麻醉医师职业生涯成功在职业认同与职业倦怠间的中介作用

职业与健康 ›› 2025, Vol. 41 ›› Issue (16): 2166-2170.

麻醉医师职业生涯成功在职业认同与职业倦怠间的中介作用

王小娟, 梁桂金, 孟海兵

中国人民解放军联勤保障部队第九八医院麻醉科,江西南昌 330000

收稿日期:2024-12-28 修回日期:2025-01-13 出版日期:2025-08-15 发布日期:2025-12-13
通信作者: 梁桂金,主治医师,E-mail：wangxiaojuan908908@163.com
作者简介:王小娟,女,主治医师,主要从事麻醉科临床工作。

Mediating role of career success in relationship between occupational identity and job burnout among anesthesiologists

WANG Xiaojuan, LIANG Guijin, MENG Haibing

Department of Anesthesiology,No. 908 Hospital,Joint Logistics Support Force of the Chinese People's Liberation Army,Nanchang,Jiangxi 330000,China

Received:2024-12-28 Revised:2025-01-13 Online:2025-08-15 Published:2025-12-13
Contact: LIANG Guijin,Attending physician,E-mail：wangxiaojuan908908@163.com

摘要/Abstract

摘要： 目的调查江西省5所三级甲等医院麻醉医师职业生涯成功、职业认同和职业倦怠现状,分析职业生涯成功在职业认同与职业倦怠间的中介效应。方法 2024年1月1日—6月30日采用职业生涯成功量表、职业认同量表和职业倦怠量表对取江西省5所三级甲等医院129名麻醉科医师进行问卷调查,并对数据进行分析。结果 129名麻醉医师职业倦怠得分为（63.50±15.00）分,职业生涯成功得分为（32.59±5.59）分,职业认同得分为（86.68±13.31）分。职业认同对职业倦怠的间接效应为-0.202,占总效应的19.76%。结论麻醉医师职业生涯成功在职业认同与职业倦怠间起部分中介效应,医院管理者应重视这一中介效应,积极引导麻醉医师树立正确的职业发展观,促进其职业生涯成功,从而间接影响职业认同进而降低职业倦怠的发生率。

关键词: 职业倦怠, 职业认同, 职业生涯成功, 中介效应, 麻醉医师

Abstract: Objective To investigate the current status of career success,occupational identity,and job burnout among anesthesiologists in five grade-A tertiary hospitals in Jiangxi Province,explore the mediating effect of career success between occupational identity and job burnout. Methods From January 1st,2024 to June 30th,2024,a questionnaire survey was performed among 129 anesthesiologists in five grade-A tertiary hospitals in Jiangxi Province by the career success scale,occupational identity scale and job burnout scale,and the data were analyzed. Results The job burnout score of 129 anesthesiologists was （63.50±15.00）points,the career success score was （32.59±5.59）points,and the occupational identity score was （86.68±13.31）points. The indirect effect of occupational identity on job burnout was -0.202,accounting for 19.76% of the total effect. Conclusion The career success of anesthesiologists plays a partial mediating role between occupational identity and job burnout,the medical managers should pay attention to this mediating effect,actively guide anesthesiologists to establish a correct view of career development,promote their career success,thereby indirectly affecting occupational identity and reducing the incidence of job burnout.

Key words: Job burnout, Occupational identity, Career success, Mediating effect, Anesthesiologists

中图分类号:

R181.3⁺1

王小娟, 梁桂金, 孟海兵. 麻醉医师职业生涯成功在职业认同与职业倦怠间的中介作用. [J]职业与健康, 2025, 41(16): 2166-2170.

WANG Xiaojuan, LIANG Guijin, MENG Haibing. Mediating role of career success in relationship between occupational identity and job burnout among anesthesiologists. [J]OCCUPATION AND HEALTH, 2025, 41(16): 2166-2170.

