不同级别医疗机构医生工作动机对职业倦怠的影响

职业与健康 ›› 2025, Vol. 41 ›› Issue (7): 877-882.

不同级别医疗机构医生工作动机对职业倦怠的影响

支亮^1,2, 王玉龙¹, 叶睿雪¹, 柯美华^1,2, 张清芳^1,2, 龙建军¹

1.深圳市第二人民医院康复医学科,广东深圳 518035;
2.山东中医药大学康复医学院,山东济南 250355

收稿日期:2024-07-09 修回日期:2024-07-23 出版日期:2025-04-01 发布日期:2025-12-17
通信作者: 龙建军,副教授,E-mail：longjianjun@szu.edu.cn
作者简介:支亮,男,在读硕士研究生,研究方向为分级诊疗与神经康复。
基金资助:
深圳市三名工程“南京医科大学励建安团队”资助项目（SZSM202111010）

Impact of work motivation of doctors at different levels of medical institutions on occupational burnout

ZHI Liang^1,2, WANG Yulong¹, YE Ruixue¹, KE Meihua^1,2, ZHANG Qingfang^1,2, LONG Jianjun¹

1. Department of Rehabilitation Medicine,Shenzhen Second People's Hospital,Shenzhen,Guangdong 518035,China;
2. School of Rehabilitation Medicine,Shandong University of Traditional Chinese Medicine,Jinan,Shandong 250355,China

Received:2024-07-09 Revised:2024-07-23 Online:2025-04-01 Published:2025-12-17
Contact: LONG Jianjun,Associate Professor,E-mail：longjianjun@szu.edu.cn

摘要/Abstract

摘要： 目的了解不同级别医疗机构中医生工作动机对职业倦怠的影响,并分析主要的影响因素。方法 2023年9—12月在全国共19家不同级别医疗机构,包含了6家基层医院、6家二级医院以及7家三级医院开展调查。对纳入调查130名医生的职业倦怠以及工作动机情况进行问卷形式的横断面调查,并对数据进行分析。结果各级别医疗机构130名医生的职业倦怠总平均分为（34.06±18.37）分,轻度倦怠检出率为34.6%（45/130）,中度倦怠检出率为24.6%（32/130）。各级医疗机构间的倦怠发生率以及倦怠得分比较,差异均有统计学意义（均P<0.05）。工作时间和内在工作动机是影响基层医疗机构医生产生职业倦怠的主要因素（均P<0.05）。培训次数和内在工作动机是影响二级医疗机构医生产生职业倦怠的主要因素（均P<0.05）。每周接诊人次数是影响三级医疗机构医生职业倦怠的主要因素（P<0.05）。结论各级别医疗机构130名医生职业倦怠检出率较高,医疗机构管理人员须采取措施降低医生职业倦怠。

关键词: 工作动机, 职业倦怠, 基层医院, 二级医院, 三级医院, 影响因素分析

Abstract: Objective To investigate the impact of work motivation on occupational burnout among doctors at different levels of medical institutions,and analyze the main influencing factors. Methods From September to December 2023,a survey was conducted in 19 different levels of medical institutions across the country from September 2023 to December 2023,including 6 primary hospitals,6 secondary hospitals,and 7 tertiary hospitals. Conduct a cross-sectional survey in the form of a questionnaire on the occupational burnout and work motivation of 130 doctors included in the survey,and the data were analyzed. Results The overall average score of occupational burnout among 130 doctors in various levels of medical institutions was （34.06±18.37）points, with a mild burnout detection rate of 34.6%（45/130） and a moderate burnout detection rate of 24.6%（32/130）. There were statistically significant differences in the incidence and scores of burnout among medical institutions at all levels（both P<0.01）. Working hours and intrinsic work motivation were the main factor affecting the occupational burnout among doctors in primary medical institutions（both P<0.05）. Training frequency and intrinsic work motivation were the main factor affecting the occupational burnout among doctors in secondary medical institutions（both P<0.05）. Number of weekly patients received was the main factor affecting occupational burnout among doctors in tertiary medical institutions（P<0.05）. Conclusion The detection rate of occupational burnout among 130 doctors in medical institutions at all levels is relatively high,and medical institution managers need to take measures to reduce doctor's occupational burnout.

Key words: Work motivation, Occupational burnout, Grassroots hospitals, Secondary Hospitals, Tertiary hospitals, Analysis of influencing factors

中图分类号:

R181.3⁺1

支亮, 王玉龙, 叶睿雪, 柯美华, 张清芳, 龙建军. 不同级别医疗机构医生工作动机对职业倦怠的影响. [J]职业与健康, 2025, 41(7): 877-882.

ZHI Liang, WANG Yulong, YE Ruixue, KE Meihua, ZHANG Qingfang, LONG Jianjun. Impact of work motivation of doctors at different levels of medical institutions on occupational burnout. [J]OCCUPATION AND HEALTH, 2025, 41(7): 877-882.

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