应对方式和社会支持在医保管理人员工作压力和离职倾向间的中介效应

摘要/Abstract

摘要： 目的分析应对方式和社会支持在医保管理人员工作压力和离职倾向间的中介效应。方法 2022年4—5月在新疆维吾尔自治区乌鲁木齐市通过医疗保险研究会平台向随机抽取的各家医院医保管理人员进行问卷调查,共计发放问卷369份。问卷内容包括工作疲溃感量表、社会支持评定量表（social support rating scale,SSRS）、简易应对方式量表（simplified coping style questionnaire scale,SCSQS）以及离职倾向量表。采用Pearson相关模型分析应对方式、社会支持、工作压力及离职倾向的相关性,应用结构方程模型分析应对方式和社会支持在医保管理人员工作压力和离职倾向间的中介效应。结果 SCSQS积极应对平均得分为（22.47±4.09）分,消极应对平均得分为（13.25±3.04）分;SSRS平均得分为（（27.54±3.39）分;工作疲溃感量表平均得分为（（57.64±5.03）分;离职倾向评分总得分为（8.64±3.02）分。年龄20~<35岁医保管理人员SCSQS消极应对、工作疲溃感量表及离职倾向得分高于年龄≥35岁人员,SCSQS积极应对、SSRS得分低于年龄≥35岁人员,差异均有统计学意义（均P<0.05）。工资水平<3 000元/月的医保管理人员SCSQS消极应对及离职倾向得分高于其他两组,SCSQS积极应对、SSRS得分低于其他两组,差异均有统计学意义（均P<0.05）。医保管理人员SCSQS积极应对与工作压力及离职倾向得分呈负相关（P<0.05）,SCSQS消极应对与工作压力及离职倾向得分呈正相关（P<0.05）,而社会支持与工作压力及离职倾向得分呈负相关（P<0.05）。应对方式和社会支持在医保管理人员工作压力和离职倾向间均呈现负向中介效应。结论积极的应对态度及高效的社会支持可以缓解医保工作人员工作压力,降低离职倾向。

关键词: 医保管理人员, 工作压力, 离职倾向, 社会支持, 应对方式, 中介效应

Abstract: Objective To analyze the mediating effect of coping style and social support on the relationship between work stress and turnover intention of medical insurance managers. Methods From April to May 2022,a questionnaire survey was conducted on medical insurance managers from randomly selected hospitals in Urumqi City of Xinjiang Uygur Autonomous Region,through the platform of the Medical Insurance Research Association. A total of 369 questionnaires were distributed. The contents of the questionnaires included the work burnout scale,social support rating scale（SSRS）,simplified coping style questionnaire scale（SCSQS） and turnover intention scale. Pearson correlation model was used to analyze the correlation between coping style,social support,work stress and turnover intention,and structural equation model was used to analyze the mediating effect of coping style and social support on the relationship between work stress and turnover intention of medical insurance managers. Results The average score of SCSQS positive response was （22.47±4.09）points,and the average score of negative coping score was （13.25±3.04）points. The average score of SSRS was （27.54±3.39）points. The average score of job burnout scale was （57.64±5.03）points. The total score of turnover intention score was （8.64±3.02）points. The SCSQS negative attitude score,job burnout scale and turnover intention score of medical insurance managers aged 20-<35 were higher than those aged ≥35,while the SCSQS positive attitude score and SSRS score were lower than those aged ≥35,and the differences were statistically significant（all P<0.05）. The SCSQS negative attitude score and turnover intention score of medical insurance managers with a salary level of less than 3 000 yuan/month were higher than the other two groups,while the SCSQS positive attitude score and SSRS score were lower than the other two groups,and the differences were statistically significant（all P<0.05）. The SCSQS positive score of medical insurance managers was negatively correlated with work stress score and turnover intention score,while the SCSQS negative score was positively correlated with work stress score and turnover intention score,and the social support score was negatively correlated with the work stress score and turnover intention score（all P<0.05）. Both coping style and social support had negative mediating effects on the relationship between work stress and turnover intention of medical insurance managers. Conclusion A positive coping attitude and efficient social support can relieve the work pressure of medical insurance workers and reduce their turnover intention.

Key words: Medical insurance managers, Work stress, Turnover intention, Social support, Coping style, Mediating effect

中图分类号:

R181.3⁺1

杜燕, 李莉, 王程. 应对方式和社会支持在医保管理人员工作压力和离职倾向间的中介效应. [J]职业与健康, 2025, 41(1): 91-96.

DU Yan, LI Li, WANG Cheng. Mediating effect of coping style and social support between work stress and turnover intention of medical insurance managers. [J]OCCUPATION AND HEALTH, 2025, 41(1): 91-96.

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