参考文献

[1] 李玖菊,张雪倩,刘华清,等.精神科规范化培训医生职业倦怠在工作负荷和焦虑、抑郁间的中介作用[J].神经疾病与精神卫生,2023, 23(12):848-853.
[2] 魏其秀,木楠,袁晨,等.中国医务人员职业倦怠检出率的meta分析[J].职业与健康,2023,39(22):3139-3142.
[3] 张红英,罗艳芳,刘祯帆,等.四川省6所三级医院医护人员职业获益感、知觉压力与心理健康的相关研究[J].职业与健康,2022,38(2):171-176,180.
[4] 孙涛,曹秋茹,张淑娥,等.城市社区全科医生职业满意度及其影响因素[J].中华全科医学,2017,15(2):183-185.
[5] 王少婷,阳君蓉,刘颖,等.四川省三级甲等医院外科医务人员共情能力、知觉压力现状及其对职业生涯成功的影响[J].职业与健康,2022,38(15):2067-2071.
[6] 陆萍,陆志敏,翁立立,等.社区全科医师职业发展路径的质性研究[J].中华全科医师杂志,2022,21(2):121-127.
[7] 何佩,杨蕊,向虹霓,等.职业认同在精神科医生主观社会地位、社会支持与职业幸福感间的中介作用[J].职业与健康,2024,40(12):1596-1600.
[8] 沙玛·木拉提,陈红,迪丽菲亚·地力夏提,等.新疆基层全科医生职业认同与工作满意度现况及其影响因素[J].医学与社会,2024,37(5):100-106.
[9] 许春燕,李晓梅.两种心理资本对乡村医生组织承诺的影响——职业认同的中介作用[J].甘肃高师学报,2024,29(2):104-108.
[10] 张竞文,管仲军.某三甲公立医院医生职业认同、心理资本与创新行为关系研究[J].医学教育管理,2024,10(1):107-112.
[11] 施星明,柳美玲,樊红,等.精神科护士心理授权及职业认同感与职业倦怠的相关研究[J].安徽医学,2024,45(4):492-496.
[12] 邵丹,江春霞,吴亚会,等.某军队医院护士工作压力、职业认同、职业倦怠的现状及关系研究[J].海军医学杂志,2023,44(6):584-589.
[13] JACKSON M S E.The measurement of experienced burnout[J].J Organ Behav,1981,2(2):99-113.
[14] EBY L T,BUTTS M,LOCKWOOD A.Predictors of success in the era of boundaryless careers[J]. J Organ Behav,2003,24(6):689-708.
[15] 李泽楷,尤黎明,SALLY W C,等. 中文版职业生涯成功量表在三级甲等医院医护人员测量中的信效度研究[J].中华护理杂志,2013,48(9):828-830.
[16] 刘玲,郝玉芳,刘晓虹.护士职业认同评定量表的研制[J].解放军护理杂志,2011,28(3):18-20.
[17] 曾子煊,汪浩,张伟,等.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):3041-3044,3049.
[18] 夏昊,曹金俊,李继如,等.某三甲医院PICU住院医师职业倦怠研究[J].中国继续医学教育,2023,15(16):194-198.
[19] 汤思语,刘军军,孙玉娥,等.麻醉科医师应激与职业倦怠和负性情绪的相关性[J].临床麻醉学杂志,2023,39(4):397-401.
[20] 车璐,张越伦,阮侠,等.麻醉科住院医师职业倦怠现状调查与研究[J].临床麻醉学杂志,2024,40(5):508-513.
[21] 金玲玲,喻荣彬.南京市综合医院麻醉科医护人员职业倦怠的影响因素[J].中华疾病控制杂志,2023,27(9):1071-1077.
[22] 程舟,余奇劲,雷少青.麻醉科住院医生职业倦怠相关因素及预防策略的研究进展[J].职业与健康,2023,39(4):571-576.
[23] 唐祯,刘燕华,李刚,等.南昌市三级甲等医院临床药师职业倦怠、职业认同与职业生涯成功的相关性研究[J].职业与健康,2023,39(1):1-4.
[24] 刘媛,刘国祥.临床医生职业倦怠现状及相关因素研究[J].第三军医大学学报,2020,42(3):288-293.
[25] 陈茵,吴婉君,郑丽娟.临床护士职业认同、心理资本与职业倦怠的调查[J].福建医药杂志,2023,45(2):158-160.
[26] 冯星淼,贾朋雨,张竞文,等.院前急救医护人员职业认同和组织环境对职业倦怠的影响研究[J].中国医院管理,2022,42(8):25-30.