医生职业倦怠 英文

Copyright © 2007 John Wiley & Sons, Ltd.

R e l a t i o n s h i p b e t w e e n j o b

b u r n o u t a n d o

c c u p a t i o n a l

s t r e s s a m o n g d o c t o r s i n C h i n a

Siying Wu,1,*,†,‡ Wei Zhu,2,‡ Huangyuan Li,3 Zhiming Wang 4 and Mianzhen Wang 4

1 Department of Epidemiology and Health Statistics, School of Public Health, Fujian

Medical University, Fujian, P. R. China 2 Department of Social Medicine, College of Public Health, Zhengzhou University, Henan,

P. R. China 3 Department of Occupational and Environmental Medicine, School of Public Health,

Fujian Medical University, Fuzhou, Fujian, P. R. China 4 Department of Occupational Health, West China School of Public Health, Sichuan

University, Sichuan, P. R. China

* Correspondence to: Siying Wu, Department of Epidemiology and Health Statistics, Major Subject of Environment and Health of Fujian Key Universities, School of Public Health, Fujian Medical University, NO 88 of Jiaotong Road, Fuzhou 350004, Fujian Province, P. R. China.

† E-mail: fmulhy@

‡ Both authors contributed equally to this work.

Contract/grant sponsor: National Natural Science Foundation.

Contract/grant number: 39970623.

S t r e s s a n d H e a l t h

Stress and Health 24: 143–149 (2008)

Published online 6 December 2007 in Wiley InterScience (). DOI: 10.1002/smi.1169

Received 9 February 2007; Accepted 18 September 2007Summary

The purpose of this study was to explore the status of the job burnout of doctors and the variables associated with this in China. The sample consisted of 543 doctors from three provincial hospitals in China. The Maslach Burnout Inventory-General Survey (MBI-GS) was used to measure burnout, and the occupational stress inventory revised edition was used to measure the two dimensions of occupational adjustment (including occupational stress and coping resources). After the statistical testing for validity and reliability of MBI-GS with nurses in China, the participants’ scores were evaluated and analysed. The main results were as follows. The scores of job burnout of the surgeon and physician were signifi cantly higher than the others (p < 0.05). The score of exhaustion (EX) was signifi cantly higher in the 30- to 40-year age group than that in any other groups. The score of professional effi cacy (PE) decreased with age, while this increased with educational status. Occupational stress was signifi cantly positively related to all burnout dimensions (p < 0.05), while coping resources correlated negatively to all burnout dimensions. Under multilevel regression, the main signifi cant predictors of EX were role overload, responsibility, physical environment and self-

care. The main signifi cant predictors of cynicism were role insuffi ciency, role overload and respon-

sibility, and of PE were role insuffi ciency, social support and rational/cognitive coping (p < 0.05). Organizational efforts aimed at reducing occupational stress and strengthening their coping resources among doctors could help prevent job burnout. Copyright © 2007 John Wiley & Sons, Ltd.

Key Words

burnout; doctor; Maslach Burnout Inventory-General Survey; occupational stress; China