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目的探讨肿瘤医院和综合性医院医护人员职业倦怠状况的差异及其影响因素。方法采用中国军人职业倦怠量表(CJBSMP),对肿瘤医院和综合性医院医护人员的职业倦怠状况进行测评,对测评数据进行t检验、多元逐步回归分析等统计学处理。结果肿瘤医院医护人员的躯体化、消极怠工因子分及职业倦怠总分均高于综合医院医护人员(t=-2.90,P=0.026,t=-1.93,P=0.045,t=-1.75,P=0.048);独生子女的躯体化、自我评价、消极怠工因子分及职业倦怠总分均大于非独生子女(t=4.21,P=0.017,t=6.91,P=0.000,t=3.89,P=0.031,t=3.69,P=0.043);已婚者的成就感、躯体化及职业倦怠总分均大于未婚者(t=-3.71,P=0.040,t=-4.23,P=0.027,t=-4.61,P=0.013)。婚姻状况与躯体化呈正相关(r=0.138,P<0.05);月收入及付出、回报满意度与成就感呈显著正相关(r=0.565,r=0.772,P<0.01);付出与回报满意度与躯体化、人际关系、消极怠工及职业倦怠总分呈显著负相关(r=0.772,-0.249,-0.144,-0.258;P<0.05或0.001);独生子女与自我评价及总分呈负相关(r=-0.184,0.163;P<0.05)。付出与回报满意度、是否独生子女等是肿瘤医院医护人员职业倦怠水平的主要影响因素(t=-0.197,P=0.004;t=-0.373,P=0)。结论肿瘤医院医护人员在成就感、躯体化及职业倦怠总分项目上相对较高,更易产生职业倦怠,与其婚姻状况、是否独生子女、月收入、付出与回报满意度等因素密切相关。
Objective To explore the differences of job burnout among medical staffs in cancer hospitals and general hospitals and its influencing factors. Methods The CJBSMP was used to evaluate occupational burnout status of medical staff in cancer hospitals and general hospitals. The test data were analyzed by t-test and multiple stepwise regression analysis. Results The total scores of somatization, passive sabotage and occupational burnout of medical staff in cancer hospitals were higher than those in general hospital (t = -2.90, P = 0.026, t = -1.93, P = 0.045, t = -1.75, P = 0.048). The only factors of somatization, self-evaluation, negative sabbatical and burnout in single children were greater than those in non-only children (t = 4.21, P = 0.017, t = 6.91, P = 0.000, t = 3.89, P = (T = -3.71, P = 0.040, t = -4.23, P = 0.027, t = 0.027, t = 3.69, P = 0.043). The scores of accomplishment, somatization and burn- -4.61, P = 0.013). There was a positive correlation between marital status and somatization (r = 0.138, P <0.05). There was a significant positive correlation between monthly income and payment, satisfaction with reward and achievement (r = 0.565, r = 0.772, P <0.01) There was a significant negative correlation between the degree and somatization, interpersonal relationship, negligence and occupational burnout (r = 0.772, -0.249, -0.144, -0.258; P <0.05 or 0.001). The only child and self-evaluation and total score were negative (R = -0.184, 0.163; P <0.05). Satisfaction with reward, return of only child and so on were the main influencing factors of occupational burnout in medical staff in cancer hospitals (t = -0.197, P = 0.004; t = -0.373, P = 0). Conclusion Tumor Hospital staff are relatively more likely to score job satisfaction, somatization and job burnout than their marital status, only child, monthly income, pay satisfaction and return satisfaction.