文章摘要
宁夏回族自治区麻醉医师职业倦怠现状调查
Current status of job burnout among anesthetists in Ningxia
  
DOI：10.12089/jca.2018.02.003
中文关键词: 麻醉医师  职业倦怠
英文关键词: Anesthetists  Burnout
基金项目:
作者单位E-mail
陈易 750004,银川市,宁夏医科大学总医院麻醉科  
邱玉雪 750004,银川市,宁夏医科大学总医院麻醉科  
王婷 宁夏医科大学研究生院  
李培姬 固原市人民医院麻醉科  
刘斌 750004,银川市,宁夏医科大学总医院麻醉科  
吴茜萍 宁夏回族自治区人民医院麻醉科  
徐向钊 宁夏回族自治区第五人民医院麻醉科  
杨立斌 石嘴山市第一人民医院麻醉科  
苗丽娜 750004,银川市,宁夏医科大学总医院麻醉科  
蔚静芳 750004,银川市,宁夏医科大学总医院麻醉科  
孟尽海 750004,银川市,宁夏医科大学总医院麻醉科 mengjinhai2616@163.com 
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中文摘要:
      目的 调查宁夏回族自治区麻醉医师职业倦怠的现状并评价其相关危险因素。方法 调查宁夏回族自治区30所公立医院的310名在职在岗麻醉医师, 采用职业倦怠量表(Maslach Burnout Inventory-Human Services Survey, MBI-HSS)进行测评。对与重度职业倦怠及职业倦怠3个维度(情感衰竭、去人性化和成就感低落)重度评级进行单因素分析及多元Logistic回归分析。结果 重度职业倦怠发生率为18例（5.81%）。职业倦怠3个维度重度评级发生率分别为134例（43.22%）、35例（11.29%）和128例（41.29%）。多元Logistic回归分析结果显示: 重度职业倦怠危险因素为受教育程度［硕士及以上学历(OR=4.695, 95%CI 1.556～14.172)］。职业倦怠3个维度重度评级危险因素分别为每周工作时间［40～60 h(OR=4.420, 95%CI 2.504～7.802);≥60 h(OR=7.469, 95%CI 1.758～31.733)］和医院级别［三级(OR=1.847, 95%CI 1.112～3.069)］;受教育程度［硕士及以上(OR=2.306, 95%CI 1.032～5.155)］、工作年限［6～15年(OR=0.358, 95%CI 0.135～0.949)］和年麻醉例数［≥390例(OR=3.352, 95%CI 1.301～8.639)］;医院级别［二级(OR=1.717, 95%CI 1.045～2.823)］。结论 宁夏回族自治区麻醉医师职业倦怠客观存在, 主要表现为情感衰竭及成就感低落。硕士以上学历麻醉医师更倾向于发生重度职业倦怠。
英文摘要:
      Objective To investigate the current status of job burnout among anesthetists in Ningxia and to analyze its related risk factors. Methods A total of 310 anesthetists from 30 public hospitals in Ningxia were conducted to collect data on the job burnout by Maslach Burnout Inventory-Human Services Survey (MBI-HSS). The factors associated with severe job burnout and its three domains (high emotional exhaustion, high depersonalization and low personal accomplishment) were included in the multinomial logistic regression analysis. Results The incidence of job burnout and its three domains (high emotional exhaustion, depersonalization and low personal accomplishment) were 18 (5.81%) cases, 134 (43.22%) cases, 35 (11.29%) cases and 128 (41.29%) cases, respectively. Multinomial logistic regression analysis results indicated that the risk degree associated with job burnout was master and higher degree (OR=4.695, 95%CI 1.556-4.172). The risk facts associated with three components of job burnout were work time per week ［40-60 h (OR=4.420, CI 2.504-7.802);≥60 h (OR=7.469, 95%CI 1.758-31.733)］ and tertiary hospital (OR=1.847, 95%CI 1.112-3.069); master and higher degree (OR=2.306, 95%CI 1.032-5.155), working years ［6-15 years (OR=0.358, 95%CI 0.135-0.949)］ and cases of anesthesia per year ［≥390 cases (OR=3.352, 95%CI 1.301-8.639)］; secondary hospital (OR=1.717, 95%CI 1.045-2.823). Conclusion This survey indicates that job burnout exists among anesthetists in Ningxia and is mainly displayed in emotional exhaustion and low personal accomplishment domains. Master and higher degree tend to occur serve job burnout.
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