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住院医师个人与职业匹配度和职业倦怠之间的关系:一项单中心横断面调查。

The relationship between person-vocation fit and burnout among resident physicians: A single-center cross-sectional survey.

作者信息

Fan Yaotian, Zhang Yue, Pu Guorong, Zhao Qian, Xu Yuanning, Li Qian, Lin Ke, You Zhen

机构信息

General Practice Medicine Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

Department of Surgery Teaching and Research Office, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

出版信息

PLoS One. 2025 Jun 2;20(5):e0324707. doi: 10.1371/journal.pone.0324707. eCollection 2025.

Abstract

BACKGROUND

Burnout among resident physicians affects their physical and mental health as well as the quality of healthcare. Person-Vocation Fit (P-V Fit) may play a key role in preventing burnout. This study aims to explore the relationship between P-V Fit and burnout among resident physicians.

METHOD

A cross-sectional survey was conducted, including demographic information, work factors, burnout assessment using the Maslach Burnout Inventory-Human Services Survey (MBI-HSS), and the Person-Vocation Fit (P-V Fit) scale. Data were analyzed using logistic and linear regression with SPSS-27.

RESULTS

636 resident physicians (response rate 80%) participated in the survey. The mean age was 25.6 ± 2.3 years, 52.5% were male, 90.6% were unmarried, and 55.7% had a bachelor's degree. The overall burnout rate was 46.07%, with mean scores for emotional exhaustion, depersonalization, and personal accomplishment of 30.5 ± 11.9, 12.9 ± 7.4, and 28.5 ± 9.6, respectively. For each one-point increase in the P-V Fit score, the overall likelihood of burnout decreased by 19% (OR, 0.81;95%CI, 0.76-0.87;P < 0.001), emotional exhaustion decreased by 0.85 points (95%CI, -1.10 to -0.59), depersonalization decreased by 0.55 points (95%CI, -0.73 to -0.38), and personal accomplishment increased by 1.34 points (95%CI, 1.12-1.56)(all P < 0.001). For each additional hour of work, the risk of burnout increased by 33% (OR, 1.33;95%CI, 1.12-1.59;P = 0.001).

CONCLUSION

Improving Person-Vocation Fit is an effective strategy for preventing burnout among resident physicians. Residency training should focus on vocational compatibility assessment, develop differentiated support strategies, and arrange reasonable workloads.

摘要

背景

住院医师职业倦怠会影响他们的身心健康以及医疗服务质量。人职匹配度(P-V Fit)可能在预防职业倦怠方面发挥关键作用。本研究旨在探讨住院医师人职匹配度与职业倦怠之间的关系。

方法

开展了一项横断面调查,内容包括人口统计学信息、工作因素、使用马氏职业倦怠量表-人类服务调查(MBI-HSS)进行的职业倦怠评估以及人职匹配度(P-V Fit)量表。使用SPSS-27软件进行逻辑回归和线性回归分析数据。

结果

636名住院医师(回复率80%)参与了调查。平均年龄为25.6±2.3岁,52.5%为男性,90.6%未婚,55.7%拥有学士学位。总体职业倦怠率为46.07%,情感耗竭、去个性化和个人成就感的平均得分分别为30.5±11.9、12.9±7.4和28.5±9.6。人职匹配度得分每增加1分,职业倦怠的总体可能性降低19%(比值比[OR],0.81;95%置信区间[CI],0.76 - 0.87;P < 0.001),情感耗竭降低0.85分(95%CI,-1.10至-0.59),去个性化降低0.55分(95%CI,-0.73至-0.38),个人成就感增加1.34分(95%CI,1.12 - 1.56)(所有P < 0.001)。工作时间每增加1小时,职业倦怠风险增加33%(OR,1.33;95%CI,1.12 - 1.59;P = 0.001)。

结论

提高人职匹配度是预防住院医师职业倦怠的有效策略。住院医师培训应注重职业适应性评估,制定差异化支持策略,并安排合理的工作量。

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Burnout syndrome in resident physicians of a Federal University.住院医师的 burnout 综合征。
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