基于结构方程模型的上海市院前急救医疗体系人员工作满意度、工作压力与职业倦怠的关系分析

职业与健康 ›› 2025, Vol. 41 ›› Issue (8): 1029-1034.

基于结构方程模型的上海市院前急救医疗体系人员工作满意度、工作压力与职业倦怠的关系分析

秦旖, 黄萍

上海中医药大学公共健康学院,上海 201203

收稿日期:2024-07-29 修回日期:2024-08-05 出版日期:2025-04-15 发布日期:2025-12-18
通信作者: 黄萍,副教授,E-mail：huangping_11404@163.com
作者简介:秦旖,女,在读硕士研究生,研究方向为卫生政策与管理医药人力资源。
基金资助:
上海中医药大学2021年预算内项目（2021WK143）

Analysis on relationship between job satisfaction,job stress and burnout among personnel in Shanghai's pre-hospital emergency medical system based on structural equation modeling

QIN Yi, HUANG Ping

School of Public Health,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China

Received:2024-07-29 Revised:2024-08-05 Online:2025-04-15 Published:2025-12-18
Contact: HUANG Ping,Associate Professor,E-mail：huangping_11404@163.com

摘要/Abstract

摘要： 目的调查上海市院前急救人员工作现状,分析院前急救体系中人员工作满意度的相关因素及其与工作压力、职业倦怠的关系,并提出具有针对性的建议措施。方法 2022年7—8月调查上海市院前急救人员队伍工作现状,采用基本资料调查问卷、工作满意度量表、工作压力量表、职业倦怠量表对上海市所有市区级医疗急救中心（共计10家）急救相关人员开展横断面调查,通过构建结构方程模型,分析上海市院前急救相关人员工作满意度、工作压力与职业倦怠之间的关系。结果上海市院前急救相关人员的工作满意度得分为（70.82±16.53）分,工作压力得分为（24.25±6.10）分,职业倦怠得分为（40.15±18.00）分,均处于中等以上水平。上海市院前急救人员工作满意度与职业倦怠的标准化路径系数为-0.71,两者呈负相关（r=-0.607,P<0.01）;工作压力与工作满意度的标准化路径系数为0.88,两者呈正相关（r=0.899,P<0.01）;工作压力通过工作满意度的中介作用,间接对职业倦怠产生负向作用。结论工作满意度作为工作压力与职业倦怠的中介因素,提示需要更多关注院前急救人员的需求与发展痛点,通过智慧建设院前急救体系,改善工作环境,注重培养提升院前急救人员自身能力,完善绩效考核,优化薪酬体系,激励创新,以降低工作压力与职业倦怠水平,提高院前急救人员工作满意度,有效推动院前急救队伍高质量、可持续建设。

关键词: 院前急救, 结构方程模型, 工作满意度, 横断面研究

Abstract: Objective To investigate the current situation of the pre-hospital emergency personnel workforce in Shanghai,analyze the factors related to personnel job satisfaction in the pre-hospital emergency system and its relationship with work pressure and burnout,and put forward targeted recommendations and measures. Methods The current work status of the pre-hospital emergency personnel workforce in Shanghai was investigated from July to August 2022,and a cross-sectional survey was conducted on emergency-related personnel in all urban-level medical emergency centres in the city（a total of 10） using a basic information questionnaire,a job satisfaction scale,a job stress scale,and a burnout scale. A structural equation model was constructed to analyze the relationship between job satisfaction,work pressure and burnout among the pre-hospital emergency personnel in Shanghai. Results The job satisfaction score of pre-hospital emergency related personnel in Shanghai was （70.82±16.53）points,the job stress score was （24.25±6.10）points,and burnout score was （40.15±18.00）points,which were all above the medium level.The standardized path coefficient between job satisfaction and burnout among pre-hospital emergency personnel in Shanghai was -0.71,and the two were negatively correlated. The standardized path coefficient between job stress and job satisfaction was 0.88,indicating a positive correlation between the two.Job stress indirectly had a negative effect on burnout through the mediating role of job satisfaction. Conclusion Job satisfaction,as a mediator factor between job stress and burnout,suggests that we need to pay more attention to the needs and development pain points of pre-hospital emergency personnel,improve the working environment through the intelligent construction of the pre-hospital emergency system,focus on cultivating and upgrading the pre-hospital emergency personnel's own ability,improve performance evaluation,optimise the salary system,and stimulate innovation and creativity,which can reduce the job stress and burnout,and improve the job satisfaction of the pre-hospital emergency personnel,and effectively promote the high-quality and sustainable construction of pre-hospital emergency teams.

Key words: Pre-hospital emergency care, Structural equation modelling, Job satisfaction, Cross-sectional study

中图分类号:

R192

秦旖, 黄萍. 基于结构方程模型的上海市院前急救医疗体系人员工作满意度、工作压力与职业倦怠的关系分析. [J]职业与健康, 2025, 41(8): 1029-1034.

QIN Yi, HUANG Ping. Analysis on relationship between job satisfaction,job stress and burnout among personnel in Shanghai's pre-hospital emergency medical system based on structural equation modeling. [J]OCCUPATION AND HEALTH, 2025, 41(8): 1029-1034.

