心理韧性和共情能力对全科住培医师职业倦怠的影响

职业与健康 ›› 2023, Vol. 39 ›› Issue (22): 3041-3044.

心理韧性和共情能力对全科住培医师职业倦怠的影响

曾子煊¹, 汪浩^2a, 张伟¹, 黄蕾^2b

1.同济大学医学院,上海 200092;
2.同济大学附属同济医院a全科医学科,b教育处,上海 200065

收稿日期:2023-04-06 修回日期:2023-05-09 出版日期:2023-11-15 发布日期:2026-03-26
通信作者: 黄蕾,副研究员,E-mail：huanglei@tongji.edu.cn
作者简介:曾子煊,男,在读本科生。
基金资助:
全国教育科学规划教育部重点项目（DIA190409）; 上海市浦江人才计划资助（2020PJC097）; 同济大学研究生医学教育管理专项项目（2021YXGL11）; 同济大学研究生教材建设项目（2021JC27）

Effects of resilience and empathy on job burnout in resident physician of general standardized training program

ZENG Zixuan¹, WANG Hao^2a, ZHANG Wei¹, HUANG Lei^2b

1. School of Medicine,Tongji University,Shanghai 200092,China;
2. a Department of General Medical Practice,b Department of Medical Education,Affiliated Tongji Hospital of Tongji University,Shanghai 200065,China

Received:2023-04-06 Revised:2023-05-09 Online:2023-11-15 Published:2026-03-26
Contact: HUANG Lei,Associate research fellow,E-mail：huanglei@tongji.edu.cn

摘要/Abstract

摘要： 目的分析心理韧性和共情能力对上海市全科住培医师职业倦怠的影响,为预防其职业倦怠提供实证研究依据。方法 2021年8—9月,采用整群抽样法对上海市4所住院医师规范化培训基地的140名全科住培医师进行问卷调研,并对数据进行分析。结果上海140名全科住培医师的情绪衰竭得分为（18.06±9.13）分;去人格化得分为（6.96±4.81）分;个人成就感维度得分为（25.26±8.66）分。105名（占75.0%）全科住培医师符合职业倦怠的标准,99名（占70.7%）表现出极低的个人成就感。工作压力和心理韧性总分进入情绪衰竭的回归方程（均P<0.05）;共情能力总分进入去人格化的回归方程（P<0.05）;收入满意度、共情能力总分、心理韧性总分进入个人成就感的回归方程（均P<0.05）。结论收入满意度、共情能力和心理韧性是上海市全科住培医师职业倦怠的保护因素,工作压力是其危险因素。

关键词: 职业倦怠, 心理韧性, 共情能力, 全科医生, 住院医师规范化培训

Abstract: Objective To analyze the effects of resilience and empathy on job burnout in the resident physician of general standardized training program in Shanghai,provide empirical research basis for preventing their job burnout. Methods From August to September 2021,a questionnaire survey was conducted using cluster sampling on 140 resident physicians of general standardized training program from four resident standardized training bases in Shanghai,and the data were analyzed. Results Among 140 resident physicians of general standardized training program,the score of emotional exhaustion was （18.06±9.13）points,the score of depersonalization was （6.96±4.81）points and the score of personal accomplishment was （25.26±8.66）points.105（75.0%）resident physicians of general standardized training program met the criteria for job burnout,and 99（70.7%） showed low level of personal accomplishment（PA）. The occupational stress and total score of resilience entered the regression equation of emotional exhaustion（both P<0.05）. The total score of empathy entered the regression equation of depersonalization（P<0.05）. The satisfaction with income,total score of empathy and total score of resilience entered the regression equation of personal accomplishment（all P<0.05）. Conclusion The income satisfaction,empathy and resilience are protective factors for job burnout in the resident physician of general standardized training program in Shanghai,and occupational stress is a risk factor.

Key words: Job burnout, Resilience, Empathy, General practitioners, Standardized residency training program

中图分类号:

R181.3⁺1

曾子煊, 汪浩, 张伟, 黄蕾. 心理韧性和共情能力对全科住培医师职业倦怠的影响. [J]职业与健康, 2023, 39(22): 3041-3044.

ZENG Zixuan, WANG Hao, ZHANG Wei, HUANG Lei. Effects of resilience and empathy on job burnout in resident physician of general standardized training program. [J]OCCUPATION AND HEALTH, 2023, 39(22): 3041-3044.

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