某市醫(yī)務(wù)場所暴力與醫(yī)護(hù)人員工作倦怠和亞健康的關(guān)系
發(fā)布時間：2018-08-24 17:22
【摘要】：目的 1.調(diào)查某市市級醫(yī)院中不同人口學(xué)特征醫(yī)護(hù)人員遭受醫(yī)務(wù)場所暴力的現(xiàn)狀。 2.分析醫(yī)務(wù)場所暴力與醫(yī)護(hù)人員工作倦怠之間的關(guān)系。 3.分析醫(yī)務(wù)場所暴力與醫(yī)護(hù)人員亞健康的關(guān)系,為改善醫(yī)護(hù)人員的工作倦怠和亞健康狀態(tài)提供依據(jù)。 方法 整群抽取該市綜合醫(yī)院6所,隨機(jī)抽取一線醫(yī)護(hù)人員對其個人基本情況、遭受暴力狀況、工作倦怠狀況和亞健康狀況進(jìn)行問卷調(diào)查。調(diào)查數(shù)據(jù)使用Visual Foxpro6.0建庫錄入,并對數(shù)字及邏輯進(jìn)行審查；使用SPSS13.0進(jìn)行統(tǒng)計學(xué)分析和處理,采用發(fā)生率和構(gòu)成比對醫(yī)護(hù)人員遭受暴力情況進(jìn)行統(tǒng)計描述,采用卡方檢驗對發(fā)生率和構(gòu)成比進(jìn)行比較；針對醫(yī)護(hù)人員工作倦怠和亞健康各維度得分情況采用x±s進(jìn)行描述,兩獨(dú)立樣本均數(shù)比較采用t檢驗、多組均數(shù)比較采用方差分析(ANOVA)。檢驗水準(zhǔn)a=0.05。 結(jié)果 1.醫(yī)務(wù)場所暴力的現(xiàn)狀醫(yī)務(wù)場所暴力發(fā)生率為46.1%。30歲到40歲年齡、本科及以上學(xué)歷和門急診醫(yī)護(hù)人員最容易遭受暴力攻擊(P0.05)。不同性別、年齡、職業(yè)、學(xué)歷和科室的醫(yī)護(hù)人員遭受醫(yī)務(wù)場所暴力形式有所不同,差異有統(tǒng)計學(xué)意義(P0.05)。醫(yī)務(wù)場所暴力的來源中,家屬或探視者占比例最多；候診時間或等待治療時間過長是暴力發(fā)生的主要原因。暴力事件發(fā)生后,醫(yī)護(hù)人員大部分是與對方講道理。 2.醫(yī)務(wù)場所暴力與工作倦怠的關(guān)系遭受過暴力(包括四種不同暴力形式)的醫(yī)護(hù)人員在情緒衰竭和去人格化兩個維度得分高于未遭受過暴力的醫(yī)護(hù)人員,差異有統(tǒng)計學(xué)意義(P0.05)；不同暴力來源醫(yī)護(hù)人員的去人格化維度得分差異有統(tǒng)計學(xué)意義(P0.05)；采取不同應(yīng)對方式的醫(yī)護(hù)人員在去人格化和個人成就感維度的得分差異有統(tǒng)計學(xué)意義(P0.05)。 3.醫(yī)務(wù)場所暴力與亞健康的關(guān)系遭受過暴力(包括四種不同暴力形式)的醫(yī)護(hù)人員在生理亞健康、心理亞健康和社會亞健康三個維度得分高于未遭受過暴力的醫(yī)護(hù)人員,差異有統(tǒng)計學(xué)意義(P0.05)；遭受患者本人暴力的醫(yī)護(hù)人員在亞健康的三個維度得分均高于遭受患者家屬或探視者暴力的醫(yī)護(hù)人員,差異有統(tǒng)計學(xué)意義(P0.05)；不同應(yīng)對方式的醫(yī)護(hù)人員在亞健康的三個維度得分不同,差異有統(tǒng)計學(xué)意義(P0.05)。 結(jié)論 醫(yī)務(wù)場所暴力已成為全球性的社會問題,直接危害了醫(yī)護(hù)人員的健康,可以導(dǎo)致醫(yī)護(hù)人員身心極度疲憊、工作熱情喪失,與醫(yī)護(hù)人員的工作倦怠和亞健康狀況相關(guān)。因此,要降低醫(yī)務(wù)場所暴力發(fā)生率,減輕醫(yī)護(hù)人員工作倦怠程度,改善醫(yī)護(hù)人員亞健康狀況,政府、社會及醫(yī)院都應(yīng)該高度重視,積極采取各種切實有效的措施,最大限度的降低醫(yī)務(wù)場所暴力發(fā)生率,以減少醫(yī)護(hù)人員的工作倦怠和亞健康程度,從而進(jìn)一步提高醫(yī)療質(zhì)量,更好的為患者服務(wù),促進(jìn)社會和諧穩(wěn)定。
[Abstract]:Objective 1. To investigate the current situation of different demographic characteristics of medical personnel in a city hospital by medical site violence. 2. To analyze the relationship between medical workplace violence and job burnout of medical staff. 3. To analyze the relationship between health care workers and to provide evidence for improving job burnout and sub-health status of medical staff. Methods six general hospitals in the city were selected by cluster sampling, and the first line medical staff were randomly selected to investigate their personal basic situation, violence, job burnout and sub-health status. The survey data were recorded using Visual Foxpro6.0 database, and the numbers and logic were examined. SPSS13.0 was used for statistical analysis and processing, and the incidence and composition ratio was used to describe the situation of health care workers being subjected to violence. The incidence rate and composition ratio were compared by chi-square test, the scores of job burnout and sub-health were described by x 鹵s, the mean of two independent samples was compared by t test, and the analysis of variance (ANOVA).) was used in multi-group mean comparison. The inspection level is 0. 05. Result 1. The prevalence of violence in medical settings was 46.1 years old from 30 to 40 years old. Undergraduate education and emergency medical staff were the most vulnerable to violence attack (P0.05). Different gender, age, occupation, educational background and department of medical personnel suffered from different forms of violence in medical settings, the difference was statistically significant (P0.05). Among the sources of violence in medical facilities, the proportion of family members or visitors was the largest, and the long waiting time or waiting time for treatment was the main cause of violence. In the aftermath of the violence, most health care workers spoke to each other. 2. 2. The relationship between workplace violence and job burnout was significantly higher in the medical staff who had suffered violence (including four different forms of violence) in emotional exhaustion and depersonalization than those who had not suffered violence (P0.05). The scores of depersonalization of medical staff from different sources of violence were statistically significant (P0.05), and the scores of depersonalization and personal accomplishment of medical staff with different coping styles were significantly different (P0.05). The relationship between violence and sub-health in medical settings was significantly higher than that of those who had not been subjected to violence in the three dimensions of physical sub-health, mental sub-health and social sub-health, which included four different forms of violence. The difference was statistically significant (P0.05); the scores of the three dimensions of sub-health of the medical staff who suffered from the patient's own violence were higher than those of the patient's family members or visitors (P0.05). Different coping styles of health care workers in the three dimensions of sub-health scores were different, the difference was statistically significant (P0.05). Conclusion violence in medical facilities