青海某县域医联体医疗人员职业倦怠现状及影响因素分析

职业与健康 ›› 2025, Vol. 41 ›› Issue (2): 161-166.

青海某县域医联体医疗人员职业倦怠现状及影响因素分析

李焱¹, 王小玲², 却松太², 沈晓佳², 何同宜², 李苏华¹

1.青海大学附属医院消化科,青海西宁 810000;
2.海南藏族自治州贵南县人民医院内科,青海海南藏族自治州 813199

收稿日期:2024-04-10 修回日期:2024-12-04 出版日期:2025-01-15 发布日期:2025-12-11
通信作者: 李苏华,副主任医师,E-mail：18509713631@163.com
作者简介:李焱,女,副主任医师,主要从事消化科临床工作。
基金资助:
青海省临床医学研究中心（2019-SF-L3）; 青海省2022年高海拔地区医疗服务能力建设项目; 青海省“昆仑英才·高端创新创业人才”计划（青人才字[2020]18号）

Analysis on current situation and influencing factors of job burnout among medical personnel in a medical consortium in a county in Qinghai Province

LI Yan¹, WANG Xiaoling², QUE Songtai², SHEN Xiaojia², HE Tongyi², LI Suhua¹

1. Department of Gastroenterology, Qinghai University Affiliated Hospital, Xining, Qinghai 810000, China;
2. Department of Internal Medicine, Hainan Tibetan Autonomous Prefecture Guinan County People's Hospital, Hainan Tibetan Autonomous Prefecture, Qinghai 813199, China

Received:2024-04-10 Revised:2024-12-04 Online:2025-01-15 Published:2025-12-11
Contact: LI Suhua,Associate chief physician,E-mail：18509713631@163.com

摘要/Abstract

摘要： 目的了解青海某县域医联体基层医疗卫生人员职业倦怠现况,从社会支持、焦虑和抑郁多视角分析影响因素,为改善基层医疗卫生人员职业倦怠提供参考依据。方法 2023年5—7月,对青海某县域医联体309名医疗卫生人员进行电子问卷调查,并对数据进行分析。结果青海某县域医联体309名医疗卫生人员职业倦怠总体检出率为66.3%,其中轻度倦怠占41.1%、中度倦怠占20.4%、重度倦怠占4.8%。情绪耗竭、去个性化和个人成就感降低维度得分分别为9.0（5.0,12.0）、4.0（1.0,8.0）、20.0（13.0,24.0）分。无职务人员职业倦怠检出率高于有职务人员（χ²=5.155,P<0.05）;月收入4 000~<6 000元职工职业倦怠率显著高于月收入≥10 000元职工（分割χ²=8.794,P<0.01）;职业喜爱度高的职工职业倦怠率更低（P<0.05）。月收入低、无职务、职业喜爱度低、工作压力大和焦虑是职业倦怠发生的独立危险因素（OR=0.783、0.387、2.002、1.541、1.114,均P<0.05）。结论青海某县域医联体基层医疗卫生人员职业倦怠率较高,需要多维度综合提升基层医疗卫生人员工作积极性,降低职业倦怠。

关键词: 基层医疗, 职业倦怠, 现状, 影响因素

Abstract: Objective To understand the current situation of job burnout among grassroots medical and health personnel in a medical consortium in a county in Qinghai Province,and to analyze the influencing factors from multiple perspectives such as social support,anxiety,and depression,in order to provide reference for improving job burnout among grassroots medical and health personnel. Methods From May to July 2023,an electronic questionnaire survey on job burnout was conducted on 309 medical and health personnel from a medical consortium in a county in Qinghai,and the data were analyzed. Results The total positive rate of job burnout among 309 medical and health personnel in a county medical consortium in Qinghai was 66.3%,including 41.1% mild burnout,20.4% moderate burnout,and 4.8% severe burnout. The average scores of emotional exhaustion,deindividuation,and reduced personal accomplishment dimensions were 9.0（5.0,12.0）,4.0（1.0,8.0） and 20.0（13.0,24.0）points,respectively. The detection rate of job burnout among personnel without leadership roles was higher than that among personnel with leadership roles（χ²=5.155,P<0.05）,the job burnout rate of employees with monthly income of 4 000-<6 000 yuan was significantly higher than that of employees with monthly income of ≥10 000 yuan（χ²=8.794,P<0.01）,and the job burnout rate of employees with high job satisfaction was even lower（P<0.05）. Low monthly income,lack of leadership roles,low job preference,high work pressure,and anxiety were independent risk factors for job burnout（OR=0.783,0.387,2.002,1.541,1.114,all P<0.05）. Conclusion The prevalence of job burnout among grassroots medical and health personnel in a county medical consortium in Qinghai is relatively high. It is necessary to comprehensively improve the work enthusiasm of grassroots medical and health personnel from multiple dimensions and reduce job burnout.

Key words: Grassroots medical care, Job burnout, Status quo, Influencing factor

中图分类号:

R192

李焱, 王小玲, 却松太, 沈晓佳, 何同宜, 李苏华. 青海某县域医联体医疗人员职业倦怠现状及影响因素分析. [J]职业与健康, 2025, 41(2): 161-166.

LI Yan, WANG Xiaoling, QUE Songtai, SHEN Xiaojia, HE Tongyi, LI Suhua. Analysis on current situation and influencing factors of job burnout among medical personnel in a medical consortium in a county in Qinghai Province. [J]OCCUPATION AND HEALTH, 2025, 41(2): 161-166.

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