METHODS: This retrospective study selected 42 medical staff (group A) in the emergency department of our hospital from March 2020 to March 2021 and 39 medical staff (group B) in the rehabilitation department during the same period as research subjects. Noise levels in the daily working environment of medical staff were collected. The Maslach Burnout Inventory General Survey and Intent to Leave Scale was used to evaluate occupational burnout and resignation intention. A multivariate linear regression analysis was adopted to explore the effects of noise exposure level in the emergency department on occupational burnout and resignation intention.
RESULTS: The scores of emotional fatigue, work apathy and sense of achievement in group A were higher than those in group B (P < 0.05), among which reverse scoring was adopted for sense of accomplishment. Group A had significantly higher scores of resignation intention I, resignation intention II and resignation intention III than group B (P < 0.001). The department of group A had significantly higher noise level than that of group B (P < 0.001). The Multivariate linear regression analysis showed that noise level in the emergency department was correlated with the occupational burnout and resignation intention of medical staff (all P < 0.05).
CONCLUSIONS: The emergency department is exposed to a high noise level, which is correlated with the occupational burnout and resignation intentions of medical staff. Therefore, hospitals should give importance to noise exposure in the emergency departments and adopt positive coping strategies to reduce the effect of noise on medical staff and the resignation rate.
方法:本回顾性研究选取2020年3月至2021年3月我院急诊科42名医务人员(A组)和同期康复科39名医务人员(B组)作为研究对象。收集医务人员日常工作环境中的噪声水平。采用Maslach职业倦怠量表普查和离职意向量表评价职业倦怠和离职意向。采用多元线性回归分析探讨急诊科噪声暴露水平对职业倦怠和辞职意向的影响。
结果:情绪疲劳的评分,A组工作冷漠、成就感高于B组(P<0.05),其中成就感采用反向评分。A组的辞职意向I得分明显较高,B组辞职意向Ⅱ和辞职意向Ⅲ高于B组(P<0.001)。A组的噪声水平明显高于B组(P<0.001)。多元线性回归分析显示,急诊科噪声水平与医务人员职业倦怠、离职意愿相关(均P<0.05)。
结论:急诊科暴露在高噪声水平下,这与医务人员的职业倦怠和离职意向有关。因此,医院应重视急诊科的噪声暴露,采取积极的应对策略,以减少噪声对医务人员的影响和辞职率。