贵州省21家医养结合机构医护人员职业幸福感现状及影响因素研究

职业与健康 ›› 2023, Vol. 39 ›› Issue (14): 1959-1963.

贵州省21家医养结合机构医护人员职业幸福感现状及影响因素研究

吕宝坤^1a, 胡元霞^1b, 张巾², 彭佳^1a, 曹煜^1c

1.贵州医科大学a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,b医药卫生管理学院,c大健康学院,贵州贵阳 550025;
2.贵州护理职业技术学院,贵州贵阳 550025

收稿日期:2022-09-29 修回日期:2022-11-07 出版日期:2023-07-15 发布日期:2026-03-24
通信作者: 曹煜,教授,E-mail：2692327139@qq.com
作者简介:吕宝坤,男,在读硕士研究生,研究方向为健康管理。
基金资助:
贵州省“十四五”公共卫生体系建设规划资助项目（黔发改规划[2020]522号）

Study on occupational well-being and its influencing factors among medical staff in 21 medical and nursing institutions of Guizhou Province

LYU Baokun^1a, HU Yuanxia^1b, ZHANG Jin², PENG Jia^1a, CAO Yu^1c

1. a School of Public Health,Key Laboratory of Environmental Pollution Monitoring and Disease Control of Ministry of Education,b School of Medicine and Health Management,c School of Big Health,Guizhou Medical University,Guiyang Guizhou,550025,China;
2. Guizhou Nursing Vocational College,Guiyang Guizhou,550025,China

Received:2022-09-29 Revised:2022-11-07 Online:2023-07-15 Published:2026-03-24
Contact: CAO Yu,Professor,E-mail：2692327139@qq.com

摘要/Abstract

摘要： 目的了解贵州省21家医养结合机构医护人员职业幸福感现状并分析其影响因素,为医养结合机构稳定人才队伍提供科学参考。方法采用便利抽样法,选取2022年1—3月贵州省8个市州21家医养结合机构的257名医护人员作为研究对象,采用一般情况调查表、医务工作者职业幸福感量表进行问卷调查。对一般资料特征和医务工作者职业幸福感得分进行描述分析,单因素分析采用t检验、方差分析,多因素分析采用多元线性回归分析。结果贵州省21家医养结合机构医护人员职业幸福总分为（81.75±18.63）分。单因素分析结果显示,医养结合机构医护人员职业幸福感在性别、工作负荷、自评健康状况及单位是否提供心理健康指导方面的差异均有统计学意义（均P<0.05）。多元线性回归分析显示,性别、年龄、经济收入、文化程度、自评健康状况及单位是否提供心理健康指导是医养结合机构医护人员职业幸福感的主要影响因素（均P<0.05）。结论贵州省21家医养结合机构医护人员职业幸福感有待进一步提高,机构管理者应根据职业幸福感的影响因素关注重点群体,为其提供支持与帮助,提高其职业幸福感。

关键词: 医养结合机构, 医护人员, 职业幸福感, 影响因素

Abstract: Objective To examine the current status and influencing factors of occupational well-being of medical staff in 21 medical and nursing institutions of Guizhou Province,provide scientific reference for stabilizing the talent team of medical and nursing institutions. Methods The convenience sampling method was used to select 257 medical workers from 21 medical and nursing institutions in eight cities and states of Guizhou Province from January to March 2022 as the research object,and a survey was conducted using the general situation questionnaire and medical worker's occupational well-being scale.The descriptive analysis of general data characteristics and occupational well-being scores of medical workers was performed,the univariate factor analysis was performed using t-test and analysis of variance,and multivariate linear regression analysis were used to analyze influencing factors. Results The total score of occupational well-being of medical workers from 21 medical and nursing institutions was （81.75±18.63）points. The univariate factor analysis showed that there were statistically significant differences in occupational well-being among medical staff in different gender,workload,self-rated health status and whether the unit provided mental health guidance（all P<0.05）.The multiple regression analysis showed that gender,age,economic income,educational level,self-rated health status and whether the unit provided mental health guidance were the main influencing factors of occupational well-being of medical staff in medical and nursing institutions（all P<0.05）. Conclusion The occupational well-being of medical staff in 21 medical and nursing institutions of Guizhou Province needs to be further improved,and institutional managers should pay attention to key groups according to the influencing factors of occupational well-being,provide support and help to improve their occupational well-being.

Key words: Medical and nursing institutions, Medical staff, Occupational well-being, Influencing factors

中图分类号:

R192

吕宝坤, 胡元霞, 张巾, 彭佳, 曹煜. 贵州省21家医养结合机构医护人员职业幸福感现状及影响因素研究. [J]职业与健康, 2023, 39(14): 1959-1963.

