CAJ | 학술논문

目的：探讨边疆少数民族地区医务人员职业倦怠特点。方法采用Maslach职业倦怠量表（MBI-GS），对云南省普洱市不同等级医疗卫生机构906名医务人员进行调查，比较不同人员职业倦怠特点，采用描述性统计、t检验、卡方检验、单因素方差分析及LSD-t进行两两比较。结果①边疆少数民族地区医务人员情感衰竭、玩世不恭和成就感低落均分为（1.55±1.40、0.99±1.29、2.47±1.98），明显低于一般地区；②不同等级医院医务人员情绪衰竭、玩世不恭得分和Maslach工作倦怠问卷（Maslach Burnout Inventory,MBI）总分由高到低依次是：市级、县级、乡（镇）级，差异有统计学意义（P=0.000，0.000，0.000）；③女性医务人员情绪衰竭和玩世不恭得分高于男性医务人员，差异有统计学意义（P=0.000，0.025）；④本科医务人员情绪衰竭、玩世不恭、成就感低落得分和MBI总分高于专科和中专及以下者，差异有统计学意义（P=0.000，0.000，0.000，0.012）；⑤拉祜族医务人员成就感低落得分高于其他民族，差异有统计学意义（P=0.009）。结论少数民族地区医务人员存在一定程度的工作倦怠，呈现明显的性别、学历、医院等级及民族特点。
목적：탐토변강소수민족지구의무인원직업권태특점。방법채용Maslach직업권태량표（MBI-GS），대운남성보이시불동등급의료위생궤구906명의무인원진행조사，비교불동인원직업권태특점，채용묘술성통계、t검험、잡방검험、단인소방차분석급LSD-t진행량량비교。결과①변강소수민족지구의무인원정감쇠갈、완세불공화성취감저락균분위（1.55±1.40、0.99±1.29、2.47±1.98），명현저우일반지구；②불동등급의원의무인원정서쇠갈、완세불공득분화Maslach공작권태문권（Maslach Burnout Inventory,MBI）총분유고도저의차시：시급、현급、향（진）급，차이유통계학의의（P=0.000，0.000，0.000）；③녀성의무인원정서쇠갈화완세불공득분고우남성의무인원，차이유통계학의의（P=0.000，0.025）；④본과의무인원정서쇠갈、완세불공、성취감저락득분화MBI총분고우전과화중전급이하자，차이유통계학의의（P=0.000，0.000，0.000，0.012）；⑤랍호족의무인원성취감저락득분고우기타민족，차이유통계학의의（P=0.009）。결론소수민족지구의무인원존재일정정도적공작권태，정현명현적성별、학력、의원등급급민족특점。
Objective To explore the status of job burnout of medical staffs in minority border areas. Methods A total of 906 medical personnel from Pu'er hospitals in Yunnan Province were as-sessed with Maslach Burnout Inventory General Survey (MBI-GS) by t test, descriptive statistics, chi-square test, ANOVA and LSD-t pairwise comparison. Results ①The emotional exhaustion, cynicism and reduced personal accomplishment of medical staffs in minority border areas (1.55±1.40, 0.99± 1.29, 2.47±1.98) are significantly lower than general areas (P=0.000, 0.010, 0.000); ②emotional ex-haustion, cynicism and Maslach Burnout Inventory (MBI) total points of different levels of hospital medi-cal staff, the score of which in descending order are:municipal, county and township (town) levels (P=0.000, 0.000, 0.000); ③Female medical personnel's emotional exhaustion and cynicism are scored significantly higher than males medical staff (P=0.000, 0.025); ④The scores of emotional exhaustion, cynicism, reduced personal accomplishment and MBI total points of Bachelor medical staff are signifi-cantly higher than those of colleges as well as secondary schools and below (P=0.000, 0.000, 0.000, 0.012); ⑤The scores of reduced personal achievement of Lahu medical staff are higher than those of other ethnic groups (P=0.009). Conclusion In medical staffs in minority border areas there exists a certain extent of job burnout, which presents differences among genders, educational background, hos-pitals and ethnic groups.