儿外科医师职业紧张现状与对策研究

职业与健康 ›› 2023, Vol. 39 ›› Issue (19): 2677-2680.

儿外科医师职业紧张现状与对策研究

金明均, 崔得利, 吴文, 董亮, 刘薇

天津市儿童医院外科,天津 300074

收稿日期:2023-01-30 修回日期:2023-02-27 出版日期:2023-10-01 发布日期:2026-03-26
通信作者: 刘薇,主任医师,E-mail：Lance1971@163.com
作者简介:金明均,男,副主任医师,主要从事儿科普外科微创工作。

Study on current situation and countermeasures of occupational stress among pediatric surgeons in Tianjin

JIN Mingjun, CUI Deli, WU Wen, DONG Liang, LIU Wei

Department of General Surgery,Tianjin Children's Hospital,Tianjin 300074,China

Received:2023-01-30 Revised:2023-02-27 Online:2023-10-01 Published:2026-03-26
Contact: LIU Wei,Chief physician,E-mail：Lance1971@163.com

摘要/Abstract

摘要： 目的了解儿外科医师职业紧张现状及其影响因素,为减轻儿外科医师面临的工作压力,保护心理健康水平提供参考依据。方法于2020—2021年选取天津市三级甲等医院在职儿外科医师作为调查对象,通过问卷调查的方式了解个人基本情况、职业紧张情况、生活满意度、疲劳蓄积程度、职业紧张影响因素等情况,并进行分析提出相应的对策。结果共调查97人,其中职业紧张检出率为58.76%,生活满意度较低检出率为30.93%,疲劳蓄积检出率为91.75%。Logistic 回归分析显示,年龄、生活满意度、疲劳蓄积是职业紧张的影响因素（均P<0.05）。结论儿外科医师职业紧张状况不容忽视,应及时采取有效措施改善儿外科医师的心理状况,以便更好的为患儿服务。

关键词: 儿外科医师, 职业紧张, 生活满意度, 疲劳蓄积, 对策

Abstract: Objective To understand the occupational stress status and influencing factors of pediatric surgeons,provide a basis for reducing the work pressure faced by pediatric surgeons and protecting their mental health. Methods The in-service pediatric surgeons ingrade-A tertiary hospitals in Tianjin were selected from 2020 to 2021 as the survey objects. The basic situation of individuals,occupational stress,life satisfaction,fatigue accumulation,and influencing factors of occupational stress were obtained through questionnaires,and were analyzed to propose the corresponding countermeasures. Results A total of 97 objects were investigated,the detection rate of occupational stress was 58.76%,the detection rate of low life satisfaction was 30.93%,and the detection rate of fatigue accumulation was 91.75%. The logistic regression analysis showed that age,life satisfaction,and fatigue accumulation were the influencing factors of occupational stress（all P<0.05）. Conclusion The occupational tension of pediatric surgeons cannot be ignoredand and effective measures should be taken in time to improve the psychological status of pediatric surgeons in order to better serve children.

Key words: Pediatric surgeon, Occupational stress, Life satisfaction, Fatigue accumulation, Countermeasures

中图分类号:

R181.3⁺1

金明均, 崔得利, 吴文, 董亮, 刘薇. 儿外科医师职业紧张现状与对策研究. [J]职业与健康, 2023, 39(19): 2677-2680.

JIN Mingjun, CUI Deli, WU Wen, DONG Liang, LIU Wei. Study on current situation and countermeasures of occupational stress among pediatric surgeons in Tianjin. [J]OCCUPATION AND HEALTH, 2023, 39(19): 2677-2680.

