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1.400038 重庆,陆军军医大学(第三军医大学)军事预防医学系社会医学与卫生事业管理学教研室
2.400050 重庆,重庆市结核病防治所
3.400038 重庆,陆军军医大学(第三军医大学)公共管理中心
[黄春基,Email: hcjwyhws@163.com HUANG Chunji, E-mail: hcjwyhws@163.com
[李颖,Email: lilyliying2012@163.com LI Ying, E-mail: lilyliying2012@163.com
收稿:2022-10-21,
修回:2022-11-28,
纸质出版:2023-03-30
移动端阅览
王赓, 张婷, 汪清雅, 等. 重庆市结核病防治医务人员职业倦怠现状研究[J]. 陆军军医大学学报, 2023,45(6):586-封3.
Geng WANG, Ting ZHANG, Qingya WANG, et al. Job burnout status among medical personnel in tuberculosis prevention and treatment of Chongqing[J]. Journal of Army Medical University, 2023, 45(6): 586-封3.
王赓, 张婷, 汪清雅, 等. 重庆市结核病防治医务人员职业倦怠现状研究[J]. 陆军军医大学学报, 2023,45(6):586-封3. DOI: 10.16016/j.2097-0927.202210182.
Geng WANG, Ting ZHANG, Qingya WANG, et al. Job burnout status among medical personnel in tuberculosis prevention and treatment of Chongqing[J]. Journal of Army Medical University, 2023, 45(6): 586-封3. DOI: 10.16016/j.2097-0927.202210182.
目的
2
了解重庆市结核病防治医务人员职业倦怠现状及分布,为改善结核病防治工作提供参考。
方法
2
2021年9月至2022年5月间,采用分层整群随机抽样,调查重庆市16个区县疾控机构、定点医院及基层医疗机构从事结核病防治工作的医务人员,采用Maslach职业倦怠量表服务版(Maslach Burnout Inventory-Human Service Survey,MBI-HSS)测量职业倦怠程度,采用多项Logistics回归分析职业倦怠在结核病防治医务人员中的分布。
结果
2
重庆市结核病防治医务人员职业倦怠率为66.8%(761人),其中轻度31.9%(364人)、中度26.2%(299人)、重度8.6%(98人)。多项Logistics回归分析结果显示: 自觉健康状况不好者较良好者更易发生轻度倦怠(
OR
: 2.68,95%
CI
: 1.40~5.13)和中度倦怠(
OR
: 3.50,95%
CI
: 1.77~6.93),自觉健康状况一般者较良好者更易发生中度倦怠(
OR
: 1.81,95%
CI
: 1.28~2.58)和重度倦怠(
OR
: 1.95,95%
CI
: 1.19~3.22);未婚者较离婚/丧偶者更易发生轻度倦怠(
OR
: 3.27,95%
CI
: 1.18~9.12)和中度倦怠(
OR
: 8.96,95%
CI
: 2.64~30.45);村卫生室人员与疾控机构(
OR
: 0.38,95%
CI
: 0.17~0.84)相比更易发生中度倦怠。
结论
2
重庆市结核病防治医务人员职业倦怠率较高,其中自觉健康状况不良好者、未婚人员及村卫生室人员职业倦怠不同程度偏高。
Objective
2
To investigate the current status and distribution of job burnout among medical personnel in tuberculosis prevention and treatment of Chongqing
and provide suggestion for improving tuberculosis prevention and treatment.
Methods
2
From September 2021 to May 2022
stratified cluster random sampling was used to investigate medical personnel engaged in tuberculosis prevention and treatment in 16 districts and counties of Chongqing Maslach Burnout Inventory-Human Service Survey (MBI-HSS) was used to measure the degree of job burnout
and multiple logistics regression was used to analyze the distribution of burnout among medical personnel in tuberculosis prevention and treatment.
Results
2
Among 1 194 participants in tuberculosis prevention and treatment
761 found to have different levels of burnout
among which 364 (31.9%) were mild burnout
299(26.2%) were moderate burnout and 98 (8.6%) were severe burnout. Compared with those who perceived themselves in good health
medical personnel who perceived their health as poor were more likely to experience mild (
OR
: 2.68
95%
CI
: 1.40~5.13) to moderate burnout (
OR
: 3.50
95%
CI
: 1.77~6.93) and those who perceived their health as average were more likely to experience moderate (
OR
: 1.81
95%
CI
: 1.28~2.58) to severe burnout(
OR
: 1.95
95%
CI
: 1.19~3.22). The unmarried were more likely to experience mild (
OR
: 3.27
95%
CI
: 1.18~9.12) and moderate burnou
t(
OR
: 8.96
95%
CI
: 2.64~30.45) than those who got divorced. The medical personnel in village clinics were more prone to moderate burnout than those in centers of disease control and prevention (
OR
: 0.38
95%
CI
: 0.17~0.84).
Conclusion
2
The rate of job burnout is relatively high among medical personnel of tuberculosis prevention and treatment in Chongqing. Those medical personnel who perceived their health status are not good
got unmarried and worked in village clinic are more likely to experience different levels of job burnout.
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