摘要
目的:了解医院感染管理专职人员职业倦怠现状和职业不稳定因素,探讨职业倦怠与职业不稳定因素的关系。方法:采用分层随机抽样法,选择陕西省咸阳市29所二级及以上医院52名医院感染管理专职人员作为研究对象,制作职业倦怠、职业不稳定因素调查表进行调查。结果:共发放调查问卷52份,收回有效问卷46份,有效回收率为88.46%。医院感染管理专职人员职业倦怠发生率为95.65%,其中轻度倦怠占34.78%、中度倦怠占47.83%、重度倦怠占13.04%。从职业倦怠各维度分析,情感耗竭、人格解体和成就感降低维度超过临界值的比例分别为10.87%、52.17%和89.13%,随着职业倦怠程度的增加,情感耗竭和人格解体超临界值发生率有增加的趋势(P<0.01)。职业不稳定因素前3位为工作压力大(91.30%)、领导重视不够(78.26%)和待遇低(63.04%)。秩相关分析显示,院感工作兴趣与情感耗竭呈负相关关系(P<0.05),领导重视不够与成就感降低呈正相关关系(P<0.05)。多元回归分析表明,院感工作兴趣对情感耗竭维度的作用最大(β=-0.450,P<0.01),领导重视不够对成就感降低维度和职业倦怠的作用最大(β=0.273、-0.291,P<0.10和P=0.05)。结论:咸阳市医院感染管理专职人员职业倦怠发生率较高,职业倦怠的发生与工作压力大、领导重视不够有关。
Objective:To know the job burnout and factors of occupational instability among full-time personnel of infection management,and explore the relationship between job burnout and the factors of occupational instability.Methods:The job burnout and occupational instability factors in 52 full-time staff of nosocomial infection management from 29 secondary and tertiary hospitals in Xianyang were investigated using questionnaires according to the stratified random sampling method.Results:A total of 52 questionnaires were issued,46 of which were valid,and the effective recovery rate was 88.46%.The incidence rate of the job burnout in full-time staff of nosocomial infection management was 95.65%,which included the mild job burnout for 34.78%,moderate job burnout for 47.83%and severe job burnout for 13.04%.The proportions of the dimensionalities over critical value in emotional exhaustion,depersonalization and accomplishment reducing were 10.87%,52.17%and 89.13%,respectively.With the dimension of job burnout increasing,the incidence rates of emotional exhaustion and depersonalization exceeding critical value gradually increased(P<0.01).The top 3 of career instability factors were large work pressure(91.30%),lacking enough attention of leaders(78.26%)and low salary(63.04%).Rank correlation analysis showed that the nosocomial infection interest was negatively correlated with emotional exhaustion(P<0.05),and the lacking enough attention of leaders was positively correlated with accomplishment reducing(P<0.05).The multiple linear regression analysis showed that the effect of nosocomial infection management interest on the emotional exhaustion was the most(β=-0.450,P<0.01),and the effect of lacking enough attention of leaders on accomplishment reducing and job burnout was the most(β=0.273,-0.291,P<0.10 and P=0.05).Conclusions:The incidence rate of job burnout among full-time staff in nosocomial infection management in Xianyang is high,and the occurrence of job burnout is related to large work pressure and lacking enough attention of leaders.
作者
张志刚
魏秋霞
魏巧妙
杨致霈
韩梅
ZHANG Zhi-gang;WEI Qiu-xia;WEI Qiao-miao;YANG Zhi-pei;HAN Mei(School of Public Health,Shanxi University of Chinese Medicine,Xianyang Shanxi 712046;Department of Nosocomial Infection Management,The Affiliated Hospital of Shanxi University of Chinese Medicine,Xianyang Shanxi 712000;Department of Information and Statistics,Qingdao Women and Children Hospital,Qingdao Shandong 266034,China)
出处
《蚌埠医学院学报》
CAS
2020年第2期252-255,共4页
Journal of Bengbu Medical College
基金
陕西省咸阳市科技成果推广计划(2016KT-25)。
关键词
医院感染
专职人员
职业倦怠
职业稳定性
nosocomial infection
full-time staff
job burnout
occupation stability
作者简介
张志刚(1984-),男,硕士,讲师;通信作者:韩梅,统计师.E-mail:lzuzzg@163.com。
