卫生人员和社会工作者职业倦怠综合征:一项基于问卷的比较调查

Olga I. Hohlova, E. Vasilchenko, Vadim A. Versh, Olga B. Lazhintseva, Julia V. Archibasova, Natalya V. Tulkina, M. Zhestikova
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摘要

的目标。对为明显残疾人士提供服务的卫生人员和社会工作者中职业倦怠症状的患病率进行比较评估。材料和方法。我们对两家医疗机构的员工(医疗工作者,第一组,n = 86)和一家社会服务机构的员工(社会工作者,第二组,n = 89)进行了调查。采用N. Vodopyanova改编的Maslach职业倦怠问卷来确定职业倦怠的存在。结果和讨论。96.6%的受访者存在不同程度的职业倦怠迹象。与社会工作者相比,卫生工作者的心理情绪耗竭、人格解体、个人成就减少的程度较高和极高,分别为1.9倍(p = 0.012)、1.6倍(p = 0.033)、2.9倍(p = 0.029)。与此同时,31.4%的第一组受访者和7.9%的第二组受访者表示由于人手不足而过度工作;分别有29.1%和10.1%的受访者表示,由于同事暂时不在,他们经常需要额外的工作。这解释了医疗机构员工的职业倦怠水平较高。与此同时,与第一组相比,第二组的特点是年龄更年轻(平均6.5岁,p = 0.006),在机构中的工作经验更短(平均10年,p < 0.001),这可能表明社会工作者的“员工流动率”,以及社会服务领域对年轻专家的吸引力。卫生人员比社会工作者更容易出现职业倦怠症状,这可能与劳动强度增加和工作过度有关。
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Professional Burnout Syndrome in Health Personnel and Social Workers: a Comparative Questionnaire-Based Survey
AIM. To perform the comparative assessment of the prevalence of professional burnout symptoms in health personnel and social workers providing services to persons with pronounced disabilities. MATERIAL AND METHODS. We conducted a survey of employees in two medical institutions (healthcare workers, Group 1, n = 86) and employees in a social service institution (social workers, Group 2, n = 89). The presence of professional burnout was established using Maslach Burnout Questionnaire adapted by N. Vodopyanova. RESULTS AND DISCUSSION. Signs of professional burnout of different severity were found in 96,6 % of the respondents. High and extremely high levels of psychoemotional exhaustion, depersonalization, reduction of personal achievements were more frequent among health personnel than among social workers: 1,9 times (p = 0,012), 1,6 times (p = 0,033), 2,9 times (p = 0,029) respectively. At the same time, 31.4 % of Group 1 and 7.9 % of Group 2 respondents indicated overwork due to understaffing; 29.1 % and 10.1 %, respectively, indicated frequent need for additional work due to the temporary absence of colleagues. It explains higher levels of professional burnout among employees of medical institutions. At the same time, Group 2 was characterized by a younger age (by 6.5 years on average, p = 0.006) and a shorter work experience in the institution (by 10 years on average, p < 0.001) compared to Group 1, which may indicate both «staff turnover» among social workers and the appearance of conditions in the social service sphere attractive for younger age specialists. CONCLUSION. Health personnel have higher levels of the professional burnout symptoms more often than social workers, that is probably connected with an increased intensity of labour and overwork.
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