中国医科大学学报

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中国医科大学学报 ›› 2018, Vol. 47 ›› Issue (3): 264-267.doi: 10.12007/j.issn.0258-4646.2018.03.017

• 论著 • 上一篇    下一篇

医生医疗事故恐惧与组织支持感和工作倦怠的关系

隋国媛, 贾连群   

  1. 辽宁中医药大学中医脏象理论及应用教育部重点实验室, 沈阳 110847
  • 收稿日期:2017-05-10 出版日期:2018-03-30 发布日期:2018-03-24
  • 通讯作者: 贾连群 E-mail:jlq-8@163.com
  • 作者简介:隋国媛(1987-),女,实验师,博士.

Effects of Fear of Malpractice and Organizational Support on Job Burnout among Doctors

SUI Guoyuan, JIA Lianqun   

  1. Key Laboratory of Ministry of Education for Traditional Chinese Medicine Viscera-state Theory and Applications, Liaoning University of Traditional Chinese Medicine, Shenyang 110847, China
  • Received:2017-05-10 Online:2018-03-30 Published:2018-03-24

摘要: 目的 探讨医生医疗事故恐惧与工作倦怠的关系以及组织支持感在两者之间的中介作用,为提高医生心理健康提供理论依据。方法 2015年6月至7月,从辽宁省5个城市的8家医院随机抽取1 800名医生进行问卷调查,问卷包括一般情况问卷、医疗事故恐惧量表、组织支持感量表和工作倦怠量表,回收1 399份有效问卷。应用多元分层线性回归分析检验医生医疗事故恐惧和组织支持感对工作倦怠的影响,渐进-再抽样策略探讨组织支持感在医疗事故恐惧和工作倦怠关系中的中介作用。结果 医生医疗事故恐惧与情绪衰竭、去人格化呈正相关,组织支持感与情绪衰竭、去人格化呈负相关,组织支持感在医疗事故恐惧和情绪衰竭、去人格化关系中的中介作用分别为0.2(95%CI:0.15~0.25)和0.1(95%CI:0.07~0.13)。结论 医疗事故恐惧、组织支持感和工作倦怠密切相关,组织支持感是医生医疗事故恐惧导致工作倦怠的中介因素。

关键词: 医疗事故恐惧, 组织支持感, 工作倦怠

Abstract: Objective To explore the relationship between fear of malpractice and job burnout and investigate the mediating role of organizational support in order to provide a theoretical basis for improving doctors' mental health. Methods A total of 1 800 doctors were selected from 8 hospitals of 5 cities in Liaoning province from June to July 2015. Questionnaires included those on personal information,fear of malpractice,organizational support,and job burnout. Additionally,the effective response rate was 1 399. The effects of fear of malpractice and organizational support on job burnout was explored using multiple hierarchical regression analysis. Asymptotic and resampling strategies were used to examine the mediating role of psychological capital between fear of malpractice and job burnout. Results Fear of malpractice was positively associated with emotional exhaustion and depersonalization,and organizational support was negatively associated with emotional exhaustion and depersonalization. Organizational support mediated the relationships between fear of malpractice and emotional exhaustion (0.2,95%CI:0.15-0.25) and depersonalization (0.1,95%CI:0.07-0.13). Conclusion Fear of malpractice and organizational support may have an effect on doctors' job burnout. In addition,organizational support may have a mediating effect on the relationship between fear of malpractice and job burnout.

Key words: fear of malpractice, organizational support, job burnout

中图分类号: 

  • R192
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