康，建立有针对性的激励机制，完善基层医生的晋升和收入增长制度。这可能不仅有利于患者的医疗质量，也有利于中国麻醉学的发展。
试验注册
标识符：ChiCTR2000031316。
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