参考文献

[1] 中华人民共和国中央人民政府.院前急救管理办法[EB/OL].(2013-11-29)[2024-06-13].https://www.gov.cn/gongbao/content/2014/content_2580977.htm.
[2] 高文慧,梁潇,李思颉,等.院前急救医疗服务的资源利用情况分析[J].中国急救医学,2022,42(6):470-475.
[3] 孟秋雨. 基于结构方程模型的急诊医生离职意愿及其影响因素研究[D].重庆:重庆医科大学,2020.
[4] 陈志,张文中.我国院前急救人才队伍建设探析[J].中国卫生人才,2020(3):18-21.
[5] 王韧,刘芳羽,钟婷,等.北京市院前急救专业技术人力资源现况及优化策略[J].中国急救复苏与灾害医学杂志,2023,18(7):871-874.
[6] 叶炜杰. 基于结构方程模型的社区医务人员离职意愿现状及其影响因素的研究[D].衡阳:南华大学,2018.
[7] 谭剑,孔雪二,侯璇璇.工作满意度在护士心理弹性与职业倦怠间的中介效应[J].护理学报,2023,30(8):69-73.
[8] 李玉娇,代萍,陈白霞.基于结构方程模型基层医院医务人员工作稳定性、满意度与职业认同感的相关性研究[J].智慧健康,2021,7(23):156-158,161.
[9] 王丽丽,袁东,黄萍.上海市区两级疾控人员工作满意度、工作嵌入与留职意愿的结构方程模型研究[J].中医药管理杂志,2023,31(5):47-51.
[10] DESIMONE J A,HARMS P D,DESIMONE A J.Best practice recommendations for data screening[J].J Organiz Behav,2014,36(2):171-181.
[11] 刘智新,刘俊萍,赵娟,等.基于结构方程模型的医学生岗位胜任力与防御性医疗行为倾向的关系研究[J].中国卫生事业管理,2023, 40(6):471-475.
[12] WEISS D J,DAVIS R V.Manual for the minnesota satisfaction questionnaire[M].Minneapolis MN:The University of Minnesota Press,1967:1.
[13] 舒晓兵. 管理人员工作压力与工作效率的影响研究——以国有企业与民营企业为例[J].南开管理评论,2006(3):44-49.
[14] MASLACH C,JACKSON S E.MBI:Maslach burnout inventory[C].Palo Alto,CA:Consulting Psychologists Press,1981.
[15] HAIR J F,BLACK W C,BABIN B J,et al.Mutivariate Data Analysis[M].Beijing:China Machine Press,2011:649-650.
[16] 李璇,杨燕绥,袁向东.儿科医生工作满意度、职业倦怠与离职意向的相关性——基于广东省三甲医院的调查[J].中国卫生政策研究,2018,11(11):68-72.
[17] 张金玉. 某医院编外护理人员工作满意度、离职意愿、工作倦怠及其关系的研究[D].北京:北京中医药大学,2016.
[18] 谭健烽,禹玉兰,蔡静怡,等.医护人员工作压力与生活质量和幸福感的相关分析[J].现代预防医学,2013,40(4):684-686.
[19] 王宜静,黄静辉,詹兴杰,等.医护人员工作压力与生活满意度关系及情绪劳动的调节作用[J].中国健康心理学杂志,2017,25(7):1007-1010.
[20] 沈秋苹,王娟,张彩迪.医护人员工作压力、心理弹性和工作满意度的关系[J].中国健康心理学杂志,2018,26(11):1706-1710.
[21] CANTARELLI P,VAINIERI M,SEGHIERI C.The management of healthcare employees' job satisfaction:optimization analyses from a series of large-scale surveys[J].BMC Health Serv Res,2023,23(1):428.
[22] 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.
[23] 李盛,唐佳蓉,李昕蓉,等.兰州市医护人员组织行为方式在职业紧张与健康之间的中介效应[J].疾病预防控制通报,2023,38(4):19-25.
[24] 顾璇. 加强院前急救卫生人才队伍建设[J].中国医院,2011,15(11):45-47.
[25] 李晓洁,张亚男,何萍.基于医疗大数据的市级医院急诊急救一体化平台建设研究[J].中国数字医学,2022,17(9):41-44.
[26] 张子旋,张青芝,赵鹏,等.基于5G技术的院前急救协同平台设计及应用[J].中国医院建筑与装备,2023,24(1):60-62.
[27] 丘向伟. 新形势下院前急救人员职业倦怠成因及对策探讨[J].卫生职业教育,2022,40(21):147-149.
[28] 余灵芝,周海斌.舒缓院前急救人员压力的心理支持策略[J].中国初级卫生保健,2011,25(1):56-57.
[29] 向珍君,巴依尔策策克,陈志,等.我国院前医疗急救从业人员标准化意识调研[J].中国卫生质量管理,2024,31(1):7-11,20.
[30] 梁冠楠,梁金凤,封国生.北京市某综合医院卫生人力资源现况及动态发展研究[J].中华医院管理杂志,2019,35(3):252-256.