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基层卫生应急工作人员睡眠时长对职业倦怠的影响

刘丽珍 曲翌敏 曹赫 陈宏标 江宇

刘丽珍, 曲翌敏, 曹赫, 陈宏标, 江宇. 基层卫生应急工作人员睡眠时长对职业倦怠的影响[J]. 中华疾病控制杂志, 2024, 28(1): 64-68. doi: 10.16462/j.cnki.zhjbkz.2024.01.010
引用本文: 刘丽珍, 曲翌敏, 曹赫, 陈宏标, 江宇. 基层卫生应急工作人员睡眠时长对职业倦怠的影响[J]. 中华疾病控制杂志, 2024, 28(1): 64-68. doi: 10.16462/j.cnki.zhjbkz.2024.01.010
LIU Lizhen, QU Yimin, CAO He, CHEN Hongbiao, JIANG Yu. The impact of sleeping behaviors on burnout among health emergency staff[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(1): 64-68. doi: 10.16462/j.cnki.zhjbkz.2024.01.010
Citation: LIU Lizhen, QU Yimin, CAO He, CHEN Hongbiao, JIANG Yu. The impact of sleeping behaviors on burnout among health emergency staff[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(1): 64-68. doi: 10.16462/j.cnki.zhjbkz.2024.01.010

基层卫生应急工作人员睡眠时长对职业倦怠的影响

doi: 10.16462/j.cnki.zhjbkz.2024.01.010
基金项目: 

深圳市龙华区2021年科技创新专项资金 2548A20210413B5F45A7

详细信息
    通讯作者:

    刘丽珍,E-mail: shelly_1018@163.com

  • 中图分类号: R135.99

The impact of sleeping behaviors on burnout among health emergency staff

Funds: 

The Special Fund for Scientific and Technological Innovation in Shenzhen Longhua District in 2021 2548A20210413B5F45A7

More Information
  • 摘要:   目的  了解基层卫生应急工作人员睡眠时长对职业倦怠状况的影响,为缓解其职业倦怠提供依据。  方法  采用多中心便利抽样的方法, 对深圳市龙华区、定州市、青岛市1 012名区级卫生应急相关工作人员进行问卷调查。采用马斯勒倦怠量表(Maslach burnout inventory-general survey, MBI-GS)测量基层医务人员职业倦怠情况。采用logistic回归分析模型及分层分析控制混杂因素,以探讨睡眠情况对于职业倦怠的影响。  结果  区级卫生应急相关工作人员睡眠不足与职业倦怠均处于较高水平,57.02%被调查对象每天睡眠<6 h;90.42%被调查对象存在职业倦怠情况,19.17%存在高度职业倦怠。睡眠<6 h(OR=2.28,95% CI:1.61~3.25,P < 0.001)及疫情期间睡眠时间减少(OR=3.89,95% CI:2.20~6.89,P <0.001)均与高度职业倦怠正相关;其中睡眠<6 h与高度情绪疲惫感、高度工作冷漠感及高度无工作成就感3个维度均呈正相关;睡眠时间减少与高度情绪疲惫感正相关。≤40岁(OR=3.10,95% CI:1.96~4.91,P=0.038)、未婚/离异(OR=5.96,95% CI:2.58~13.78,P=0.010)、未育(OR=4.33,95% CI:2.06~9.10,P=0.049)、月收入≤5 000元(OR=2.88,95% CI:1.90~4.37,P=0.027)的人群中,睡眠<6 h与职业倦怠的关联更强。  结论  通过保证卫生应急工作人员的睡眠时间,可以缓解职业倦怠情况,以便其更好地应对突发公共卫生事件。
  • 图  1  职业倦怠情况

