【摘要】：背景： 醫(yī)生由于工作的性質(zhì)很易成為工作倦怠的高發(fā)群體,對其健康和家庭乃至事業(yè)的影響及危害不容忽視。特別是工作在基層醫(yī)療機構一線的醫(yī)務人員肩負著治病救人的任務,工作時間長,勞動強度密集,在體力和精力上往往比上級醫(yī)院的醫(yī)務人員承受更大的壓力。這一群體的心理壓力是多因素相互作用的復雜系統(tǒng)。但是,目前對于基層醫(yī)療機構一線醫(yī)務人員心理健康狀況和工作倦怠情況的研究,國內(nèi)外鮮有報道,所以當前有必要對這一群體的身心健康特點及其應對問題、社會支持、生活事件等有關應激因素的相關性作調(diào)查和研究分析。 目的： 通過對吉林省基層醫(yī)療機構一線醫(yī)務人員心理健康狀況、工作倦怠及其相關影響因素的研究,旨在了解吉林省基層醫(yī)療機構醫(yī)務人員心理健康狀況、工作倦怠的特點及其影響因素,為研究這一群體工作倦怠和心理健康問題積累經(jīng)驗,并為預防和進一步的干預措施提供參考。 方法： 參考《國家衛(wèi)生服務調(diào)查社區(qū)衛(wèi)生服務中心、鄉(xiāng)鎮(zhèn)/街道衛(wèi)生院調(diào)查表》和《國家衛(wèi)生服務調(diào)查社區(qū)衛(wèi)生服務站、村衛(wèi)生室調(diào)查表》制作調(diào)查問卷,利用此問卷和馬斯勒倦怠感量表對調(diào)查對象進行測查,測查結果分別采用t檢驗、方差分析、pearson相關分析進行統(tǒng)計學處理。 結果： 1.調(diào)查吉林省基層醫(yī)療機構醫(yī)務人員總數(shù)為1306人。收回有效問卷1192份,回收率91.27%。 2.工作倦怠在婚姻狀況方面的差異無統(tǒng)計學意義；而在年齡、技術職稱、健康行為、不良嗜好等方面的差異有統(tǒng)計學意義。 3.情緒衰竭、情感疏遠兩個維度與心理健康狀況呈顯著正相關,職業(yè)效能感低與心理健康狀況呈負相關,說明工作倦怠者易伴隨心理健康問題。 結論： 1.基層醫(yī)療機構醫(yī)務人員的總體心理健康狀況較差,工作倦怠程度較高。 2.人口統(tǒng)計學因素年齡、職稱、工齡、學歷等；不良行為因素吸煙、飲酒；健康行為因素；社會保障因素均在工作倦怠的某幾個維度產(chǎn)生影響。 3.有力的社會、組織支持可以減輕個體醫(yī)務工作者的工作倦怠體驗,改善心理健康狀況。
[Abstract]:Background: because of the nature of work, doctors can easily become a high incidence group of job burnout, and their health, family and even career impact and harm can not be ignored. Especially the medical personnel who work in the primary medical institutions shoulder the task of curing and rescuing the patients. The working hours are long and the intensity of labor is intensive. They often bear more pressure in physical strength and energy than the medical staff in higher hospitals. The psychological stress of this group is a complex system of multi-factor interaction. However, there are few reports at home and abroad on the psychological health status and job burnout of first-line medical personnel in primary medical institutions. Therefore, it is necessary to support the physical and mental health of this group and its coping problems. Life events and other related stress factors were investigated and analyzed. Objective: to study the mental health status, job burnout and related factors of the medical staff in primary medical institutions in Jilin Province, in order to understand the mental health status of medical staff in primary medical institutions in Jilin province. The characteristics of job burnout and its influencing factors can accumulate experience for the study of job burnout and mental health problems of this group and provide reference for prevention and further intervention. Methods: the questionnaire was made according to the questionnaire of the National Health Service Survey Community Health Service Center, Township / Street Health Center and the National Health Service Survey Community Health Service Station and Village Health Office. The questionnaire and Marsler Burnout scale were used to test the subjects. The results were analyzed by t test and Pearson correlation analysis. Results: 1. The total number of medical personnel in primary medical institutions in Jilin Province was 1306. 1192 valid questionnaires were collected, and the recovery rate was 91.27%. Job burnout had no significant difference in marital status, but significant difference in age, technical title, health behavior, bad habits and so on. The two dimensions of emotional exhaustion and emotional alienation were positively correlated with mental health status, and the low occupational efficacy was negatively correlated with mental health status, indicating that job burnout was liable to accompany mental health problems. Conclusion: 1. The general mental health status of medical personnel in primary medical institutions was poor, and the degree of job burnout was higher. 2. 2. Demographic factors, age, professional title, length of service, education, etc.; Bad behavioral factors smoking, drinking, health behavior factors, social security factors in a number of dimensions of job burnout. 3. Strong social, organizational support can reduce the individual medical workers' job burnout experience and improve their mental health.
【學位授予單位】：吉林大學
【學位級別】：碩士
【學位授予年份】：2011
【分類號】：R197.2;R395

【參考文獻】

相關期刊論文 前10條

1 詹承烈;勞動心理學研究及其名詞概念統(tǒng)一規(guī)范問題[J];勞動醫(yī)學;1999年01期

2 李永鑫;工作倦怠及其測量[J];心理科學;2003年03期

3 趙玉芳,張慶林;醫(yī)生職業(yè)倦怠研究[J];心理科學;2004年05期

4 李超平,時勘;分配公平與程序公平對工作倦怠的影響[J];心理學報;2003年05期

5 留嵐蘭,吳諒諒;“工作價值觀職務特征”匹配對工作倦怠的影響研究[J];應用心理學;2005年01期

6 胡容;急診科護士心理行為特征調(diào)查及其干預對策[J];中國行為醫(yī)學科學;1999年04期

7 李超平,時勘,羅正學,李莉,楊悅;醫(yī)護人員工作倦怠的調(diào)查[J];中國臨床心理學雜志;2003年03期

8 鐘霞,姜乾金,錢麗菊,吳志霞;醫(yī)務人員壓力反應與社會支持、生活事件、應對方式的相關研究[J];中國臨床心理學雜志;2005年01期

9 李超平,時勘,羅正學,楊悅,李莉;醫(yī)護人員工作家庭沖突與工作倦怠的關系[J];中國心理衛(wèi)生雜志;2003年12期

10 蔣獎,張西超,許燕;銀行職員的工作倦怠與身心健康、工作滿意度的探討[J];中國心理衛(wèi)生雜志;2004年03期

相關碩士學位論文 前1條

1 李元斌;臨床醫(yī)生與非臨床醫(yī)生工作倦怠及相關因素的調(diào)查[D];西南師范大學;2005年

，

本文編號：2144079