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某传染病医院医务工作者工作场所暴力对职业倦怠影响
Workplace violence and its impact on occupational burnout among healthcare workers in an infectious disease hospital
【摘要】 目的 探讨医务工作者所遭受的工作场所暴力(WPV)对职业倦怠的影响。方法 采用典型抽样方法,选择某传染病医院的675名医务工作者为研究对象,分别采用《医疗部门工作场所暴力国家案例研究工具——调查问卷》《Maslach总结性量表》调查其WPV和职业倦怠发生情况。结果 研究对象WPV发生率为35.1%;其中,身体暴力、心理暴力的发生率分别为2.2%和34.1%。研究对象情绪耗竭、人格解体、职业倦怠的检出率分别为25.9%、12.6%和52.4%。多因素logistic回归分析结果显示,遭受心理暴力、大学本科和硕士及以上文化程度、对WPV担心程度高均是研究对象情绪耗竭的影响因素(P值均<0.05);知晓暴力事件上报流程、对WPV担心程度高均是研究对象人格解体的影响因素(P值均<0.05);少数民族、大学本科和硕士及以上学历、遭受心理暴力、对WPV担心程度高均是职业倦怠的影响因素(P值均<0.05)。结论 WPV可增加医务工作者职业倦怠发生风险。应采取有效措施减少WPV的发生,降低职业倦怠的水平,促进医务工作者的身心健康。
【Abstract】 Objective To explore the impact of workplace violence(WPV) on occupational burnout among healthcare workers.Methods A total of 675 healthcare workers from an infectious disease hospital were selected as the study subjects using typical sampling method. The Workplace Violence in the Healthsector Country Case Studies Research Instruments: Survey Questionnaire and the Maslach Burnout Inventory 2-item were used to investigate the incidence of WPV and occupational burnout. Results The incidence of WPV among the study subjects was 35.1%, with incidences of physical and psychological violence at 2.2% and 34.1%, respectively. The detection rates of emotional exhaustion, depersonalization, and occupational burnout were 25.9%, 12.6%, and 52.4%, respectively. The result of multifactorial logistic regression analysis showed that experiencing psychological violence, having a bachelor or master degree or higher, and having more concerns about WPV were influencing factors for emotional exhaustion(all P<0.05). Knowing the reporting process for violent incidents and having more concerns about WPV were influencing factors for depersonalization(all P<0.05). Being in a minority ethnic group, having a bachelor, a master degree or higher, experiencing psychological violence, and having more concerns about WPV were influencing factors for occupational burnout(all P<0.05). Conclusion WPV increases the risk of occupational burnout among healthcare workers. Effective measures should be implemented to reduce the incidence of WPV, decrease the level of occupational burnout, and promote the overall well-being of healthcare workers.
【Key words】 Occupational health; Workplace violence; Occupational burnout; Healthcare workers; Mental health;
- 【文献出处】 中国职业医学 ,China Occupational Medicine , 编辑部邮箱 ,2023年05期
- 【分类号】R192
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