中国基层公共卫生医师职业倦怠与出勤主义之间的关系：一个有调节的中介模型

The relationship between job burnout and presenteeism among Chinese primary public health physicians: a moderated mediation model.

作者信息

Kong Xinru, Zhao Miaomiao, Li Ruyu, Li Zhouxiang, Chang Danfeng, Zhou Xinyi, Ma Qiang, Gao Yuexia

机构信息

Department of Health Management, School of Public Health, Nantong University, Nantong, Jiangsu, China.

Department of Hospital Management, Affiliated Hospital of Nantong University, Nantong, China.

出版信息

BMC Med Educ. 2025 May 31;25(1):810. doi: 10.1186/s12909-025-07391-5.

DOI:10.1186/s12909-025-07391-5

PMID:40450257

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12126902/

Abstract

BACKGROUND

Public health physicians are experiencing increased work stress and workload, leading to heightened negative emotions and presenteeism. This study investigates the relationship between job burnout and presenteeism among primary public health physicians in China and explores the potential mediating effect of depressive symptoms, and moderating effects of coping styles and organizational support on these associations.

METHODS

955 primary public health physicians were surveyed from September to December 2022 in China. Presenteeism was assessed using the Stanford Presenteeism Scale (SPS-6). A moderated mediation model was used to understand the moderating relationship between job burnout (X), depressive symptoms (M) mediated presenteeism (Y), coping styles (W1), and organizational support (W2), controlling for all possible covariates.

RESULTS

69.95% of participants showed job burnout in work and 50.16% experienced depressive symptoms, with the average score of presenteeism 16.90 ± 5.74. Job burnout was positively associated with presenteeism score (Effect = 2.23, 95%CI [1.93,2.53]). Mediation analyses revealed that depressive symptoms significantly mediated this relationship (indirect effect = 0.96, 95%CI [0.70,1.25]). Moderated mediation further indicated that the interaction of coping styles and job burnout was negatively related to depressive symptoms, and the interaction of organizational support and depressive symptoms was positively related to presenteeism among public health physicians.

CONCLUSION

High job burnout and higher depressive symptoms may contribute to presenteeism. Positive coping styles and appropriate organizational support could buffer the detrimental effects by reducing job burnout and depressive symptoms.

CLINICAL TRIAL NUMBER

Not applicable.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1186/s12909-025-07391-5.

摘要

背景

公共卫生医师正面临日益增加的工作压力和工作量，导致负面情绪加剧和出勤主义。本研究调查了中国基层公共卫生医师职业倦怠与出勤主义之间的关系，并探讨了抑郁症状的潜在中介作用，以及应对方式和组织支持对这些关联的调节作用。

方法

2022年9月至12月在中国对955名基层公共卫生医师进行了调查。使用斯坦福出勤主义量表（SPS - 6）评估出勤主义。采用调节中介模型来理解职业倦怠（X）、抑郁症状（M）介导的出勤主义（Y）、应对方式（W1）和组织支持（W2）之间的调节关系，同时控制所有可能的协变量。

结果

69.95%的参与者在工作中表现出职业倦怠，50.16%经历了抑郁症状，出勤主义平均得分为16.90±5.74。职业倦怠与出勤主义得分呈正相关（效应 = 2.23，95%CI [1.93,2.53]）。中介分析表明，抑郁症状显著介导了这种关系（间接效应 = 0.96，95%CI [0.70,1.25]）。调节中介进一步表明，应对方式与职业倦怠的交互作用与抑郁症状呈负相关，组织支持与抑郁症状的交互作用与公共卫生医师的出勤主义呈正相关。