论文部分内容阅读
[目的]通过对临床外科医师职业紧张的调查结果和工作满意度的分析,评价外科医生的职业紧张因素对工作满意感的影响。[方法]以整群抽样的方法选择某市9所不同级别医院,对外科科室全体医生237名进行职业紧张调查,紧张问卷采用职业紧张问卷。根据数据类型进行t检验、方差分析、协方差分析。以外科医生工作满意感、工作自身满意感、工作组织满意感中位数为界,将其分为高分组和低分组,其中位数分别为49、23、26分。[结果]外科医生不同年龄层工作满意感、工作自身满意感、工作组织满意感得分不同,差异有统计学意义(P<0.05),其中40～50岁年龄段得分均低于其他年龄段。不同工龄对工作自身满意感得分有影响,差异具有统计学意义(P<0.05),其中11～20年工龄层得分低于其他工龄层。外科医生工作满意感与工作冲突、任务控制和工作危险呈负相关,与上级支持、同事支持、社会支持、决策控制和提升参与机会呈正相关。协方差分析结果显示,工作满意感高分组和低分组组间的应付策略、工作冲突、工作危险和工作前景比较,差异有统计学意义(P<0.05)。逐步回归分析结果,工龄、支持策略、工作危险、角色模糊、工作冲突、忍耐性6个职业紧张因素被引入工作满意感回归方程中。[结论]年龄、工龄和职业应激相关因素对工作满意感有影响。外科医生工作满意感与工作冲突、工作危险、上级支持、同事支持、社会支持和提升参与机会等具有相关性。外科医生工作满意感的主要影响因素有工龄、支持策略、工作危险、角色模糊、工作冲突、忍耐性。
[Objective] To evaluate the effect of occupational stress factors on job satisfaction of surgeons through the analysis of the survey results and job satisfaction of clinical surgeons. [Methods] A total of 237 hospitals in the department of gynecology were investigated by cluster sampling method in 9 different hospitals in a city. Occupational stress questionnaire was used in the stress questionnaire. According to the data type t test, analysis of variance, covariance analysis. Surgical satisfaction with the surgeon, the work of their own sense of satisfaction, the median job satisfaction organization for the community, divided into high-grade group and low-grade group, the median was 49,23,26 points. [Result] The surgeon satisfied with work, satisfied with work and satisfied with work organization, the difference was statistically significant (P <0.05). The score of 40-50 years old group was lower than that of other age groups. Different length of service had an impact on scores of job satisfaction, the difference was statistically significant (P <0.05), of which 11 to 20 years of service age score lower than other seniority. Surgical satisfaction with surgeons was negatively correlated with job conflicts, job control and job risks, and positively correlated with superior support, colleague support, social support, decision-making control and promotion of participation. Covariance analysis showed that there was significant difference (P <0.05) in coping strategies, work conflicts, work hazards and job prospects between high and low scores of job satisfaction. Gradual regression analysis results, length of service, support strategy, job risk, role ambiguity, job conflict, patience six occupational stress factors were introduced into the regression equation of job satisfaction. [Conclusion] Age, seniority and factors related to occupational stress have an impact on job satisfaction. Surgical satisfaction with surgeons is associated with work conflicts, work hazards, superior support, peer support, social support, and increased participation opportunities. The main influencing factors of surgeon’s job satisfaction are length of service, supportive strategy, danger at work, vague roles, job conflict and patience.