三甲青年医务人员职业倦怠与心理健康及应对方式的相关性研究
The Study between Job Burnout and Mental Health, Coping Styles among Young Medical Staff in Tertiary Hospitals
DOI: 10.12677/ap.2025.159511, PDF,    科研立项经费支持
作者: 邹珊珊：同济大学医学院，上海；同济大学附属第十人民医院护理部，上海；范庆梅, 薛 芳, 倪叶彬*：同济大学附属第十人民医院护理部，上海
关键词: 医务人员；职业倦怠；心理健康；青年；应对方式；Medical Staff； Job Burnout； Mental Health； Youth； Coping Styles
摘要: 目的：了解三甲青年医务人员职业倦怠情况以及与心理健康和应对方式的关系，为降低青年医务人员的职业倦怠水平提供参考意见。方法：对上海市某三甲青年医务人员进行线上问卷调查，问卷包括一般人口学资料问卷、职业倦怠量表(MBI-GS)、简易应对方式问卷(SCSQ)、抑郁–焦虑–压力量表(DASS-21)进行调查，并对数据进行分析。结果：206名医务人员职业倦怠量表总评分(51.35 ± 16.53)分，其中56.8%存在职业倦怠，87.2%为轻度，12.0%为中度，0.9%重度；不同健康状态在职业倦怠单因素分析上呈现显著性差异(P < 0.05)；抑郁–焦虑–压力量表总评分(12.63 ± 10.76)分；简易应对方式量表中积极应对评分(22.33 ± 7.15)分，消极应对评分(10.33 ± 4.35)分。职业倦怠与心理健康呈正相关、与简易应对方式呈负相关(P < 0.05)。结论：三甲青年医务人员存在较高水平的职业倦怠，且职业倦怠与心理健康及应对方式有关，应重点关注青年医务人员的心理健康，增加积极应对方式。
Abstract: Objective: To understand the level of job burnout among young medical staff in tertiary hospitals and its relationship with mental health and coping styles, providing reference for reducing job burnout among young medical staff. Methods: An online questionnaire survey was conducted among young medical staff in a tertiary hospitals in Shanghai. The questionnaire included general demographic information, the Maslach Burnout Inventory-General Survey (MBI-GS), the Simplified Coping Style Questionnaire (SCSQ), and the Depression-Anxiety-Stress Scale (DASS-21). Results: The total score of the MBI-GS for 206 medical staff was (51.35 ± 16.53), with 56.8% experiencing job burnout, of which 87.2% were mild, 12.0% were moderate, and 0.9% were severe. Significant differences were observed in the univariate analysis of job burnout across different health statuses (P < 0.05). The total score of the Depression-Anxiety-Stress Scale was (12.63 ± 10.76). In the Simplified Coping Style Questionnaire, the positive coping score was (22.33 ± 7.15), and the negative coping score was (10.33 ± 4.35). Job burnout was positively correlated with mental health and negatively correlated with coping styles (P < 0.05). Conclusion: Young medical staff in tertiary hospitals experience a high level of job burnout, which is related to mental health and coping styles. Attention should be paid to the mental health of young medical staff, and positive coping styles should be encouraged.
文章引用：邹珊珊, 范庆梅, 薛芳, 倪叶彬 (2025). 三甲青年医务人员职业倦怠与心理健康及应对方式的相关性研究. 心理学进展, 15(9), 218-226. https://doi.org/10.12677/ap.2025.159511

参考文献

[1] 陈曲, 柴秋香, 孟开(2021). 北京市三甲医院青年医护人员职业倦怠与社会支持的相关性分析. 中国医药导报, 18(23), 55-59.
[2] 何淼, 韩杨云, 蒋帅, 苟诗原, 易晟, 蒋春梅(2024). 公立医院医务人员职业倦怠现状及危险因素分析. 中国社区医师, 40(6), 167-169.
[3] 解亚宁(1998). 简易应对方式量表信度和效度的初步研究. 中国临床心理学杂志, 6(2), 53-54.
[4] 李超平, 时勘, 罗正学, 杨悦, 李莉(2003). 医护人员工作家庭冲突与工作倦怠的关系. 中国心理卫生杂志, 17(12), 807-809.
[5] 李桂菊, 张玲玲, 王英(2025). 情绪调节和共情能力在三级甲等医院急诊科医务人员正念与职业倦怠中的链式中介作用. 职业与健康, 41(1), 11-17.