LYU Baokun, HU Yuanxia, ZHANG Jin, PENG Jia, CAO Yu. Study on occupational well-being and its influencing factors among medical staff in 21 medical and nursing institutions of Guizhou Province. [J]OCCUPATION AND HEALTH, 2023, 39(14): 1959-1963.

参考文献

[1] 冯运红,李小平,胡德华,等.医养结合模式下中国养老服务人才培养策略[J].中国老年学杂志,2021,41(11):2444-2447.
[2] 从红英,高玉芳,赵林,等.医养结合养老机构老年人护理服务需求评估指标体系构建[J].齐鲁护理杂志,2022,28(8):48-52.
[3] 周志伟,李海英,贾杨.日本养老产业对我国医养结合养老模式构建的启示[J].中国卫生事业管理,2021,38(2):85-88.
[4] 胡秀香,梁江云.医养结合服务模式在养老机构患者生存质量中的应用效果评价[J].护理管理杂志,2017,17(5):370-372.
[5] 陈莹如,张秋,麦耀钧.我国基层医疗卫生机构医养结合养老服务的现状及对策研究[J].卫生软科学,2022,36(9):31-35.
[6] 朱洁,张曼华,刘颖,等.北京地区不同级别医院医生职业幸福感现状及影响因素[J].中国医院管理,2015,35(6):53-55.
[7] 胡敏敏,苏纯音,喻子儒.某公立医院护士职业幸福感现状和干预效果初步评价[J].中华现代护理杂志,2017,23(31):4028-4031.
[8] 易海,彭宙,孔思思,等.COVID-19疫情防控期间精神科应急隔离病房医护人员心理压力和职业幸福感[J].心理月刊,2022,17(1):1-4.
[9] 李学群,余幼芬,冯海燕.分级管理对内科护士工作压力与离职意愿的影响[J].中华现代护理杂志,2016,22(2):265-268.
[10] 胡冬梅,马月丹,那丽,等.医务工作者职业幸福感量表编制及信度和效度分析[J].中国医院统计,2011,18(2):127-129.
[11] 金晓燕. 护士健康促进生活方式与职业幸福感的现状分析与相关性研究[D].江西:南昌大学,2016.
[12] 许宣宣,邵晓芳,许红妍.浙江省ICU护士心理资本、组织支持感和职业幸福感相关性研究[J].医学与社会,2018,31(12):76-78.
[13] 李嫒,李作为,王娅丽,等.计时制护士心理资本在职业获益感与职业幸福感间的中介效应分析[J].职业与健康,2022,38(8):1059-1063,1068.
[14] 吴丽华,王东平,董长云.盐城地区护理人员组织支持感与职业幸福感调查分析[J].江苏卫生事业管理,2022,33(3):379-383.
[15] 崔瑶,刘谦,秦明照.老年共病现状及管理策略[J].中国全科医学,2017,20(23):2816-2819.
[16] TEI-TOMINAGA M,NAKANISHI M.Factors of feelings of happiness at work among staff in geriatric care facilities[J].Geriatr Gerontol Int,2021,21(9):818-824.
[17] 张淑芳,刘备备,刘佳欣,等.山东省10所三级甲等医院助产士职业获益感现状及影响因素分析[J].护理研究,2022,36(5):845-849.
[18] HEAD B,MIDDLETON A,ZEIGLER C.Work satisfaction among hospice and palliative nurses[J].J Hosp Palliat Nurs,2019,21(5):E1-E11.
[19] 杜雪红,左蕾,李欣.邢台市第三医院临床护士正念思想、职业倦怠与主观幸福感的相关分析[J].职业与健康,2021,37(16):2202-2206,2210.
[20] 聂建亮,曹梦迪,吴玉锋.深入推进医养结合的障碍与发展策略[J].卫生经济研究,2021,38(7):24-27.
[21] 陈英,冯越菲,黄晔艳.上海市第十人民医院护士职业幸福感现状及影响因素分析[J].职业与健康,2020,36(18):2516-2520,2524.
[22] 朱洁,张曼华,刘颖,等.北京地区不同级别医院医生职业幸福感现状及影响因素[J].中国医院管理,2015,35(6):53-55.
[23] 金霞,王宏杰.某医院临床医护人员健康状况调查分析[J].解放军预防医学杂志,2017,35(12):1654.
[24] 高卫益,陈玮,戚倩,等.临床医生工作幸福感现状调查及影响因素分析[J].中国医院管理,2017,37(3):55-57.
[25] 陈春花,宋一晓.组织支持资源对员工幸福感的影响机制:双案例比较研究[J].管理学报,2014,11(11):1639-1645.
[26] 李媚,曾铁英,陈黛琪,等.护士幸福感现状及与职场精神力和情绪劳动的关系研究[J].护理学杂志,2022,37(11):71-73.