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目的为了解社区医务人员职业倦怠状况与其对心理干预服务的需求,对北京某区社区医务人员开展调查研究。方法 2016年3月采用Maslach倦怠量表服务行业版对北京市某区2 584名医务人员开展调查。结果 (1)社区医务人员处于轻度情绪衰竭(M=15分)、轻度情感淡漠(M=3分)和中度低成就感状态(M=35分);(2)男性情感淡漠中重度者要多于女性(χ~2=6.511,P<0.05);(3)工龄20 a以上中重度低成就感者(χ~2=26.647,P<0.05)所占比例显著少于其他工龄段人员,工龄20 a以上情感淡漠者所占比例显著少于其他工龄段人员(χ~2=36.082,P<0.01);(4)公共卫生人员中重度低成就感者所占比例显著多于其他岗位人员(χ~2=58.721,P<0.05);(5)54.53%的社区医务人员希望获得心理干预服务,不同程度情绪衰竭、情感淡漠的社区医务人员对心理帮助的需要构成比差异有统计学意义(均P<0.01)。结论社区医务人员的职业倦怠状况亟待关注。心理干预服务的提供仍应以心理咨询及讲座为主,需要着重关注服务便利性与可及性。
Objective To understand the status of community medical staff occupational burnout and their demand for psychological intervention services, a survey was conducted on community medical staff in a district of Beijing. Methods March 2016 A survey of 2,584 medical staff in a district in Beijing was conducted using the Maslach burnout service industry version. Results (1) The community health workers were in mild emotional exhaustion (M = 15), mild apathy (M = 3) and moderate low attitude (M = 35) (Χ ~ 2 = 6.511, P <0.05). (3) The proportion of those with moderate to severe symptoms over the age of 20 years (χ ~ 2 = 26.647, P <0.05) was significantly less than that of other seniority (Χ ~ 2 = 36.082, P <0.01); (4) The proportion of moderately low achievement among public health workers was significantly higher than that of other service years (5) 54.53% of the community health workers want to get psychological intervention services, and the community health workers with different levels of emotional exhaustion and apathy have different psychological assistance needs Statistical significance (all P <0.01). Conclusion The situation of occupational burnout in community medical staff urgently needs attention. The provision of psychological intervention services should still be based on psychological counseling and lectures, which require focusing on service convenience and accessibility.