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论文题名(中文):

 我国疾病预防控制中心人员职业倦怠现状及影响因素研究    

姓名:

 王丹蕾    

论文语种:

 chi    

学位:

 硕士    

学位类型:

 专业学位    

学校:

 北京协和医学院    

院系:

 北京协和医学院医学信息研究所    

专业:

 公共卫生-公共卫生(专业学位)    

指导教师姓名:

 邱五七    

论文完成日期:

 2025-05-01    

论文题名(外文):

 Research on the current situation and influencing factors of burnout among personnel of the Center for Disease Control and Prevention in China    

关键词(中文):

 疾控人员 职业倦怠 影响因素 层级差异 地区差异    

关键词(外文):

 CDC personnel burnout influencing factors hierarchical differences regional differences    

论文文摘(中文):

研究目的:本研究旨在对我国东、中、西部地区的疾控中心人员进行调查,评估其职业倦怠现状,分析影响疾控中心人员职业倦怠的因素,并对不同层级和不同区域疾控中心人员的职业倦怠现况及影响因素进行横向比较,揭示差异性。基于以上研究提出有针对性的应对措施,为缓解我国疾控中心人员的职业倦怠,稳定公共卫生人才队伍建设提供参考。
研究方法:本研究于2024年8月-9月,采用目的抽样选择我国东部A省、中部B省、西部C省三个省,每个省选择1个城市,每个城市选择1个区(县),共9家疾控中心的人员为调查对象,采用问卷调查和半结构化访谈的方法研究我国疾控中心人员的职业倦怠现状及其影响因素。本研究共调查了831名疾控中心人员,有效问卷829份,访谈对象24人。针对问卷数据,利用SPSS.27进行描述性统计、t检验、单因素方差分析以及多元逐步回归分析;针对访谈资料,利用Nvivo.11进行主题内容分析,对其进行编码和梳理,创建概念节点并命名主题。
研究结果:我国疾控中心人员的总体职业倦怠率为72.14%,其中轻中度倦怠占比61.04%,重度倦怠占比11.10%。从不同维度看,疾控中心人员在情绪衰竭维度上的得分为2.367±1.497分,在去人格化维度上的得分为1.885±1.547分,在个人低成就感维度上的得分为2.320±1.422分。从不同层级看,省、市、区县级疾控中心人员在去人格化得分和职业倦怠综合得分上的差异有统计学意义(P<0.05),市级疾控中心人员的职业倦怠感高于省级。从不同地区看,东、中、西部地区疾控中心人员在职业倦怠综合得分及其三个维度得分上的差异均有统计学意义(P<0.05),西部地区疾控中心人员的职业倦怠感显著高于东部和中部地区。多因素分析结果显示,工作强度、工作和生活的平衡程度、群众认可度是不同层级疾控中心人员职业倦怠的共性影响因素;工作强度、工作环境、同事关系、家人支持、群众认可度是不同地区疾控中心人员职业倦怠的共性影响因素。对访谈资料进行主题内容分析发现,工作强度、同事关系和群众认可度是定量与定性研究共同揭示的疾控中心人员职业倦怠的主要影响因素。此外,还挖掘出个人心态、工作责任感、工作价值感、工作稳定性等新的影响因素。
研究结论:我国疾控中心人员存在职业倦怠情况,但职业倦怠程度以轻中度为主。不同层级和不同地区疾控中心人员的职业倦怠水平存在差异,表现为市级疾控中心人员的职业倦怠感高于省级,西部地区疾控中心人员的职业倦怠感高于东部和中部地区。在影响因素的探讨中,我国疾控中心人员职业倦怠的影响因素复杂多样,可以分为个人、组织和社会三个层次。同时,影响我国疾控中心人员职业倦怠的因素有共性,也有特殊性,应当充分考虑其存在的层级差异和地区差异特征,采取因地制宜的策略来有效应对。

论文文摘(外文):

Objective: This study is to investigate CDC personnel in the eastern, central and western regions of China, assess the current status of their burnout, analyze the factors affecting the burnout of CDC personnel, and make a side-by-side comparison of the current status of burnout and the factors affecting the burnout of CDC personnel at different levels and in different regions, so as to reveal the differences. Based on the above research, targeted countermeasures are proposed to provide reference for alleviating the burnout of CDC personnel and stabilizing the construction of public health talent team in China.
Methods: In this study, in August-September 2024, we used purposive sampling to select three provinces in China, namely, eastern province A, central province B, and western province C, one city in each province, and one district (county) in each city, with a total of nine CDC personnel as the respondents, and used questionnaires and semi-structured interviews to study the current status of burnout and its influencing factors of CDC personnel in China. A total of 831 CDC personnel were surveyed in this study, with 829 valid questionnaires and 24 interviewees. For the questionnaire data, descriptive statistics, t-test, one-way ANOVA, and multivariate stepwise regression analyses were conducted using SPSS.27; for the interview data, thematic content analysis was conducted using Nvivo.11, which was used to code and sort out the data, create conceptual nodes, and name themes.
Results: The overall burnout rate of CDC personnel in China was 72.14%, of which 61.04% were mild to moderate burnout and 11.10% were severe burnout. From different dimensions, CDC personnel scored 2.367±1.497 on the emotional exhaustion dimension, 1.885±1.547 on the depersonalization dimension, and 2.320±1.422 on the low personal accomplishment dimension. From different levels, the differences between provincial, municipal, and district and county-level CDC personnel on depersonalization scores and burnout composite scores were statistically significant (P < 0.05), and municipal-level CDC personnel had higher burnout than provincial-level. Looking at different regions, the differences between CDC personnel in China's eastern, central, and western regions in terms of the composite burnout scores and their scores on the three dimensions were statistically significant (P < 0.05), and CDC personnel in the western region were significantly more burned out than those in the eastern and central regions. The results of multifactorial analysis showed that work intensity, degree of work-life balance, and public recognition were the common influencing factors of burnout among CDC personnel at different levels; and work intensity, work environment, coworker relationship, family support, and public recognition are common influences on CDC personnel burnout in different regions.  Thematic content analysis of the interview data revealed that work intensity, coworker relationships, and public recognition were the main influences on CDC personnel burnout as revealed by both quantitative and qualitative research. In addition, new influencing factors such as personal mindset, job responsibility, job value, and job stability were also uncovered.
Conclusion: China's CDC personnel experience occupational burnout, but the severity of burnout is mainly mild to moderate. There are differences in the level of burnout among CDC personnel at different levels and in different regions, which is manifested in the fact that the burnout of municipal CDC personnel is higher than that of provincial level, and that the burnout of CDC personnel in the western region is higher than that in the eastern and central regions. In the discussion of influencing factors, the influencing factors of burnout of CDC personnel in China are complex and diverse, which can be divided into three levels: personal, organizational and social. At the same time, the factors affecting the burnout of CDC personnel in China have commonality and specificity, and the existence of hierarchical and regional differences in characteristics should be fully considered to take locally adapted strategies to effectively deal with it.

开放日期:

 2025-06-12    

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