摘要
目的:调查企业员工工作倦怠者的功能性躯体不适状况,探讨工作倦怠与功能性躯体不适的关系。方法:采用招募方式在广州市共纳入217名企业员工,采用Maslach工作倦怠量表通用版(MBI-GS)和病人健康问卷(PHQ-15)评定工作倦怠以及功能性躯体不适状况。根据M BI-GS总分(总分0～1.49分为无倦怠,1.50～6分为倦怠)将入组对象分为倦怠组与非倦怠组。结果:非倦怠组(n=96)中存在轻度以上功能性躯体不适症状者占35.4%,倦怠组(n=121)占71.0%;倦怠组PHQ-15总分及胃痛、背痛、四肢或关节痛、胸痛、心慌、气短、性生活异常、大便异常、消化系统不适、疲劳感和睡眠困难症状分均高于非倦怠组(均P<0.05);MBI-GS总分及情感衰竭维度分与胃痛、背痛、四肢关节疼痛、胸痛、心慌、气短、大便异常、消化系统不适、疲劳或精力不足和睡眠困难症状分均呈正相关(r=0.13～0.52,P<0.05)。多元线性回归分析显示,情感衰竭(β=0.41,95%CI:0.83～1.51)和女性(β=0.23,95%CI:0.89～2.91)为功能性躯体不适的相关因素(R2=0.22)。结论:工作倦怠者的功能性躯体不适症状严重而广泛,主要表现为疲劳感、疼痛、大便异常和消化系统不适症状。功能性躯体不适症状与情感衰竭维度关系密切。
Objective： To investigate the relationship between somatic complaints and job burnout in employees. Methods： In this cross-sectional study, 217 employees were selected and completed the Maslach Burnout Inven- tory-General Survey （MBI-GS） and Patient Health Questionnaire （PHQ-15） to assess the level of job burnout and somatic complaints. They were divided into burnout group （ MBI-GJ total score I〉 1.50） and non-burnout group according to the job burnout scores. Results： There were 121 subjects in burnout group, while 96 subjects in non-bumout group. The percentage of subjects with somatic complaint was 35.4% in non-burnout group, while 71.0% in burnout group. The PHQ-15 total scores, stomach pain, back pain, pain in arms/legs/joints, chest pain, heart pound or race, shortness of breath, sexual problems, abnormal stool, digestive discomfort, feeling tired and trouble sleeping were significantly higher in burnout group than in non-burnout group （ Ps 〈 0. 05）, but there was no significant difference on menstrual cramps, headaches, dizziness, fainting spells between the 2 groups （ P 〉 0. 05）. In all three factors of job burnout, emotional exhaustion （EX） was the most important one regarding to the PHQ-15 and almost all its variables （r =0. 13 - 0. 52, P 〈 0. 05）, and feeling tired had a moderate correlation with it （ r = 0. 52, P 〈 0. 01）. Multiple linear regression showed that EX （β =0. 41,95% CI： 0. 83 - 1.5l） and female gender （β =0. 23, 95% CI： 0. 89 -2. 91） were the potential risk factor of somatic complaints （R2 = 0. 22）. Conclusion： The findings indicate there are more somatic complaints in burnout people, mainly appears as symptoms of feeling tired, abhormal stool, digestive discomfort and pain on body. Emotional exhaustion may be a potential risk factor of somatic complaints in burnout employees.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2011年第10期783-787,共5页
Chinese Mental Health Journal
基金
广东省科技计划项目(2007B031512006)
作者简介
通信作者：许明智Mingzhixu@126．com
