【摘要】 目的 了解河北省医疗卫生人员职业紧张现状及其影响因素。方法 以河北省医疗卫生人员为调查对象，于2020年11月至2021年7月抽取71家医疗卫生机构7 433名医疗卫生人员，采用《付出-回报失衡量表》进行职业紧张现状调查，并采用logistic回归分析影响因素。结果 共发放8 463份问卷，回收有效问卷7 433份，问卷有效回收率为87.8%。医疗卫生人员的职业紧张水平为（0.97±0.28）分、发生率为40.2%(2 985/7 433);logistic回归分析结果显示，长时间工作（每周工作>5 d、每周加班天数≥1 d、每周工作≥40 h、每天工作>8 h）、患慢性病、夜班或轮班、工龄≥5年、长期合同工或临时工、本科、医疗机构是职业紧张的危险因素，锻炼是职业紧张的保护因素（OR=0.688,95%CI:0.617～0.767,P<0.05）。结论 河北省医疗卫生人员职业紧张发生率较高，应使其避免长时间工作、合理安排工作休息，尤其给予轮班、夜班医疗卫生人员充分的休息恢复时间，关爱患慢病员工，保护医疗卫生人员身心健康。更多还原

【Abstract】 Objective To understand the status of occupational stress and its influencing factors among health care workers in Hebei province.Methods A total of 7 433 medical and health personnel were selected from 71 medical and health institutions in Hebei province from November 2020 to July 2021,logistic regression analysis was used to analyze the influencing factors.Results A total of 8 463 questionnaires were distributed and 7 433 effective questionnaires were recovered,with an effective recovery rate of 87.8%,the occupational stress level of health workers was(0.97 ± 0.28)and the detection rate was 40.2%(2 985/7 433),Logistic regression analysis showed that,long working hours(working more than 5 days per week,overtime more than 1 day per week,working more than 40 hours per week,working more than 8 hours per day),chronic diseases,night shift or shift work,working more than 5 years,long-term contract workers or temporary workers,undergraduates and medical institutions were the risk factors of occupational stress,exercise was a protective factor against occupational stress(OR=0.688,95%CI:0.617-0.767,P<0.05).Conclusion Medical and health personnel in Hebei province have a high incidence of occupational stress,we should make them avoid long working hours,arrange work and rest reasonably,and give medical and health personnel on shift and night shift adequate rest and recovery time,care for staff with chronic diseases,to protect the physical and mental health of medical personnel.更多还原