摘要
职业倦怠是指职业人群由于长期面临情感和人际压力而产生的认知与情感反应。医护人员是职业倦怠的高发群体,全科医生的职业倦怠现象普遍而严重。我国基层医疗机构的全科医生职业倦怠阳性检出率为43.22%~96.47%,中、重度比例较高。家庭医生职业倦怠的影响因素包括年龄、轮班情况、社会支持和职业紧张水平等。职业倦怠直接影响全科医生的服务质量,同时与隐性缺勤、离职意愿、心理健康状态等密切相关。巴林特小组工作聚焦医患关系的讨论,改善医患沟通能力,缓解职业压力,提高医务人员心理健康水平。新型冠状病毒肺炎疫情期间,在线开展巴林特小组工作得到参加者的认可,其可以缓解职业压力和提高共情能力等,疫情期间可以作为线下面对面小组工作的扩展,今后也可以成为长期的工作形式,与传统形式的现场巴林特小组工作互相补充并推广。建议针对全科医生开展巴林特小组工作培训和线上、线下的小组工作,以改善职业倦怠,提高职业支持,促进心理健康,提升家庭医生职业素养,促进社区卫生服务发展。
Occupational burnout refers to the cognitive and emotional response of professional people due to long-term emotional and interpersonal pressure.Medical staff is a group with a high incidence of occupational burnout,and occupational burnout among general practitioners is widespread and serious.The positive rate of occupational burnout among general practitioners in primary medical institutions in China is 43.22%-96.47%,with a high proportion of moderate to severe cases.The influencing factors of family doctor’s occupational burnout include age,shift status,social support and occupational stress level.Occupational burnout directly affects the service quality of general practitioners,and is also closely related to hidden absenteeism,willingness to quit,and mental health status.The work of the Balint group focuses on the discussion of the doctor-patient relationship,improves doctorpatient communication ability,relieves professional pressure,and improves the mental health of medical staff.During the COVID-19 pandemic, the online Balint group work has been recognized by the participants. It can relieve occupational pressure and improve empathy.During the pandemic,it can be used as an extension of offline face-to-face group work,and also can become a long-term work format in the future.It complements and promotes traditional forms of live Balint group work.It is recommended that general practitioners can be trained in the work of the Balint group and are subject to online and offline group word,so as to improve occupational burnout, enhance professional support, promote mental health, improve the professional quality of family doctors,and promote the development of community health services.
作者
王敬丽
郁晴文
黄正一
陶剑文
戴俊明
何燕玲
王一波
Wang Jing-li;Yu Qing-wen;Huang Zheng-yi;Tao Jian-wen;Dai Jun-ming;He Yan-ling;Wang Yi-bo(Dachang Community Health Service Center of Baoshan District of Shanghai,Shanghai 200442,China;Department of Preventive Medicine and Health Education,School of Public Health,Fudan University,Shanghai 200032,China;Department of Psychiatry,Shanghai Mental Health Center,Shanghai 200032,China;Department of Cardiology,Huangpu Branch of the Ninth People's Hospital Affiliated to Shanghai Jiaotong University School of Medicine,Shanghai 200011,China)
出处
《中国社区医师》
2022年第10期162-164,共3页
Chinese Community Doctors
基金
黄浦区卫生健康系统科研项目(HKM201908)。
关键词
全科医生
职业倦怠
巴林特小组工作
General practitioner
Occupational burnout
Balint group work
