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医生职业倦怠的现状与分析(1)
http://www.100md.com 2008年4月1日 《中国健康心理学杂志》 2008年第4期
医生职业倦怠的现状与分析

     【摘要】 目的 调查医生职业倦怠的现状。方法 采用工作倦怠问卷(CMBI)对646名医生进行调查。结果 医生中有31.6%轻度倦怠,36.4%中度倦怠,7.7%重度倦怠;各维度,34.1%情感衰竭,48.1%人格解体,45.4%成就感降低。男性医生情感衰竭和人格解体比女性更严重,而成就感更高;职称方面,初级职称医生职业倦怠更严重;内外科医生情感衰竭比精神科严重,而较之其他科室,外科医生成就感更高,精神科更低。结论 医生职业倦怠现状严重,防治工作应关注男性、初级职称的医生,并针对不同科室的特点制定相关政策。

    【关键词】 职业倦怠;调查分析;医生;职业应激

    Analysis on the Status of Occupational Burnout among Doctors. Wang Hui, Zhang Ning. The Fourth Clinical Medical Institute, Nanjing Medical University, Nanjing 210029, P.R.China

    【Abstract】 Objective To investigate the status of occupational burnout among doctors. Methods 646 doctors were assessed by CMBI. Results 31.6% doctors experience mild burnout, 36.4% moderate burnout, and 7.7% severe burnout; 34.1% doctors get high scores on Emotional Exhaustion (EE), 48.1% subjects get high scores on Depersonalization (Dp) and 45.4% subjects get high scores on Reduced Personal Accomplishment(RPA). Male doctors experience higher EE and Dp than female, but greater personal accomplishment; Among technical post, the condition of occupational burnout among subjects with primary technical post is more serious; Internists and surgeons score higher on EE than psychiatrists, while compare with other departments, surgeons report greater personal accomplishment, and psychiatrists report lower personal accomplishment. Conclusion The status of occupational burnout among doctors is serious. To prevent and cure occupational burnout, more attention should be paid to male doctors and persons with primary technical post. And related policies should be developed according to the various features of departments. ......
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