贵阳市基层免疫规划人员职业倦怠现状及影响因素分析

职业与健康 ›› 2023, Vol. 39 ›› Issue (20): 2743-2748.

贵阳市基层免疫规划人员职业倦怠现状及影响因素分析

潘帝文¹, 高岚^1,2, 杨敬源¹, 汪聪智¹

1.贵州医科大学公共卫生与健康学院,环境污染与疾病监控教育部重点实验室,贵州贵阳 550025;
2.贵阳市疾病预防控制中心免规科,贵州贵阳 550025

收稿日期:2023-02-23 修回日期:2023-03-24 发布日期:2026-03-26
通信作者: 高岚,副主任医师,E-mail：524692010@qq.com
作者简介:潘帝文,女,在读公共卫生硕士研究生,研究方向为疾病预防与控制。
基金资助:
2021年贵阳市科协软科学研究课题项目（2021年立项第15号）

Analysis on job burnout and its influencing factors of grassroots immunization planners in Guiyang City

PAN Diwen¹, GAO Lan^1,2, YANG Jingyuan¹, WANG Congzhi¹

1. School of Public Health and Health,Guizhou Medical University,Key Laboratory of Environmental Pollution and Disease Monitoring of Ministry of Education,Guizhou Guiyang 550025,China;
2. Immune Planning Department,Guiyang Center for Disease Control and Prevention,Guizhou Guiyang 550025,China

Received:2023-02-23 Revised:2023-03-24 Published:2026-03-26
Contact: GAO Lan,Associate chief physician,E-mail：524692010@qq.com

摘要/Abstract

摘要： 目的了解贵阳市基层免疫规划人员的职业倦怠现状,分析个体因素、职业因素对倦怠水平的影响。方法采用普查的方式,以贵阳市辖区内社区卫生服务中心和乡镇卫生院所有从事免疫规划工作的医务人员作为调查对象,采用自行设计的问卷和职业倦怠量表进行调查,并对数据进行分析。结果贵阳市基层免疫规划人员职业倦怠检出率为57.29%。日均睡眠时间[6~7 h组（OR=0.317,95%CI：0.163~0.614）、>7~8 h组（OR=0.191,95%CI：0.092~0.398）、>8 h组（OR=0.164,95%CI：0.064~0.418）]、承担免疫规划以外工作（OR=2.231,95%CI：1.501~3.317）、郊区（OR=2.006,95%CI：1.283~3.136）、有离职想法（OR=4.371,95%CI：2.904~6.580）以及日工作时间>8 h（OR=1.741,95%CI：1.164~2.604）与情绪衰竭存在关联（均P<0.05）。郊区（OR=1.741,95%CI：1.164~2.604）、有离职想法（OR=4.023,95%CI：2.784~5.815）、日均睡眠时间[6~7 h组（OR=0.518,95%CI：0.280~0.961）、>7~8 h组（OR=0.366,95%CI：0.187~0.717）、>8 h组（OR=0.213,95%CI：0.087~0.524）]、日工作时间>8 h（OR=1.706,95%CI：1.163~2.502）]与人格解体存在关联（均P<0.05）。公共卫生专业（OR=2.497,95%CI：1.163~5.357）、月均收入≥5 000元（OR=0.312,95%CI：0.100~0.971）与个人成就感低存在关联（均P<0.05）。结论贵阳市基层免疫规划人员职业倦怠流行率较高,尤其是郊区免疫规划工作人员,建议基层卫生机构从个体因素、机构因素制定综合干预措施以减少基层免疫规划人员的职业倦怠。

关键词: 基层医务人员, 免疫规划, 职业倦怠, 影响因素

Abstract: Objective To investigate the current situation of job burnout among grassroots immunization planners in Guiyang City,explore the influence of individual factors and occupational factors on burnout level. Methods By the census method,all medical workers engaged in immunization planning in community health service centers and township hospitals in Guiyang City were selected as the research subjects,they were investigated by the self-designed questionnaires and job burnout scale,and the data were analyzed. Results The detection rate of job burnout among grassroots immunization planners in Guiyang City was 57.29%.The average daily sleep time[6-7 h group（OR=0.317,95%CI：0.163-0.614）,>7-8 h group（OR=0.191,95%CI：0.092-0.398）,>8 h group（OR=0.164,95%CI：0.064-0.418）],undertaking work outside of immunization planning（OR=2.231,95%CI：1.501-3.317）,suburban（OR=2.006,95%CI：1.283-3.136）,having thoughts about leaving（OR=4.371,95%CI：2.904-6.580） and daily work time >8 h（OR=1.741,95%CI：1.164-2.604） were associated with emotional exhaustion（all P<0.05）.The suburban（OR=1.741,95%CI：1.164-2.604）,thought of leaving（OR=4.023,95%CI：2.784-5.815）,average daily sleep time[6-7 h group （OR=0.518,95%CI：0.280-0.961）,>7-8 h group（OR=0.366,95%CI：0.187-0.717）,>8 h group（OR=0.213,95%CI：0.087-0.524）,and daily working hours >8 h（OR=1.706,95%CI：1.163-2.502） were associated with depersonalization（all P<0.05）.The public health major（OR=2.497,95%CI：1.163-5.357） and average monthly income ≥5 000 yuan（OR=0.312,95%CI：0.100-0.971） were associated with low personal accomplishment（all P<0.05）. Conclusion The prevalence of job burnout among grassroots immunization planners in Guiyang City is high,especially immunization planners in suburban,and it is recommended that grassroots health institutions formulate comprehensive interventions from individual factors and institutional factors to reduce job burnout among grassroots immunization planners.

Key words: Grassroots medical staff, Immunization planning, Job burnout, Influencing factors

中图分类号:

：R181.3⁺1

潘帝文, 高岚, 杨敬源, 汪聪智. 贵阳市基层免疫规划人员职业倦怠现状及影响因素分析. [J]职业与健康, 2023, 39(20): 2743-2748.

PAN Diwen, GAO Lan, YANG Jingyuan, WANG Congzhi. Analysis on job burnout and its influencing factors of grassroots immunization planners in Guiyang City. [J]OCCUPATION AND HEALTH, 2023, 39(20): 2743-2748.

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