标题：干部保健工作人员工作倦怠及其与职业紧张的关系

      作者：徐 盈 1，李 玺 1，王晓辉 1，李婉妮 2，李 桓 3，王学良 4
    （1.西安交通大学第二附属医院干部保健办公室，陕西 西安 710004；
2.西安交通大学第二附属医院干部病房VIP病区，陕西 西安 710004；
3.陕西省人才交流服务中心，陕西 西安 710061；
4.西安交通大学医学院公共卫生系，陕西 西安 710061）

      卷次： 2015年26卷5期

      【摘要】 目的 了解我院干部保健工作人员的工作倦怠程度、影响因素及其与职业紧张之间的关系。
方法 以西安交通大学第二附属医院163名工作人员为调查对象，分别采用中文版工作倦怠问卷(MBI-GS)及职
业紧张量表修订版(OSR-R)测量工作倦怠与职业紧张，单因素分析探讨工作倦怠的影响因素，偏相关回归分析其
与职业紧张的关系。结果 干部保健工作人员工作倦怠各维度得分分别为情绪衰竭(14.28±7.54)分、消极倦怠
(7.95±6.78)分、个人成就感（23.05±8.89）分，年龄、工龄、职类、职称、职务、每周工作时间、医患关系、患慢性病与否
对情绪衰竭、消极倦怠及个人成就感均有显著影响(P<0.05)，而婚姻状况(P=0.004)及待遇(P=0.046)仅对个人成就
感有显著影响。情绪衰竭与职业任务(r=0.365，P<0.05)、个体紧张反应(r=0.403，P<0.05）呈正相关，消极怠慢与职
业任务 (r=0.337, P<0.05)、个体紧张反应 (r=0.471，P<0.05)呈正相关；而个人成就感与职业任务呈负相关
(r=-0.439，P<0.05)；与个体应对资源呈正相关(r=0.154，P<0.05)。结论 干部保健工作人员工作倦怠水平较高，
且与职业紧张密切相关。

      【关键词】 干部保健；工作倦怠；职业紧张

      【中图分类号】 R195 【文献标识码】 A 【文章编号】 1003—6350（2015）05—0758—04


Job burnout among cadre healthcare workers and its relationship with occupational stress.
XU Ying 1, LI Xi 1,
WANG Xiao-hui 1, LI Wan-ni 2, LI Huan 3, WANG Xue-liang 4. 1. Department of Cadre Healthcare Office, the Second
Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, Shaanxi, CHINA; 2. VIP Ward, Department of Cadre
Healthcare, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, Shaanxi, CHINA; 3. Personnel
Exchange Service Center of Shaanxi Province, Xi'an 710061, Shaanxi, CHINA; 4. Department of Public Health, Xi’an
Jiaotong University, Xi'an 710061, Shaanxi, CHINA

【Abstract】 Objective To explore the degree of job burnout among cadre healthcare workers, as well as the influ-
encing factors and the relationship between job burnout and occupational stress. Methods A total of 163 cadre healthcare
workers in the Second Affiliated Hospital of Xi'an Jiaotong University were investigate for job burnout and occupational
stress by Maslach burnout inventory-general survey (MBI-GS) and occupational stress inventory revised edition (OSR-R)
respectively. Univariate analysis was performed to explore the influencing factors, and partial correlation analysis was ap-
plied to investigate the relationship between job burnout and occupational stress. Results The mean MBI-GS scores
were (14.28±7.54) for emotional exhaustion, (7.95±6.78) for cynicism, and (23.05±8.89) for reward and personal ac-
complishment. Univariate analysis showed that cadre healthcare workers' emotional exhaustion, cynicism and reward
and personal accomplishment were significantly influenced by age, length of service, occupational class, academic ti-
tle, duty, working time per week, doctor-patient relationship and chronic disease (P<0.05). However, the reward and
personal accomplishment were significantly influenced by marriage state (P=0.004) and salary (P=0.046). The emo-
tional exhaustion were positively correlated with professional task (r=0.365, P<0.05) and individual tension (r=0.403,
P<0.05). Cynicism was positively correlated with professional task (r=0.337, P<0.05) and individual tension (r=0.471,
P<0.05). Reward and personal accomplishment were negatively correlated with professional task (r=-0.439, P<0.05),
but positively correlated with individual coping resources (r=0.154, P<0.05). Conclusion The job burnout degree of
cadre healthcare workers is too high, which is closely correlated with the occupational stress.

      【Key words】 Cadre healthcare; Job burnout; Occupational stress
基金项目：陕西省科技攻关项目（编号：NO:K15-06-08）