中国临床心理学杂志

精神科医生职业倦怠及相关因素分析

作者：王惠¹ 张宁²

单位：1. 连云港市中医院神经内科江苏连云港 222004
2. 南京医科大学附属脑科医院医学心理科江苏南京 210029

分类号：R395.6

出版年,卷(期):页码：2009,17(1):112-114

摘要：

目的：了解精神科医生职业倦怠的特点，探讨其组织环境相关因素。方法：采用工作倦怠问卷、工作要求和决策自主量表、分配和程序公平量表、跨文化的角色冲突、角色混淆和角色过载量表、工作影响家庭和家庭影响工作量表及社会支持量表对106名精神科医生进行调查。结果：分层回归分析显示，控制了人口学变量之后，工作影响家庭、角色冲突、工作负荷和角色混淆对情感衰竭有显著预测作用；家庭影响工作对人格解体有显著预测作用；同事支持和角色混淆对成就感降低有显著预测作用。结论：精神科医生成就感降低明显，职业倦怠具有特异性的相关因素。

Objective: To investigate the characteristics of occupational burnout of psychiatrists, and explore its organi - zational factors. Methods: 106 psychiatrists were assessed by CMBI, Job Demands and Decision Latitude scale, Distribu - tive and Procedural Justice scale, Cross-Culture Role Conflict, Ambiguity, and Overload scale, Work Interference with Family and Family Interference with Work scale, Social Support scale. Results: Hierarchical multiple regression indicated that work interference with family, role conflict, workload and role ambiguity could significantly predict emotional exhaus tion; family interference with work could significantly predict depersonalization; colleague support and role ambiguity could significantly predict reduced personal accomplishment. Conclusion: Status of reduced personal accomplishment of psychi - atrists is serious. Occupational burnout has particular related factors.

基金项目：

卫生部公益性行业科研专项经费项目,课题名称:医生职业耗竭现状及影响因素研究(200802150)

作者简介：

参考文献：

[1] 王惠,张宁.医生职业倦怠及社会?组织影响因素的探讨.医学与哲学,2007,28(9):56-57
[2] 李超平,时勘,罗正学,等.医护人员工作倦怠的调查.中国临床心理学杂志,2003,11(3):170-172
[3] 李永鑫,吴明证.工作倦怠的结构研究.心理科学,2005,28(2):454-457
[4] Dail LF(阳至平,等译).工作评价—组织诊断与研究实用量表.北京:中国轻工业出版社,2004
[5] 王惠,张宁.医生职业倦怠的现状与分析.中国健康心理学杂志,2008,16(4):397-399
[6] Fothergill A, Edwards D, Burnard P. Stress, burnout, coping and stress management in psychiatrists: Findings from a systematic review. International Journal of Social Psychiatry,2004,50(1):54-65
[7] Guthrie E, Tattan T, Williams E. Sources of stress, psychological distress and burnout in psychiatrists: Comparison of junior doctors, senior registrars and consultants. Psychiatric Bulletin,1999,23(4):207-212
[8] Kumar S, Fischer J, Robinson E, et al. Burnout and job satisfaction in New Zealand psychiatrists: A national study. International Journal of Social Psychiatry,2007,53(4):306-316
[9] 章秋萍,倪煜青,陈爱华.精神科护士职业倦怠水平调查及影响因素分析.中国行为医学科学,2005,14(5):455
[10] 梁正英,鲍立铣,刘伦,等.精神科护士职业倦怠现状调查研究.中国临床心理学杂志,2006,14(1):81-82
[11] Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annual Review of Psychology,2001,52:397-422
[12] Leiter MP, Maslach C. Six areas of work life:A model of the organizational context of burnout. Journal of Health and Human Services Administration,1999,21(4):472-89
[13] 赵阿勐,崔光成,刘吉成.精神科医师职业倦怠的状况及其对精神医学教育的启示.医学教育探索,2008,7(4):436-438
[14] Naisberg-Fennig S, Fennig S, Keinan G, et al. Personality characteristics and proneness to burnout: A study among psychiatrists. Stress Medicine,1991,7(4):201-205

服务与反馈：

【文章下载】【加入收藏】