CAJ | 학술논문

目的探讨医护人员职业倦怠与认知功能的关系以及职业倦怠的影响因素.方法对北京市某三甲医院197名医护人员进行问卷调查.以职业倦怠量表(MBI-GS)测量医护人员的职业倦怠程度;用认知功能量表(RBANS)评定总体认知功能和不同维度的认知情况.结果 (1)197名医护人员存在一定水平的职业倦怠,其中情绪衰竭维度得分较高(13.29±7.67).(2)高职业倦怠组(81.08± 12.34)的视觉广度得分低于低职业倦怠组(92.48±19.62),差异有统计学意义(P＜0.01),职业倦怠对认知功能有消极影响.(3)回归分析发现,无效能感与年龄呈负相关(r=-0.162,P＜0.05),职业倦怠与受教育程度(r=0.234,P＜0.05)、职业倦怠与运动情况(r=0.320,P＜0.01)、情绪衰竭与加班情况(r=0.135,P＜0.05)呈正相关;医护人员的职业倦怠水平高于医院行政人员,差异有统计学意义(t=2.966,P＜0.05).结论医护人员的职业倦怠水平较高,职业倦怠受职业类型、受教育程度、运动情况、加班情况以及年龄的影响,并会影响到视觉广度和总体的认知功能.
목적 탐토의호인원직업권태여인지공능적관계이급직업권태적영향인소.방법 대북경시모삼갑의원197명의호인원진행문권조사.이직업권태량표(MBI-GS)측량의호인원적직업권태정도;용인지공능량표(RBANS)평정총체인지공능화불동유도적인지정황.결과 (1)197명의호인원존재일정수평적직업권태,기중정서쇠갈유도득분교고(13.29±7.67).(2)고직업권태조(81.08± 12.34)적시각엄도득분저우저직업권태조(92.48±19.62),차이유통계학의의(P＜0.01),직업권태대인지공능유소겁영향.(3)회귀분석발현,무효능감여년령정부상관(r=-0.162,P＜0.05),직업권태여수교육정도(r=0.234,P＜0.05)、직업권태여운동정황(r=0.320,P＜0.01)、정서쇠갈여가반정황(r=0.135,P＜0.05)정정상관;의호인원적직업권태수평고우의원행정인원,차이유통계학의의(t=2.966,P＜0.05).결론 의호인원적직업권태수평교고,직업권태수직업류형、수교육정도、운동정황、가반정황이급년령적영향,병회영향도시각엄도화총체적인지공능.
Objective To explore the relationship between job burnout and cognitive function and the influencing factors of job burnout among medical staff.Methods Questionnaire survey was conducted for 197 medical workers in a grade-three general hospital in Beijing.Maslach Burnout Inventory-General Survey (MBI-GS) was carried out to assess the degree of job burnout among medical staff;Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) was used to evaluate the overall cognitive function and cognitive situations of different dimensions.Results (1) There was a certain level of job burnout among medical staff,especially for the emotional exhaustion dimension (13.29±7.67).(2) High level job burnout group (81.08± 12.34) scored lower on visual span than low level job burnout group (92.48±19.62),P＜0.05.Overall,job burnout had a negative influence on the general cognitive function (P＜0.05).(3) The results of regression analysis indicated that,inefficacy was negatively correlated with age (r=-0.162,P＜0.05).Job burnout was positively correlated with level of education (r=0.234,P＜0.05) as well as exercise frequency (r=0.320,P＜ 0.001),and emotional exhaustion was correlated with overtime work (r=0.135,P＜0.05);Level of job burnout stayed higher among doctors and nurses,compared with administration staff in hospitals (t=2.966,P＜0.05).Conclusion Job burnout of medical staff was relatively in high level;influenced by age,education level,overtime work,exercise frequency and occupational type,job burnout affected the visual span and general cognitive function.