为行动不便者提供服务的医务工作者和社会工作者的应对策略与职业倦怠

O. I. Khokhlova, E. Vasilchenko, Vadim A. Versh, Yana A. Denisova
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摘要

引言。职业倦怠的核心是个人应对压力环境的能力。目的确定为低流动性人群提供服务的医疗机构和社会服务机构的员工应对压力的方法,并评估个人应对策略与职业倦怠症状之间的相关性。研究涉及 81 名医疗机构员工(第一组)和 88 名社会服务机构员工(第二组)。我们使用 T.O. Gordeeva 等人改编的 COPE(问题应对取向量表)问卷来确定应对压力的方式;使用 N.E. Vodopyanova 改编的 Maslach 职业倦怠问卷来确定职业倦怠症状。结果社会服务机构的员工比医疗机构的员工更常采用高水平的应对策略:积极重塑和个人成长(分别占 80.7 % 和 60.5 %,p = 0.002)、积极应对(分别占 76.1 % 和 58 %,p = 0.012)、计划(分别占 76.1 % 和 53.1 %,p = 0.002)。同时,第 1 组代表的职业倦怠综合指数值较高,是第 2 组代表的 2.1 倍:50.6 % 对 23.9 % (χ2 = 12.997, p 0.001)。讨论与职业倦怠症状水平相关的无效应对策略似乎是集中于情绪及其积极表达、精神上脱离问题、行为上脱离问题以及否认。有效的策略包括积极应对、制定计划、积极重新表述和个人成长。结论在接受调查的样本中,医护人员比社会服务机构工作人员更容易出现职业倦怠症状,这与他们没有充分积极地使用有效方法来应对压力有关。
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Coping Strategies and Burnout Among Medical and Social Workers Providing Services to People with Limited Mobility
INTRODUCTION. The centerpiece of the development of occupational burnout is the individual’s ability to cope with stressful situations. AIM. To determine ways to cope with stress among employees of healthcare organizations and social service institutions providing services to low-mobility population groups, as well as to assess the correlations between individual coping strategies and burnout symptoms. MATERIALS AND METHODS. The study involved 81 employees of healthcare organizations (group 1) and 88 employees of a social service institution (group 2). We used COPE (Coping Orientation to Problems Experienced Inventory) questionnaire adapted by T.O. Gordeeva et al. to determine ways of coping with stress; Maslach Burnout Questionnaire adapted by N.E. Vodopyanova to determine symptoms of occupational burnout. RESULTS. Employees of a social service institution more often than the staff of healthcare organizations had high levels of coping strategies: positive reformulation and personal growth (in 80.7 % and 60.5 % respectively, p = 0.002), active coping (in 76.1 % and 58 %, p = 0.012), planning (in 76.1 % and 53.1 %, p = 0.002). At the same time group 1 representatives 2.1 times more often than group 2 representatives had high values of the integral index of occupational burnout: 50.6 % against 23.9 % (χ2 = 12.997, p 0.001). DISCUSSION. Ineffective coping-strategies, correlating with the levels of occupational burnout symptoms, appeared to be concentration on emotions and their active expression, mental disengagement from the problem, behavioural disengagement from the problem, and denial. Among the effective ones are active coping, planning, positive reformulation and personal growth. CONCLUSION. Burnout symptoms were more frequent in the surveyed sample of the healthcare workers than in the workers of social service institutions and were associated with insufficiently active use of effective ways of coping with stress.
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