CAJ | 학술논문

目的：了解江西省美沙酮维持治疗门诊（以下简称 MMT 门诊）工作人员的职业倦怠现状及其相关影响因素，为有效降低职业倦怠和改善其身心健康提供依据。方法采用定量问卷调查法对江西省所有 MMT 门诊工作人员进行普查，职业倦怠影响因素采用χ2检验、非条件 Logistic 回归进行分析。结果江西省124名 MMT 门诊工作人员的职业倦怠发生率为48．39％，以轻度职业倦怠为主占45．97％，中度职业倦怠占2．42％，未见重度职业倦怠情况出现。工作倦怠状态以情感衰竭为主。单因素研究结果显示，年龄和工作年限对情感衰竭维度有一定影响，30～39岁年龄段、工作年限4～6年的工作人员情感衰竭倦怠情况显著（P ＜0．05）。多元逐步非条件 Logistic回归结果显示，学历、月平均收入对 MMT 门诊工作人员的职业倦怠有影响，学历越低、月收入越高，越容易发生职业倦怠。结论江西省 MMT 门诊工作人员整体处于轻度工作倦怠状态，主要表现为情感衰竭。提示应重点关注较年轻、工作年限相对较少、学历低和月收入高者等人群，并同时进行相应干预。
목적：료해강서성미사동유지치료문진（이하간칭 MMT 문진）공작인원적직업권태현상급기상관영향인소，위유효강저직업권태화개선기신심건강제공의거。방법채용정량문권조사법대강서성소유 MMT 문진공작인원진행보사，직업권태영향인소채용χ2검험、비조건 Logistic 회귀진행분석。결과강서성124명 MMT 문진공작인원적직업권태발생솔위48．39％，이경도직업권태위주점45．97％，중도직업권태점2．42％，미견중도직업권태정황출현。공작권태상태이정감쇠갈위주。단인소연구결과현시，년령화공작년한대정감쇠갈유도유일정영향，30～39세년령단、공작년한4～6년적공작인원정감쇠갈권태정황현저（P ＜0．05）。다원축보비조건 Logistic회귀결과현시，학력、월평균수입대 MMT 문진공작인원적직업권태유영향，학력월저、월수입월고，월용역발생직업권태。결론강서성 MMT 문진공작인원정체처우경도공작권태상태，주요표현위정감쇠갈。제시응중점관주교년경、공작년한상대교소、학력저화월수입고자등인군，병동시진행상응간예。
ABSTRACT:Objective To explore the status of occupational burnout and its influencing factors in staff of methadone maintenance treatment(MMT)clinics in Jiangxi province,and to provide a basis for effectively reducing occupational burnout and improving their physical and psychological health.Methods The medical staff of MMT clinics were surveyed using the quantitative ques-tionnaire.The factors influencing occupational burnout were analyzed usingχ2 test and uncondi-tional logistic regression.Results The prevalence of occupational burnout was 48.39% among the 124 staff of MMT clinics.The mild and moderate burnout accounted for 45.97% and 2.42%, respectively.No severe burnout occurred in the staff.The main job burnout status was emotional exhaustion.Univariate study showed that the age and working time were related to the emotional exhaustion,which was obvious in clinic staff aged 30-39 years with 4-6 years of work experience (P <0.05).Multiple stepwise logistic regression showed that education background and average monthly income had influence on occupational burnout in staff of MMT clinics.The lower the ed-ucation and the higher the monthly income,the higher the incidence of occupational burnout.Con-clusion The staff of MMT clinics in Jiangxi province were overall in a state of mild job burnout, which mainly manifests as emotional exhaustion.The attention should be focused on the younger staff with shorter work time,lower education and higher monthly income,and the corresponding intervention should be perform to prevent and reduce occupational burnout.