四川省10所三级甲等医院内科医务人员职业抱负现状及影响因素分析

摘要/Abstract

摘要： 目的探讨三级甲等医院内科医务人员职业抱负现状及与希望源和社会支持的关系,为提升内科医务人员职业抱负提供参考依据。方法 2023年6—8月,采取多阶段抽样方法抽取四川省5个区域10所三级甲等医院的327名内科医务人员为调查对象,采用职业抱负量表、希望源量表和社会支持量表对研究对象进行问卷调查,并对数据进行分析。结果 327名三级甲等医院内科医务人员职业抱负得分为（61.38±12.96）分,希望源得分为（53.96±13.31）分,社会支持得分为（54.26±12.06）分。不同性别、最高学历、合同类别、岗位类别、职称、健康状况、组织氛围、家庭支持、遭受工作场所暴力、经历医疗投诉/纠纷的内科医务人员职业抱负得分比较,差异均有统计学意义（均P<0.05）。Pearson相关分析显示,本次所调查的三级甲等医院内科医务人员职业抱负总分与希望源总分及各维度得分均呈正相关（r=0.298~0.645,均P<0.05）,与社会支持总分及各维度得分均呈正相关（r=0.265~0.702,均P<0.05）,希望源总分及各维度得分与社会支持总分及各维度得分均呈正相关（r=0.267~0.694,均P<0.05）。多元线性回归分析显示,最高学历、科室氛围、健康状况、遭受工作场所暴力、遭受医疗投诉/纠纷、希望源和社会支持是内科医务人员职业抱负的主要影响因素（均P<0.05）,共解释总变量的68.2%。结论三级甲等医院内科医务人员职业抱负处于中等水平,希望源和社会支持与职业抱负呈显著正相关。医院管理者可通过改善医务人员希望源和社会支持水平,以提升其职业抱负。

关键词: 医务人员, 职业抱负, 希望源, 社会支持, 影响因素

Abstract: Objective To explore the status quo of career aspirations of internal medicine medical staff in grade-A tertiary hospitals and its relationship with sources of hope and social support,so as to provide reference for enhancing the career aspiration of internal medicine medical staff. Methods From June to August 2023,a multi-stage sampling method was used to select 327 medical staff from 10 grade-A tertiary hospitals in 5 regions of Sichuan Provinceas survey subjects. The career aspiration scale,hope source scale and social support scale were used to conduct a questionnaire survey on the subjects,and the data were analyzed. Results The score of career aspirations of 327 internal medicine medical staff in grade-A tertiary hospitals was （61.38±12.96）points,the score of hope source was （53.96±13.31）points. And the score of social support was （54.26±12.06）points. There were statistically significant differences in the scores of career aspirations of internal medicine medical staff with different gender,highest academic qualifications,contract categories,job categories,professional titles,health status,organizational atmosphere,family support, exposure to workplace violence,and medical complaints/disputes（all P<0.05）. Pearson correlation analysis showed that the total score of career aspirations of internal medicine medical staff in grade-A tertiary hospitals was positively correlated with the total score of hope source and the scores of each dimension（r=0.298-0.645,all P<0.05）,and positively correlated with the total score of social support and the scores of each dimension（r=0.265-0.702,all P<0.05）. The total score of hope source and the scores of each dimension were positively correlated with the total score of social support and the scores of each dimension（r=0.267-0.694,all P<0.05）. Multivariate linear regression analysis showed that the highest education level,department atmosphere,health status, exposure toworkplace violence,medical complaints/disputes,source of hope and social support were the main influencing factors of career aspirations of internal medicine medical staff（all P<0.05）,which explained 68.2% of the total variables. Conclusion The career aspirations of internal medicine medical staff in grade-A tertiary hospitals are at a medium level,and there is a significant positive correlation between hope sources and social support and career aspirations. Hospital managers can improve their career aspirations by improving the hope source and social support level of medical staff.

Key words: Medical staff, Career aspirations, Source of hope, Social support, Influencing factors

中图分类号:

R192

肖开美, 秦静. 四川省10所三级甲等医院内科医务人员职业抱负现状及影响因素分析. [J]职业与健康, 2025, 41(10): 1384-1389.

XIAO Kaimei, QIN Jing. Analysis of the current status and influencing factors of career aspiration of internal medicine medical staff in 10 grade-A tertiary hospitals in Sichuan Province. [J]OCCUPATION AND HEALTH, 2025, 41(10): 1384-1389.

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