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新冠疫情后时代麻醉医生职业倦怠、心理状态与工作满意度之间的相关性:一项中国的横断面研究

Correlation between job burnout, psychological status, and job satisfaction among anesthesiologists in the post-COVID-19 era: a cross-sectional study in China.

作者信息

Chen Xuemeng, Zhou Rui, Zhang Xianjie, Han Jia, Ju Feng, Zhou Yukai, Xia Leqiang

机构信息

Department of Anesthesiology, Deyang People's Hospital, Deyang, Sichuan, China.

Department of Anesthesiology and Perioperative Medicine, Shanghai Fourth People's Hospital, School of Medicine, Tongji University, Shanghai, China.

出版信息

Front Public Health. 2025 Jun 17;13:1555141. doi: 10.3389/fpubh.2025.1555141. eCollection 2025.

DOI:10.3389/fpubh.2025.1555141
PMID:40600159
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12209194/
Abstract

BACKGROUND

Burnout is a prevalent issue among healthcare professionals, particularly anesthesiologists, with significant repercussions for patient safety, personal well-being, and institutional efficiency. The post-COVID-19 era has introduced additional psychological and socioemotional stressors, which individuals perceive differently. This study aims to assess burnout levels among anesthesiologists in this era, explore its relationship with psychological status and job satisfaction, and propose potential intervention strategies.

METHODS

Four hundred electronic questionnaires were distributed to anesthesiologists licensed in 2024 with over 1 year of clinical experience. Three hundred twenty-six responses were collected, yielding an 81.5% response rate. The survey instruments included the Maslach Burnout Inventory-Human Services Survey (MBI-HSS), The Depression, Anxiety and Stress Scale - 21 Items (DASS-21), and Minnesota Satisfaction Questionnaire-Short Form (MSQ-SF). Descriptive statistics and adjusted linear regression were employed to analyze the data and examine the relationships between burnout, psychological status, and job satisfaction.

RESULTS

The study revealed a high prevalence of burnout, with 30.67% of participants at high risk and 24.85% exhibiting burnout syndrome, resulting in an overall burnout rate of 55.52%. Demographic factors were significantly associated with burnout ( < 0.05). Anesthesiologists aged 30-34 reported higher levels of anxiety and depression, while those aged over 35 showed lower levels of depersonalization and higher personal accomplishment ( < 0.001). Job satisfaction was inversely correlated with burnout ( < 0.001). Psychological status was positively correlated with burnout (p < 0.001). Multiple linear regression analysis explained 55.00% of the variance in burnout, with anxiety, stress, and intrinsic and extrinsic satisfaction as significant predictors ( < 0.05).

CONCLUSION

Burnout is widespread among anesthesiologists in the post-COVID-19 era, with burnout levels strongly associated with mental health and job satisfaction. Increased negative emotions and reduced job satisfaction contribute to higher burnout. Addressing the well-being of anesthesiologists, fostering a supportive work environment, and improving compensation mechanisms could alleviate burnout and enhance the quality of medical practice.

摘要

背景

职业倦怠是医疗保健专业人员中普遍存在的问题,尤其是麻醉医生,对患者安全、个人福祉和机构效率产生重大影响。新冠疫情后时代带来了额外的心理和社会情感压力源,个体对此的感受各不相同。本研究旨在评估这一时代麻醉医生的职业倦怠水平,探讨其与心理状态和工作满意度的关系,并提出潜在的干预策略。

方法

向2024年获得执照且有超过1年临床经验的麻醉医生发放了400份电子问卷。共收集到326份回复,回复率为81.5%。调查工具包括马氏职业倦怠量表-人类服务调查(MBI-HSS)、抑郁、焦虑和压力量表-21项(DASS-21)以及明尼苏达满意度问卷简表(MSQ-SF)。采用描述性统计和调整线性回归分析数据,以检验职业倦怠、心理状态和工作满意度之间的关系。

结果

研究显示职业倦怠的患病率很高,30.67%的参与者处于高风险,24.85%表现出职业倦怠综合征,总体职业倦怠率为55.52%。人口统计学因素与职业倦怠显著相关(<0.05)。30 - 34岁的麻醉医生报告焦虑和抑郁水平较高,而35岁以上的医生表现出较低的去个性化水平和较高的个人成就感(<0.001)。工作满意度与职业倦怠呈负相关(<0.001)。心理状态与职业倦怠呈正相关(p<0.001)。多元线性回归分析解释了职业倦怠方差的55.00%,焦虑、压力以及内在和外在满意度是显著预测因素(<0.05)。

结论

在新冠疫情后时代,职业倦怠在麻醉医生中普遍存在,职业倦怠水平与心理健康和工作满意度密切相关。负面情绪增加和工作满意度降低导致更高的职业倦怠。关注麻醉医生的福祉、营造支持性的工作环境以及改善薪酬机制可以减轻职业倦怠并提高医疗实践质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/776a/12209194/986013c22480/fpubh-13-1555141-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/776a/12209194/986013c22480/fpubh-13-1555141-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/776a/12209194/986013c22480/fpubh-13-1555141-g002.jpg

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