住院医师职业倦怠及组织相关因素分析

目的:研究中国住院医师职业倦怠的现状及其组织相关因素?方法:采用中国职业倦怠量表(CMBI)?分配和程序公平量表?角色冲突分量表和角色混淆分量表?工作要求和决策自主量表对国内1 098名住院医生进行调查?结果:住院医师轻度以上倦怠达到76.7%;工作负荷?角色冲突和组织公平对住院医师有显著的预测作用;角色冲突和角色混淆对人格解体有显著的预测作用;程序公平?工作控制和工作负荷对成就感降低有显著的预测作用?结论:国内住院医师职业倦怠情况严重,并具有特异性的组织相关影响因素,应予以重视?

Analysis on resident burnout and its related organizational factors

Objective:investigate the status of resident burnout and explore its organizational factors. Methods: A total of 1 098 residents were assessed by Chinese maslach burnout inventory (CMBI), distributive and procedural justice scale, role conflict and ambiguity scale, job demands and decision latitude scale. Results: 76.7% residents experience at least mild burnout. Hierarchical multiple regression indicated that, workload and role conflict could significantly predict emotional exhaustion, while organizational justice had negative prediction. Role conflict and role ambiguity could significantly predict depersonalization. Procedural Justice, job control and workload could significantly negatively predict reduced achievement. Conclusion: The situation of occupational burnout among Chinese resident doctors is serious. Resident burnout has particular related organizational factors. An intervention and prevention should take place at the level of organization.