[1]周淑萍,王小丹,赵 微.海口市三甲医院医护人员压力现状及其影响因素分析[J].医学信息,2023,36(01):42-46,51.[doi:10.3969/j.issn.1006-1959.2023.01.007]
 ZHOU Shu-ping,WANG Xiao-dan,ZHAO Wei.Study on the Current Situation and Influencing Factors of the Pressure of Medical Staff in the Level A Grade Ⅲ General Hospitals in Haikou City[J].Journal of Medical Information,2023,36(01):42-46,51.[doi:10.3969/j.issn.1006-1959.2023.01.007]
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海口市三甲医院医护人员压力现状及其影响因素分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年01期
页码:
42-46,51
栏目:
公共卫生信息学
出版日期:
2023-01-01

文章信息/Info

Title:
Study on the Current Situation and Influencing Factors of the Pressure of Medical Staff in the Level A Grade Ⅲ General Hospitals in Haikou City
文章编号:
1006-1959(2023)01-0042-06
作者:
周淑萍王小丹赵 微
(1.海南省人民医院护理部,海南 海口 570311;2.海南医学院公共卫生学院卫生统计学教研室,海南 海口 571192)
Author(s):
ZHOU Shu-pingWANG Xiao-danZHAO Wei
(1.Department of Nursing,Hainan General Hospital,Haikou 570311,Hainan,China;2.Health Statistics Department of Public Health College,Hainan Medical University,Haikou 571192,Hainan,China)
关键词:
三甲医院医护人员压力工作负荷
Keywords:
Level A Grade Ⅲ General HospitalsMedical staffPressureWork load
分类号:
R197.32
DOI:
10.3969/j.issn.1006-1959.2023.01.007
文献标志码:
A
摘要:
目的 通过对海口市三甲医院医护人员压力进行压力现状调查,对其影响因素进行分析,针对压力源寻找减轻方法与对策,使其能更好的为患者和整个社会服务。方法 2020年11月1日-30日选择海口市三甲医院的1543名医护人员调查对象,分析工作负荷、身体状况等影响因素进行分析,得到医护人员有压力的原因。结果 调查的医护人员中有压力的人数为849名(55.02%)。职业、学位、科室、工作单位、是否加班比较,差异有统计学意义(P<0.05);单因素Logistic分析结果显示:医护人员是否有压力与医疗事故、工作负荷、医患关系、同事关系、职业声望、职称晋升与聘任、角色责任、职业发展、领导与管理因素、工作与家庭冲突的差异有统计学意义(P<0.05);多因素Logistic分析结果显示:身体状况、工作负荷、同事关系、职业发展、领导与管理因素、工作与家庭冲突为危险因素;是否加班、角色责任为保护因素。结论 不加班是影响医护人员压力的积极因素;认为工作量大、身体状况差、人际关系紧张等是影响医护人员压力的消极因素,是否加班、角色责任、工作与家庭冲突变化对医护人员压力影响程度最大。
Abstract:
Objective To investigate the pressure status of medical staff in the Level A Grade Ⅲ General Hospitals in Haikou City, analyze its influencing factors, and find ways and countermeasures to reduce the pressure of medical staff according to the source of stress, so that they can better serve the patients and the whole society.Methods From November 1 to 30, 2020, a total of 1543 medical staff in the Level A Grade Ⅲ General Hospitals in Haikou City were selected to analyze the work load, physical condition and other influencing factors, and the reasons for the stress of the medical staff were obtained.Results Of 849 (55.02%) of the medical staff surveyed were stressed. There were significant differences in occupation, degree, department, work unit and overtime (P<0.05). The results of univariate Logistic analysis showed that there were statistically significant differences in the relationship between medical staff’s stress and medical accidents, workload, doctor-patient relationship, colleague relationship, professional reputation, title promotion and appointment, role responsibility, career development, leadership and management factors, work and family conflict (P<0.05). Multivariate Logistic analysis showed that physical condition, workload, colleague relationship, career development, leadership and management factors, work and family conflict were risk factors. Whether to work overtime and role responsibility are protective factors.Conclusion No overtime is a positive factor affecting the pressure of medical staff; it is believed that heavy workload, poor physical condition and interpersonal tension are the negative factors affecting the pressure of medical staff. Whether working overtime, role responsibility, work and family conflict changes have the greatest impact on the pressure of medical staff.

参考文献/References:

[1]Lall MD,Gaeta TJ,Chung AS.Assessment of physicianwell-being, part one: burnout and other negative states[J].West J Emerg Med,2019,20(2):278-290.[2]Wang Y,Wang P.Perceived stress and psychological distressamong chinese physicians: The mediating role of coping style[J].Medicine(Baltimore),2019,98(23):e15950.[3]许爱鲜,张袁凌,章莉.医务人员职业压力管理现状与健康风险评估管理对策[J].中医药管理杂志,2021,29(8):39-40.[4]娄阳云,吴新任,陈启云,等.320名医务人员工作压力及其生理健康自我评定的调查与分析[J].浙江医学教育,2008,7(4):14-18.[5]王黔艳,唐昌敏.三级医院医务人员过劳状态及其影响分析[J].中国医院管理,2018,38(10):59-61.[6]吴世超.中国136家三级公立医院医护人员心理健康自评现状及影响因素研究[D].北京:北京协和医学院,2019.[7]张群,杨玲,刘俊,等.医务人员职业压力、应对方式与主观幸福感的相关性[J].中国健康心理学杂志,2019,27(11):1627-1631.[8]杨柳,郭琼杰,史文宗,等.医务人员焦虑抑郁障碍与工作压力、应对方式及社会支持的关系[J].职业与健康,2020,36(22):3080-3084.[9]金璇,王洋,马腾阳,等.我国公立医院医务人员工作压力、医疗服务质量与工作满意度关系研究[J].中国卫生事业管理,2018,35(9):705-709,720.[10]张进,马星,杨立斌,等.我国临床医生职业压力源结构及消解策略[J].医学与社会,2020,33(2):93-96,111.[11]马诗诗,钱佳,金玮,等.医务人员职业生涯管理[J].解放军医院管理杂志,2021,28(9):821-823.[12]何清霞,巴志琼,詹绮珊,等.医务人员工作安全感影响因素的质性研究[J].中国护理管理,2021,21(5):754-758.[13]李新,秦刚,李珊珊,等.基于扎根理论的医护人员工作满意度影响因素及其作用机制研究[J].中华医院管理杂志,2020,36(9):788-792.[14]江舜杰,汪文新,杨雪,等.深圳市医务人员职业倦怠的影响因素研究[J].中国卫生事业管理,2020,37(9):709-712.[15]黄浪,陈琳,苏艺伟,等.广州市1545名医务人员职业紧张、职业倦怠和抑郁症状的关系研究[J].职业卫生与应急救援,2021,39(2):129-135.[16]王桂芳,郭会越,邹建芳.医务人员职业紧张与职业疲竭感相关性分析[J].工业卫生与职业病,2018,44(03):189-194.[17]梁东如,张丽,孟杨.临床医护人员职业倦怠相关因素及其与职业生涯规划关系[J].华南预防医学,2021,47(12):1625-1628.[18]王娇,盖海云.护士组织支持感和抗逆力对职业生涯状况影响的路径分析[J].护理管理杂志,2020,20(1):7-11.[19]文艳红,赵天霞,陈瑶,等.应对方式在医务人员工作家庭冲突与职业倦怠中的中介作用[J].职业与健康,2022,38(1):41-45,50.

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更新日期/Last Update: 1900-01-01