目的:职业倦怠在中国医务人员中很常见,可能与不同专业的过度和持续的工作相关压力源有关。这项研究的目的是评估职业倦怠的患病率,根据不同的专业,探索工作过载和工作生活不平衡,医务人员职业倦怠与工作生活失衡。
方法:横断面研究。
方法:本研究在1所三级综合性公立医院进行,辽宁省2所二级综合医院和10所社区卫生服务站,中国。
方法:共有3299名医务人员参加了研究。
方法:我们使用了Maslach倦怠量表一般调查(MBI-GS)的15项中文版来衡量倦怠。采用多变量逻辑回归模型探讨医学专业、工作过载,工作生活不平衡和倦怠。
结果:本研究纳入了3299名医务人员。职业倦怠的患病率,严重的倦怠,工作超负荷和工作-生活不平衡为88.7%,13.6%,23.4%和23.2%,分别。与内科医务人员相比,在妇产科工作(OR=0.61,95%CI0.38,0.99)和管理(OR=0.45,95%CI0.28,0.72)与倦怠显着相关,并在ICU(重症监护病房)工作(OR=2.48,95%CI1.07,5.73),手术(OR=1.66,95%CI1.18,2.35)和儿科(OR=0.24,95%CI0.07,0.81)与严重倦怠显着相关。工作超负荷和工作-生活不平衡与较高的职业倦怠OR相关(OR=1.64,95%CI1.16,2.32;OR=2.79,95%CI1.84,4.24)和严重职业倦怠(OR=4.33,95%CI3.43,5.46;OR=3.35,95%CI2.64,4.24)。
结论:倦怠,中国医务人员普遍存在工作超负荷和工作生活失衡,但因临床专业而异。通过减少工作超负荷和促进不同专业的工作与生活平衡,可以减少倦怠。
OBJECTIVE: Burnout is common among medical personnel in
China and may be related to excessive and persistent work-related stressors by different specialties. The aims of this study were to assess the prevalence of burnout, work overload and work-life imbalance according to different specialties and to explore the effect of specialty, work overload and work-life imbalance on burnout among medical personnel.
METHODS: A cross-sectional study.
METHODS: This study was conducted in 1 tertiary general public hospital, 2 secondary general hospitals and 10 community health service stations in Liaoning,
China.
METHODS: A total of 3299 medical personnel participated in the study.
METHODS: We used the 15-item Chinese version of the Maslach Burnout Inventory General Survey (MBI-GS) to measure burnout. Multivariable logistic regression models were used to explore the association between medical specialty, work overload, work-life imbalance and burnout.
RESULTS: 3299 medical personnel were included in this study. The prevalence of burnout, severe burnout, work overload and work-life imbalance were 88.7%, 13.6%, 23.4% and 23.2%, respectively. Compared with medical personnel in internal medicine, working in obstetrics and gynaecology (OR=0.61, 95% CI 0.38, 0.99) and management (OR=0.45, 95% CI 0.28, 0.72) was significantly associated with burnout, and working in ICU (Intensive Care Unit)(OR=2.48, 95% CI 1.07, 5.73), surgery (OR=1.66, 95% CI 1.18, 2.35) and paediatrics (OR=0.24, 95% CI 0.07, 0.81) was significantly associated with severe burnout. Work overload and work-life imbalance were associated with higher ORs for burnout (OR=1.64, 95% CI 1.16, 2.32; OR=2.79, 95% CI 1.84, 4.24) and severe burnout (OR=4.33, 95% CI 3.43, 5.46; OR=3.35, 95% CI 2.64, 4.24).
CONCLUSIONS: Burnout, work overload and work-life imbalance were prevalent among Chinese medical personnel but varied considerably by clinical specialty. Burnout may be reduced by decreasing work overload and promoting work-life balance across different specialties.