上海某医院547名医务人员职业满意度与职业倦怠分析与对策
Analysis of job satisfaction and career burnout of 547 medical stuff of a Shanghai hospital and countermeasures

目的 找出医务人员职业满意度与职业倦怠的影响因素，提高职业满意度，降低职业倦怠，不断提升医院管理与提高医疗服务质量。 方法 采用整群抽样方法对上海某医院医务人员进行问卷调查，采用描述性统计、因素分析、平均数差异检验和Logistic回归分析。 结果 职业满意度与构面烦闷麻木（r=-0.265，P=0.000)、身心疲惫（r=-0.477，P=0.000)呈负相关；2个构面烦闷麻木与身心疲惫呈正相关（r=0.433，P=0.000)。烦闷麻木、身心疲惫等自变量对高低职业满意度组别预测的χ 2= 98.763（P=0.000），可以解释职业满意度变量总变异的31.0%和41.6%；其中4个自变量的Wald值分别为8.945、8.772、4.008和8.707（P<0.05），可有效预测与解释高、低职业满意度组别。整体分类正确百分比为76.3%。 结论 应建立同工同酬制度，加大继续教育力度，实行注册执业医师多点执业。
： Objective To discover the influencing factors of job satisfaction and career burnout of medical staff, improve the job satisfaction, decrease the career burnout, and continuously improve the hospital management and medical service quality. Methods The stratified random sampling method was adopted and medical staff of a Shanghai hospital was surveyed by questionnaire. Data were analyzed by descriptive statistical analysis, factor analysis, average difference test, and Logistic regression analysis. Results The job satisfaction was negatively correlated with worry and numbness (r=-0.265，P=0.000) and burnout (r=-0.477，P=0.000). Worry and numbness was positively correlated with fatigue (r=0.433，P=0.000). The value of χ 2 of high job satisfaction group and low job satisfaction group predicted by independent variables such as worry and numbness and fatigue was 98.763 (P=0.000), which could explain 31.0% and 41.6% of total variation of job satisfaction. The Wald values of 4 independent variables were 8.945, 8.772, 4.008, and 8.707 (P<0.05), respectively, which could be used for effectively predicting differences of the high job satisfaction group and low job satisfaction group. The correct classification rate was 76.3%. Conclusion The equal pay for equal work system should be established, the continuing education should be enhanced, and multi-sited practice for registered doctors should be implemented