参考文献

[1] 国家卫生健康委员会.中国卫生健康统计年鉴[M].北京:中国协和医科大学出版社.2019:25-42.
[2] 秦晓强,毛军胜,杜仁龙,等.2010—2015年我国儿科医生资源配置状况动态分析[J].中华医院管理杂志,2017,33(9):662-665.
[3] 魏万宏,李莹,陈苗苗.儿科医护人员遭受工作场所暴力与职业紧张现状及其相关性分析[J].现代预防医学,2021,48(22):4068-4072.
[4] 袁静,赵琼姝,刘锦钰,等.儿科医患沟通及其影响因素探讨[J].中国医学伦理学,2021,34(2):162-167.
[5] 卢武红,张文倩,高雅婷,等.脑力劳动人群职业紧张现状及其影响因素[J]. 工业卫生与职业病,2019,45(6):454-459.
[6] 李为翊,张博,马立人,等.新冠疫情防控期间社区医务人员职业紧张及影响因素分析[J].职业与健康,2022,38(12):1600-1605.
[7] 马博源,孔田甜,梅梅,等.新疆医务行政工作人员工作满意度与职业紧张的关系分析[J].职业与健康,2022,38(10):1329-1332.
[8] 靳淑雁,张建明.深圳市医务人员职业紧张对生命质量影响的路径分析[J].实用预防医学,2021,28(10):1165-1168.
[9] 刘妍,祝想玲,王玲.职业紧张和医患关系对医务人员抑郁倾向的影响[J].工业卫生与职业病,2020,46(4):268-270,273.
[10] LI L,WAN C L,DING R,et al.Mental distress among Liberian medical staff working at theChina Ebola Treatment Unit:a cross sectional study[J].J Health Qual Life Out,2015,13(1):1562-1566.
[11] 张俊青,李晓铷,孙锋,等.突发公共事件中公众危机干预现状及需求分析[J].中国健康教育,2010,26(7):497-500.
[12] 陈建国,闵明,尹兴国,等.新型冠状病毒肺炎疫情下成都市青白江区医务人员心理焦虑状况调查及影响因素分析[J].山东医药,2020,60(9):70-72.
[13] 高深甚,陶永琳.上海市某医院儿科专业技术队伍压力状况分析[J].医学与社会,2015,28(10):82-84.
[14] 魏万宏,宋晓启,郭敏.郑州市儿科医生和护士职业紧张状况对生活质量的影响[J].医学与社会,2020,33(4):118-121.
[15] 林贞,何敏,詹鋆.大学生体象与抑郁、生活满意度[J].中国健康心理学杂志,2013,21(1):141-144.
[16] 王素娟,张春光,杨坤,等.口腔科医护人员抑郁、生活满意度和心理健康的关系[J].中国健康心理学杂志,2021,29(10):1556-1560.
[17] 石建忠. 过度劳动理论与实践——国外经验、中国现状和研究展望[J].人口与经济,2019(2):105-118.
[18] 张晓慧,白庆峰,屈健强.处理好儿科医患关系的若干体会[J].中国医学伦理学,2002(3):42-49.
[19] 梁海燕,孙宁.国内外小儿外科专科医生培训的现状及展望[J].继续医学教育,2018,32(5):2-4.
[20] YUAN H F,XU W D,HU H Y.Young Chinese doctors and the pressure of publication[J].Lancet,2013,381(9864):e4.
[21] 姚新颖. 公立医疗机构儿科医生离职倾向与离职行为影响因素研究[D].广州:南方医科大学,2020.
[22] 袁静,赵琼姝,刘锦钰,等.儿科医患沟通及其影响因素探讨[J].中国医学伦理学,2021,34(2):162-167.
[23] 陈慧斯. 儿科医疗纠纷成因及医疗防御对策研究[D].长春:吉林大学,2011.
[24] 郑文哲,王水嫩.快乐医疗理念的产生及构建原则[J].中华医院管理杂志,2004,20(7):46-48.
[25] 刘丰,林涛,何大维.医患沟通在小儿外科临床实习教学中的应用和探讨[J].西北医学教育,2013,21(3):619-621.
[26] 李万富,樊枷榕,梁挺,等.小儿外科住院医师临床交流技能培训研究[J].中国继续医学教育,2019,11(27):30-32.
[27] 陈与丰,江月,袁和静,等.医务人员职业安全状况调查及其保障机制研究[J].中国医学伦理学,2020,33(10):1222-1227.