摘要
目的了解我院精神科医护人员的职业倦怠、社会支持及抑郁情绪状况及相关因素。方法采用工作倦怠量表(MBI-GS)、社会支持评定量表(SSRS)及Zung氏抑郁自评量表(SDS)随机选择122名在本院精神科临床一线工作的医护人员为研究对象进行问卷调查。结果 MBI-GS量表评分发现,男性成就感低落因子得分高于女性,初级职称者的成就感低落因子分及工作倦怠总分均高于中级以上职称者,差异有统计学意义(P<0.05);SDS量表评分发现,受教育程度为专科者的SDS总分高于本科及以上者,初级职称者的SDS总分明显高于中级及以上者,护士的SDS总分明显高于医生,差异均有统计学意义(P<0.05);SSRS量表评分发现,未婚者的客观支持因子分及社会支持总分均明显低于已婚者,差异有统计学意义(P<0.05)。医护人员职业倦怠各维度与主观满意度的相关性分析发现,健康状况及收入状况与医护人员的情绪衰竭程度呈一定的相关性(P<0.05);收入状况及人际关系状况与医护人员玩世不恭程度呈一定的相关性(P<0.05);收入状况、家庭状况及人际关系与医护人员成就低落感程度呈一定的相关性(P<0.05)。结论精神科医护人员中男性及初级职称者更容易出现成就感低落,初级职称者甚至更容易发生工作倦怠;未婚者得到的社会支持较少;受教育程度较低、初级职称及护士的抑郁程度高于其他群体。这提示医院管理者应更多关心男性、初级职称、未婚、受教育程度低及护士的身心健康。
Objective To investigate the condition of job burnout,social support,depression and related factors in the psychiatric hospital. Methods 122 staffs,clinical psychiatric hospital frontline health care workers,were randomly selected to conducted for the study Questionnaire Using Maslach Burnout Inventory（ MBI-GS）,Social Support Rating Scale（ SSRS） and Zung＇s Self-Rating Depression Scale（ SSRS）. Results MBI-GS scale scores found that accomplishment depression scores of male were higer than women. a sense of accomplishment low junior titles and job burnout factor scores were higher than mid-level titles,the difference was statistically significant（ P〈0. 05）; SDS scale scores found that educational attainment of specialist who score higher than the undergraduate and above,junior titles of SDS scores were significantly higher than the mid-level and above,nurses SDS score was significantly higher than doctors,differences were statistically significant（ P〈0. 05）; SSRS scale scores found that unmarried objective support and social support factor of scores were significantly lower than married persons,the difference was statistically significant（ P〈0. 05）. Correlation analysis of Medical staff burnout dimensions found that subjective satisfaction,health status and emotional exhaustion income had a certain correlation with medical personnel（ P〈0. 05）; and interpersonal income status had a certain correlation with health care degree of cynicism（ P〈0. 05）; income status,family status and personal relationships with the medical staff had low degree of correlation with a certain sense of accomplishment（ P〈0. 05）. Conclusion Psychiatric medical staff in men and junior titles were more prone to low achievement,junior titles were more prone to burnout; unmarried worker had less social support; level of depression of low level of education,junior titles and nurses were higher than other groups.This suggested that hospital administrators should be more concerned about the men,junior,unmarried,less educated,and physical and mental health of nurses.
出处
《四川医学》
CAS
2015年第12期1688-1691,共4页
Sichuan Medical Journal
