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目的探讨医生的职业倦怠与其应对方式的关系,以期为医生的职业倦怠的防治工作提供参考信息。方法采用马氏工作倦怠量表—服务行业版(Maslach Burnout Inventory-Human Service Survey,简称MBI-HSS)及简易应对方式问卷对1 611名医生进行调查。运用SPSS13.0对数据进行描述性分析、简单相关分析、多元逐步回归分析。结果①在情绪衰竭及成就感两个维度上分别有44.4%和36.1%的被试处于中高度倦怠水平。②相关分析显示情绪衰竭、人格解体与积极应对呈显著性负相关(r分别为-0.190和-0.192,P<0.01),与消极应对呈显著性正相关(r分别为0.216和0.190,P<0.01);成就感与积极应对呈显著性正相关(r为0.403,P<0.01),与消极应对呈显著性负相关(r为-0.071,P<0.01)。③应对方式的具体条目对情绪衰竭、人格解体、成就感三维度的多元逐步回归分析显示“尽量看到事物好的一面”、“找出几种不同的解决问题的方法”、“寻求业余爱好,积极参加文体活动”、“不把问题看得太严重”、“试图休息或休假,暂时把问题(烦恼)抛开”、“通过吸烟、喝酒、服药和吃东西来解除烦恼”等条目进入回归方程(R~2=13.7%~22.4%)。结论医生群体存在较严重的职业倦怠,应对方式的选择对其职业倦怠具有重要预测作用。
Objective To explore the relationship between doctors ’burnout and coping style, in order to provide reference information for doctors’ job burnout prevention and treatment. Methods A total of 1 611 doctors were surveyed using the Maslach Burnout Inventory-Human Service Survey (MBI-HSS) and the Simplified Coping Style Questionnaire. Using SPSS13.0 descriptive analysis of the data, simple correlation analysis, multiple stepwise regression analysis. Results ① In the two dimensions of emotional exhaustion and sense of accomplishment, 44.4% and 36.1% of the subjects were at medium or high level of burnout respectively. ② Correlation analysis showed that emotional exhaustion and personality disintegration were negatively correlated with positive coping (r = -0.190 and -0.192, respectively, P <0.01), but negatively correlated with negative coping (r = 0.216 and 0.190 respectively, P < 0.01). There was a significant positive correlation between achievement and positive coping (r = 0.403, P <0.01), but negatively correlated with negative coping (r = -0.071, P <0.01). (3) The concrete step-by-step regression analysis of the specific items of coping styles on the three dimensions of emotional exhaustion, personality disintegration and sense of accomplishment shows that “try to see the good side of things” and “find out several different ways to solve the problem” “Seeking hobbies, actively participate in sports activities ”, “Do not see the problem too seriously”, “Trying to rest or leave, temporarily put the problem (trouble) aside ”, “Through smoking, drinking, Taking medicine and eating to relieve trouble ”and other items into the regression equation (R ~ 2 = 13.7% ~ 22.4%). Conclusion There are serious occupational burnout among doctors groups, and the choice of coping style plays an important role in predicting job burnout.