[6] 李梦婷, 郑贝贝, 刘欣, 陆骏, 黄润枝(2025). 职业倦怠在医务人员工作-家庭冲突与工作投入间的中介效应分析. 护理管理杂志, 25(3), 267-271.
[7] 李宇烟(2024). 三级甲等医院ICU医务人员亚健康、抑郁焦虑压力症状对睡眠质量的影响. 职业与健康, 40(18), 2527-2532.
[8] 连明园, 王英(2024). 情绪智力和反馈寻求行为在急诊科医务人员心理困扰与职业倦怠间的中介作用. 职业与健康, 40(17), 2319-2325.
[9] 梁新慧, 贾瑶, 刘芳, 胡梦依, 姜雪(2024). 积极应对方式在手术室护士职业倦怠与工作投入间的中介作用. 职业与健康, 40(15), 2021-2025.
[10] 刘露, 张态(2024). 基层医务人员职业倦怠的研究进展. 中国社会医学杂志, 41(4), 418-421.
[11] 罗玲霞, 李婧, 吴芳, 彭小贝, 周芳意(2024). 基于MBI-GS量表调查急诊科医务人员职业倦怠现状及影响因素. 中南大学学报(医学版), 49(6), 981-988.
[12] 孙彦彦, 王瑾, 刘晓曼, 袁方, 陈惠清, 凌瑞杰, 等(2023). 中国医务人员职业倦怠水平及影响因素. 环境与职业医学, 40(4), 405-412.
[13] 王瑾, 晏小琼, 凌瑞杰, 李霜(2021). 湖北省某三甲医院医护人员职业紧张、职业倦怠、应对方式调查. 预防医学, 33(12), 1203-1208.
[14] 魏其秀, 木楠, 袁晨, 钱自华(2023). 中国医务人员职业倦怠检出率的meta分析. 职业与健康, 39(22), 3139-3142.
[15] 袁延峰(2023). 医德医风档案建设过程中医院医务人员心理健康与职业倦怠感、应对方式、主观幸福感的相关性. 中国健康心理学杂志, 31(4), 538-543.
[16] 袁媛, 胡屹, 周享康, 董书澜, 李晓雪, 汤海英, 等(2025). 上海市奉贤区医务人员职业倦怠状况及其影响因素. 医学与社会, 38(5), 111-118.
[17] 张萌, 崔倩, 朱长才(2022). 医护人员职业倦怠影响因素的结构方程模型分析. 中华疾病控制杂志, 26(7), 808-814.
[18] Chen, G., Wang, J., Huang, Q., Sang, L., Yan, J., Chen, R. et al. (2024). Social Support, Psychological Capital, Multidimensional Job Burnout, and Turnover Intention of Primary Medical Staff: A Path Analysis Drawing on Conservation of Resources Theory. Human Resources for Health, 22, Article No. 42.[CrossRef] [PubMed]
[19] Chen, X., Jing, L., Wang, H., & Yang, J. (2022). How Medical Staff Alleviates Job Burnout through Sports Involvement: The Mediating Roles of Health Anxiety and Self-Efficacy. International Journal of Environmental Research and Public Health, 19, Article 11181.[CrossRef] [PubMed]
[20] Liu, Y., Chen, H., Zhang, N., Wang, X., Fan, Q., Zhang, Y. et al. (2021). Anxiety and Depression Symptoms of Medical Staff under COVID-19 Epidemic in China. Journal of Affective Disorders, 278, 144-148.[CrossRef] [PubMed]
[21] Lovibond, P. F., & Lovibond, S. H. (1995). The Structure of Negative Emotional States: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33, 335-343.[CrossRef] [PubMed]
[22] Meng, H., Bai, S., & Cao, Q. (2021). Risk Factors of Role Stress and Professional Burnout among Nurse Anesthetists: A Multicenter Cross‐Sectional Study. Japan Journal of Nursing Science, 18, e12413.[CrossRef] [PubMed]
[23] Wei, Z., Xia, B., Jiang, L., Zhu, H., Li, L., Wang, L. et al. (2024). Factors Affecting Occupational Burnout in Medical Staff: A Path Analysis Based on the Job Demands-Resources Perspective. Frontiers in Psychiatry, 15, Article ID: 1490171.[CrossRef] [PubMed]
[24] Yue, Z., Qin, Y., Li, Y., Wang, J., Nicholas, S., Maitland, E. et al. (2022). Empathy and Burnout in Medical Staff: Mediating Role of Job Satisfaction and Job Commitment. BMC Public Health, 22, Article No. 1033.[CrossRef] [PubMed]