上海交通大学学报（医学版）

上海交通大学学报（医学版）

• 论著（公共卫生） • 上一篇    下一篇

上海某医院547名医务人员职业满意度与职业倦怠分析与对策

李敏1，蔡仁田1，卢洪州1,2   

  1. 复旦大学 1.附属公共卫生临床中心， 上海 201508； 2.附属华山医院感染科， 上海 200040
  • 出版日期:2015-05-28 发布日期:2015-06-04
  • 通讯作者: 卢洪洲, 电子信箱: luhongzhou@fudan.edu.cn。
  • 作者简介:李敏（1970—）， 女， 馆员， 博士生; 电子信箱: minliji@yahoo.com.cn。
  • 基金资助:

    国家十二五重大新药创制(2012ZX09303013); 上海卫生系统党建研究专委会课题（201420）；中国医师协会医院科研建设项目

Analysis of job satisfaction and career burnout of 547 medical stuff of a Shanghai hospital and countermeasures

LI Min1, CAI Ren-tian1, LU Hong-zhou1,2   

  1. 1.Shanghai Public Health Clinical Center, Fudan University, Shanghai 201508, China; 2.Department of Infectious Diseases, Huashan Hospital, Fudan University, Shanghai 200040, China
  • Online:2015-05-28 Published:2015-06-04
  • Supported by:
    The 12th Five-Year Major New Drug Discovery Science and Technology, 2012ZX09303013; Key Research Project of the Party, Education and Health Building of Shanghai, 201420; Scientific Research in Hospital Construction Project of Chinese Medical Doctor Association

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摘要：

目的 找出医务人员职业满意度与职业倦怠的影响因素，提高职业满意度，降低职业倦怠，不断提升医院管理与提高医疗服务质量。方法 采用整群抽样方法对上海某医院医务人员进行问卷调查，采用描述性统计、因素分析、平均数差异检验和Logistic回归分析。结果 职业满意度与构面烦闷麻木（r=-0.265，P=0.000)、身心疲惫（r=-0.477，P=0.000)呈负相关；2个构面烦闷麻木与身心疲惫呈正相关（r=0.433，P=0.000)。烦闷麻木、身心疲惫等自变量对高低职业满意度组别预测的χ2= 98.763（P=0.000），可以解释职业满意度变量总变异的31.0%和41.6%；其中4个自变量的Wald值分别为8.945、8.772、4.008和8.707（P<0.05），可有效预测与解释高、低职业满意度组别。整体分类正确百分比为76.3%。结论 应建立同工同酬制度，加大继续教育力度，实行注册执业医师多点执业。

关键词: Logistic回归分析, 医院, 医务人员, 职业满意度, 职业倦怠

Abstract:

Objective To discover the influencing factors of job satisfaction and career burnout of medical staff, improve the job satisfaction, decrease the career burnout, and continuously improve the hospital management and medical service quality. Methods The stratified random sampling method was adopted and medical staff of a Shanghai hospital was surveyed by questionnaire. Data were analyzed by descriptive statistical analysis, factor analysis, average difference test, and Logistic regression analysis. Results The job satisfaction was negatively correlated with worry and numbness (r=-0.265，P=0.000) and burnout (r=-0.477，P=0.000). Worry and numbness was positively correlated with fatigue (r=0.433，P=0.000). The value of χ2 of high job satisfaction group and low job satisfaction group predicted by independent variables such as worry and numbness and fatigue was 98.763 (P=0.000), which could explain 31.0% and 41.6% of total variation of job satisfaction. The Wald values of 4 independent variables were 8.945, 8.772, 4.008, and 8.707 (P<0.05), respectively, which could be used for effectively predicting differences of the high job satisfaction group and low job satisfaction group. The correct classification rate was 76.3%. Conclusion The equal pay for equal work system should be established, the continuing education should be enhanced, and multi-sited practice for registered doctors should be implemented.

Key words: Logistic regression analysis, hospital, medical staff, job satisfaction, career burnout