临床医学研究生工作倦怠及医患沟通能力的相关性
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摘要
目的了解临床医学研究生的工作倦怠情况及医患沟通能力,探讨其影响因素及两者的相关性。方法采用横断面调查方法,对569名临床医学研究生进行自填式问卷调查,收集其工作倦怠及医患沟通能力的相关资料。结果 569名调查对象中,431人(75.7%)存在工作倦怠,其中,轻、中和重度工作倦怠的分别有219人(38.5%)、160人(28.1%)、52人(9.1%)。不同人口学特征的临床医学研究生的工作倦怠情况及医患沟通能力不同,高年级可能是工作倦怠的保护因素(OR=0.370,95%CI 0.235～0.582),工作时间长和医患沟通能力弱可能是工作倦怠的危险因素(OR=2.923,95%CI 1.397～6.116;OR=1.981,95%CI 1.044～3.759)。结论工作倦怠与医患沟通能力存在一定的相关性,临床医学研究生的工作倦怠现状及医患沟通能力的培养应得到医学教育部门的高度重视。
Objective To investigate the job burnout situation and doctor-patient communication skill among clinical medical postgraduates in a medical college in Guangzhou, and to explore their influence factors. Methods A total of 569 clinical medical postgraduates were randomly investigated with self-administered questionnaire on a cross-sectional study. Results Jon burnout was revealed in 431(75.7%) clinical medical postgraduates, among whom 219(38.5%) had mild job burnout, 160(28.1%) had medium job burnout and 52(9.1%) had severe job burnout. The clinical medical postgraduates with different demographic characteristics had different job burnout situation and doctor-patient communication skill. Senior grade was the protective factor of job burnout(OR=0.370, 95%CI 0.235-0.582), and long working hours and the lack of doctor-patient communication skill were the risk factors of job burnout(OR=2.923, 95%CI 1.397-6.116; OR=1.981, 95%CI 1.044～3.759). Conclusion There is a correlation between job burnout and doctor-patient communication skill. The current situation of job burnout and the cultivation of doctor-patient communication skill in clinical medical postgraduates should be highly valued by medical education departments.
Objective To investigate the job burnout situation and doctor-patient communication skill among clinical medical postgraduates in a medical college in Guangzhou, and to explore their influence factors. Methods A total of 569 clinical medical postgraduates were randomly investigated with self-administered questionnaire on a cross-sectional study. Results Jon burnout was revealed in 431(75.7%) clinical medical postgraduates, among whom 219(38.5%) had mild job burnout, 160(28.1%) had medium job burnout and 52(9.1%) had severe job burnout. The clinical medical postgraduates with different demographic characteristics had different job burnout situation and doctor-patient communication skill. Senior grade was the protective factor of job burnout(OR=0.370, 95%CI 0.235-0.582), and long working hours and the lack of doctor-patient communication skill were the risk factors of job burnout(OR=2.923, 95%CI 1.397-6.116; OR=1.981, 95%CI 1.044～3.759). Conclusion There is a correlation between job burnout and doctor-patient communication skill. The current situation of job burnout and the cultivation of doctor-patient communication skill in clinical medical postgraduates should be highly valued by medical education departments.
引文
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[12] 郑宇姝,张琳琳.医患关系对医务工作者工作倦怠的影响[J].牡丹江师范学院学报:哲社版,2017(1):123-128.
[13] 于勇,张震巍.工作倦怠对医疗安全的危害及其对策[J].中华医院管理杂志,2006,22(3):187-189.
[2] 陆昌勤.工作倦怠感研究及展望[J].中国心理卫生杂志,2004,18(3):206-208.
[3] 王世英.医患关系、心理资本对医生工作倦怠的影响[D].新乡:新乡医学院,2015.
[4] 陈倩雯,郑红娥.国内外医患关系研究综述[J].医学与哲学,2014,35(3A):44-48.
[5] Ma S,Xu X,Trigo V,et al.Curing doctor-patient rel-ationships (DPR) in China:managers and clinicians′ twofold pathways from commitment HR practices[J].J Health Organ Manag,2017,31(1):1-30.
[6] 李超平,时勘.分配公平与程序公平对工作倦怠的影响[J].心理学报,2003,35(5):677-684.
[7] 桂晓玲,李智博,朱培嘉,等.医务人员工作倦怠与工作安全感、离职意愿的相关研究[J].中国卫生事业管理,2013(8):628-630.
[8] 严征,庹安写,彭安辉,等.医务人员工作倦怠与主、客观健康的关系分析[J].中国卫生事业管理,2015(5):386-388.
[9] 李秀玲,唐军栋,赵阳.某地区公立医院医生职业倦怠的现状与分析[J].中国健康心理学杂志,2011,19(6):695-697.
[10] Pompili M,Innamorati M,Narciso V,et al.Burnout,hopelessness and suicide risk in medical doctors[J].Clin Ter,2010,161(6):511-514.
[11] 张寒冰,李俊峰,李建涛.医师工作时间及其影响因素的分析[J].山西医药杂志,2016,45(23):2743-2744.
[12] 郑宇姝,张琳琳.医患关系对医务工作者工作倦怠的影响[J].牡丹江师范学院学报:哲社版,2017(1):123-128.
[13] 于勇,张震巍.工作倦怠对医疗安全的危害及其对策[J].中华医院管理杂志,2006,22(3):187-189.