摘要
目的了解重庆市结核病防治医务人员职业倦怠现状及分布,为改善结核病防治工作提供参考。方法2021年9月至2022年5月间,采用分层整群随机抽样,调查重庆市16个区县疾控机构、定点医院及基层医疗机构从事结核病防治工作的医务人员,采用Maslach职业倦怠量表服务版(Maslach Burnout Inventory-Human Service Survey,MBI-HSS)测量职业倦怠程度,采用多项Logistics回归分析职业倦怠在结核病防治医务人员中的分布。结果重庆市结核病防治医务人员职业倦怠率为66.8%(761人),其中轻度31.9%(364人)、中度26.2%(299人)、重度8.6%(98人)。多项Logistics回归分析结果显示:自觉健康状况不好者较良好者更易发生轻度倦怠(OR:2.68,95%CI:1.40~5.13)和中度倦怠(OR:3.50,95%CI:1.77~6.93),自觉健康状况一般者较良好者更易发生中度倦怠(OR:1.81,95%CI:1.28~2.58)和重度倦怠(OR:1.95,95%CI:1.19~3.22);未婚者较离婚/丧偶者更易发生轻度倦怠(OR:3.27,95%CI:1.18~9.12)和中度倦怠(OR:8.96,95%CI:2.64~30.45);村卫生室人员与疾控机构(OR:0.38,95%CI:0.17~0.84)相比更易发生中度倦怠。结论重庆市结核病防治医务人员职业倦怠率较高,其中自觉健康状况不良好者、未婚人员及村卫生室人员职业倦怠不同程度偏高。
ObjectiveTo investigate the current status and distribution of job burnout among medical personnel in tuberculosis prevention and treatment of Chongqing,and provide suggestion for improving tuberculosis prevention and treatment.MethodsFrom September 2021 to May 2022,stratified cluster random sampling was used to investigate medical personnel engaged in tuberculosis prevention and treatment in 16 districts and counties of Chongqing Maslach Burnout Inventory-Human Service Survey(MBI-HSS)was used to measure the degree of job burnout,and multiple logistics regression was used to analyze the distribution of burnout among medical personnel in tuberculosis prevention and treatment.ResultsAmong 1194 participants in tuberculosis prevention and treatment,761 found to have different levels of burnout,among which 364(31.9%)were mild burnout,299(26.2%)were moderate burnout and 98(8.6%)were severe burnout.Compared with those who perceived themselves in good health,medical personnel who perceived their health as poor were more likely to experience mild(OR:2.68,95%CI:1.40~5.13)to moderate burnout(OR:3.50,95%CI:1.77~6.93)and those who perceived their health as average were more likely to experience moderate(OR:1.81,95%CI:1.28~2.58)to severe burnout(OR:1.95,95%CI:1.19~3.22).The unmarried were more likely to experience mild(OR:3.27,95%CI:1.18~9.12)and moderate burnout(OR:8.96,95%CI:2.64~30.45)than those who got divorced.The medical personnel in village clinics were more prone to moderate burnout than those in centers of disease control and prevention(OR:0.38,95%CI:0.17~0.84).ConclusionThe rate of job burnout is relatively high among medical personnel of tuberculosis prevention and treatment in Chongqing.Those medical personnel who perceived their health status are not good,got unmarried and worked in village clinic are more likely to experience different levels of job burnout.
作者
王赓
张婷
汪清雅
黄鹤翔
李金
周佳妮
张锐
黄春基
李颖
WANG Geng;ZHANG Ting;WANG Qingya;HUANG Hexiang;LI Jin;ZHOU Jiani;ZHANG Rui;HUANG Chunji;LI Ying(Department of Social Medicine and Health Service Management,Faculty of Military Preventive Medicine,Army Medical University(Third Military Medical University),Chongqing,400038;Institute of Tuberculosis Prevention and Treatment of Chongqing,Chongqing,400050,China;Public Administration Center,Army Medical University(Third Military Medical University),Chongqing,40003)
出处
《陆军军医大学学报》
CAS
CSCD
北大核心
2023年第6期586-592,F0003,共8页
Journal of Army Medical University
基金
重庆市杰青基金(cstc2020jcyj-jqX0007)
国家自然基金面上项目(81773489)。
关键词
职业倦怠
结核病
医务人员
现状
分布
job burnout
tuberculosis
medical personnel
current status
distribution
