中华行为医学与脑科学杂志
中華行為醫學與腦科學雜誌
중화행위의학여뇌과학잡지
CHINESE JOURNAL OF BEHAVIORAL MEDICINE AND BRAIN SCIENCE
2013年
7期
640-642
,共3页
医疗急救人员%职业倦怠%社会心理因素%通径分析
醫療急救人員%職業倦怠%社會心理因素%通徑分析
의료급구인원%직업권태%사회심리인소%통경분석
First aid medical staff%Job burnout Psychosocial factors%Path analysis
目的 探讨医疗急救人员职业倦怠的影响因素及其相互作用.方法 通过504例医疗急救人员职业倦怠状况及相关社会心理因素的调查,采用多因素逐步分析和通径分析的方法研究社会心理影响因素的作用方式和途径.结果 (1)多因素逐步回归分析结果表明,工作超负荷、工作应激、工作-家庭冲突、工作满意度和消极应付方式先后进入回归方程(F=90.562,P=0.001)；(2)路径分析结果表明,工作超负荷是医疗急救人员工作应激的主要来源,工作应激可以直接和通过间接作用影响医疗急救人员的职业倦怠；工作-家庭冲突、工作满意度是影响职业倦怠的中间因素,具有直接作用和间接作用两个方面；消极应付方式是工作应激影响职业倦怠的中间环节.结论 降低医疗急救人员的工作强度、改变其不良应付方式可能是预防职业倦怠的根本途径.
目的 探討醫療急救人員職業倦怠的影響因素及其相互作用.方法 通過504例醫療急救人員職業倦怠狀況及相關社會心理因素的調查,採用多因素逐步分析和通徑分析的方法研究社會心理影響因素的作用方式和途徑.結果 (1)多因素逐步迴歸分析結果錶明,工作超負荷、工作應激、工作-傢庭遲突、工作滿意度和消極應付方式先後進入迴歸方程(F=90.562,P=0.001)；(2)路徑分析結果錶明,工作超負荷是醫療急救人員工作應激的主要來源,工作應激可以直接和通過間接作用影響醫療急救人員的職業倦怠；工作-傢庭遲突、工作滿意度是影響職業倦怠的中間因素,具有直接作用和間接作用兩箇方麵；消極應付方式是工作應激影響職業倦怠的中間環節.結論 降低醫療急救人員的工作彊度、改變其不良應付方式可能是預防職業倦怠的根本途徑.
목적 탐토의료급구인원직업권태적영향인소급기상호작용.방법 통과504례의료급구인원직업권태상황급상관사회심리인소적조사,채용다인소축보분석화통경분석적방법연구사회심리영향인소적작용방식화도경.결과 (1)다인소축보회귀분석결과표명,공작초부하、공작응격、공작-가정충돌、공작만의도화소겁응부방식선후진입회귀방정(F=90.562,P=0.001)；(2)로경분석결과표명,공작초부하시의료급구인원공작응격적주요래원,공작응격가이직접화통과간접작용영향의료급구인원적직업권태；공작-가정충돌、공작만의도시영향직업권태적중간인소,구유직접작용화간접작용량개방면；소겁응부방식시공작응격영향직업권태적중간배절.결론 강저의료급구인원적공작강도、개변기불량응부방식가능시예방직업권태적근본도경.
Objective To analyze the psychosocial influential factors on job burnout and their interaction models in first aid medical staff.Method A survey was carried out concerning job burnout status,job stress,job overload,work-family conflict,overall job satisfaction,coping styles and social support in 504 first aid medical staffs,by which to seek the psychosocial influential factors of job burnout status and explore their interaction models using stepwise multivariable regression and path analysis.Result (1) The stepwise multivariable regression on the job burnout showed that job overload,work stress,work-family conflict,overall work satisfaction and negative coping style were the key social-psychological influential factors in job burnout(F =90.562,P =0.001).(2) The path analysis showed that the job overload was the major event caused the work stress,and work stress played a direct and indirect roles in the level of job burnout in first aid medical staff,and the work-family conflict and overall work satisfaction was disposition factors of job burnout with direct actions and indirect actions.The negative coping style was an intermedium link between work stress and job burnout.Conclusion Decrease of work intensity and change of bad coping styles can be effective on job burnout in first aid medical staff.