has become a global social problem, which directly endangers the health of medical staff and can lead to extreme mental and physical exhaustion and loss of enthusiasm. It is associated with job burnout and sub-health status of health care workers. Therefore, in order to reduce the incidence of violence in medical facilities, reduce the degree of job burnout of medical personnel, and improve the sub-health status of medical staff, the government, society and hospitals should attach great importance to it and actively take all kinds of practical and effective measures. To minimize the incidence of violence in medical settings, to reduce job burnout and sub-health of medical staff, so as to further improve the quality of medical care, better service for patients, promote social harmony and stability.
【學(xué)位授予單位】：鄭州大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2012
【分類號】：R395
本文編號：2201510
[Abstract]:Objective 1. To investigate the current situation of different demographic characteristics of medical personnel in a city hospital by medical site violence. 2. To analyze the relationship between medical workplace violence and job burnout of medical staff. 3. To analyze the relationship between health care workers and to provide evidence for improving job burnout and sub-health status of medical staff. Methods six general hospitals in the city were selected by cluster sampling, and the first line medical staff were randomly selected to investigate their personal basic situation, violence, job burnout and sub-health status. The survey data were recorded using Visual Foxpro6.0 database, and the numbers and logic were examined. SPSS13.0 was used for statistical analysis and processing, and the incidence and composition ratio was used to describe the situation of health care workers being subjected to violence. The incidence rate and composition ratio were compared by chi-square test, the scores of job burnout and sub-health were described by x 鹵s, the mean of two independent samples was compared by t test, and the analysis of variance (ANOVA).) was used in multi-group mean comparison. The inspection level is 0. 05. Result 1. The prevalence of violence in medical settings was 46.1 years old from 30 to 40 years old. Undergraduate education and emergency medical staff were the most vulnerable to violence attack (P0.05). Different gender, age, occupation, educational background and department of medical personnel suffered from different forms of violence in medical settings, the difference was statistically significant (P0.05). Among the sources of violence in medical facilities, the proportion of family members or visitors was the largest, and the long waiting time or waiting time for treatment was the main cause of violence. In the aftermath of the violence, most health care workers spoke to each other. 2. 2. The relationship between workplace violence and job burnout was significantly higher in the medical staff who had suffered violence (including four different forms of violence) in emotional exhaustion and depersonalization than those who had not suffered violence (P0.05). The scores of depersonalization of medical staff from different sources of violence were statistically significant (P0.05), and the scores of depersonalization and personal accomplishment of medical staff with different coping styles were significantly different (P0.05). The relationship between violence and sub-health in medical settings was significantly higher than that of those who had not been subjected to violence in the three dimensions of physical sub-health, mental sub-health and social sub-health, which included four different forms of violence. The difference was statistically significant (P0.05); the scores of the three dimensions of sub-health of the medical staff who suffered from the patient's own violence were higher than those of the patient's family members or visitors (P0.05). Different coping styles of health care workers in the three dimensions of sub-health scores were different, the difference was statistically significant (P0.05). Conclusion violence in medical facilities has become a global social problem, which directly endangers the health of medical staff and can lead to extreme mental and physical exhaustion and loss of enthusiasm. It is associated with job burnout and sub-health status of health care workers. Therefore, in order to reduce the incidence of violence in medical facilities, reduce the degree of job burnout of medical personnel, and improve the sub-health status of medical staff, the government, society and hospitals should attach great importance to it and actively take all kinds of practical and effective measures. To minimize the incidence of violence in medical settings, to reduce job burnout and sub-health of medical staff, so as to further improve the quality of medical care, better service for patients, promote social harmony and stability.
【學(xué)位授予單位】：鄭州大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2012
【分類號】：R395
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