结核病医疗保健工作者的工作倦怠和综合结核病控制模型下的相关因素:基于双因素理论的混合方法研究
Geng Wang1, Quan Yuan1, Xinyu Feng2
1Department of Social Medicine and Health Service Management, College of Preventive Medicine, Army Medical University (Third Military Medical University), Chongqing, China.
BMC health services research
|August 26, 2024
概括
中国西南部的结核病医疗保健工作者经历了严重的职业倦怠,受工作量和工作场所环境等因素的影响. 解决这些问题需要共同努力,以改善支持和工作条件.
科学领域:
- 公共卫生 公共卫生
- 职业健康 职业健康 职业健康
- 控制结核病的控制方法
背景情况:
- 中国在结核病 (TB) 控制方面的进展在欠发达地区面临挑战.
- 结核病医疗保健工作者 (HCW) 是至关重要的,但容易受到工作倦怠的影响.
研究的目的:
- 调查中国西南地区结核病医疗保健工作者中就业倦怠的患病率和相关因素.
主要方法:
- 采用调查和半结构面试进行的横截面研究.
- 通过马斯拉赫模型评估燃烧情况,并通过赫兹伯格的两因素理论来考虑因素.
- 用多重线性回归分析定量数据;使用框架方法分析定性数据.
主要成果:
- 观察到高失业率:55%在疾病预防控制中心,70.1%在指定医院,67.5%在PHC.
- 人际关系因素,医生与患者的关系,以及对培训/监督的满意度与倦怠程度有关.
- 在定性采访中,糟糕的环境和繁重的工作量被确定为促成因素.
结论:
- 在重庆不同部门的结核病医疗保健工作者中,就业倦怠率有所不同,受卫生和激励因素的影响.
- 建议采取合作策略,包括加强沟通,以减轻倦怠.
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