    Figure  1.  Job burnout situation

    表  1  不同睡眠时长分组的基线特征分布

    Table  1.   Basic characteristics of different sleep duration groups

    变量Variable 睡眠时长/h, 人数(占比/%)
    length of one′s sleep /h, Number of people (proportion/%)
    F/χ2
    value
    P
    value
    ≤6 7~8 ≥9
    年龄/岁, x±s Age/years, x±s 36.77±9.01 38.34±8.09 36.87±9.09 5.083 0.006
    性别Gender 0.376 0.829
      男性Male 155(26.86) 114(27.14) 3(20.00)
      女性Female 422(73.14) 306(72.86) 12(80.00)
    职称Professional title 16.042 0.052
      未定级Unclassified 83(14.38) 94(22.38) 1(6.67)
      初级Junior 190(32.93) 130(30.95) 7(46.67)
      中级Middle 214(37.09) 136(32.38) 7(46.67)
      副高级Associate senior 68(11.79) 43(10.24) 0(0)
      高级Senior 22(3.81) 17(4.05) 0(0)
    文化程度Education level 6.026 0.390
      高中及以下High school and below 33(5.72) 34(8.10) 1(6.67)
      大专或本科Bachelor′s degree 516(89.43) 356(84.76) 14(93.33)
      硕士Master′s degree 25(4.33) 27(6.43) 0(0)
      博士PhD 3(0.52) 3(0.71) 0(0)
    婚姻状态Marriage status 15.982 0.003
      已婚Married 481(83.36) 316(75.24) 11(73.33)
      未婚Unmarried 84(14.56) 99(23.57) 3(20.00)
      离异Divorced 12(2.08) 5(1.19) 1(6.67)
    生育状态Birth status 14.085 0.001
      已育kid-bearing 469(81.28) 299(71.19) 12(80.00)
      未育Non kid-bearing 108(18.72) 121(28.81) 3(20.00)
    月收入/元Monthly income/yuan 3.120 0.907
      ≤3 000 140(24.26) 114(27.14) 3(20.00)
      3 001~5 000 295(51.13) 202(48.10) 8(53.33)
      5 001~8 000 117(20.28) 85(20.24) 3(20.00)
      8 001~1 5000 18(3.12) 13(3.10) 1(6.67)
      >15 000 7(1.21) 6(1.43) 0(0)
    下载: 导出CSV

    表  2  睡眠情况与职业倦怠情况的关联分析

    Table  2.   The association between sleep status and burnout

    变量Variable 高度职业倦怠
    High level of burnout
    OR值value(95% CI)
    高度情绪疲惫感
    High level of
    emotional exhaustion
    OR值value(95% CI)
    高度工作冷漠感
    High level of
    job apathy
    OR值value(95% CI)
    高度无工作成就感
    High level of lack
    of job fulfillment
    OR值value(95% CI)
    睡眠时长/h Sleep duration/h
      ≤6 2.28(1.61~3.25) 2.29(1.65~3.19) 1.76(1.08~2.87) 1.46(1.10~1.93)
      7~8 1.00 1.00 1.00
      ≥9 1.13(0.25~5.17) 0.93(0.20~4.23) 2.49(0.53~11.82) 1.39(0.43~4.51)
    睡眠时长变化Change in sleep duration
      不变Unchanged 1.00 1.00 1.00 1.00
      减少Less 3.89(2.20~6.89) 3.82(2.26~6.46) 1.98(0.99~3.95) 1.38(0.98~1.93)
      增加Longer 1.01(0.12~8.36) 0.82(0.10~6.74) 1.48(0.17~12.68) 0.98(0.31~3.10)
    注:① P < 0.05。
    Note: ① P < 0.05。
    下载: 导出CSV

    表  3  睡眠与总体职业倦怠关联的亚组分析

    Table  3.   Subgroup analyses of the association between sleep status and burnout

    变量Variable 人数
    Number of people
    OR值value(95% CI) 交互作用P
    P-value for interaction
    性别Gender 0.203
      男性Male 272 1.63(0.89~2.98)
      女性Female 740 2.63(1.73~4.00)
    年龄组/岁Age group/years 0.038
      ≤40 573 3.10(1.96~4.91)
      >40 439 1.49(0.89~2.50)
    职称Professional title 0.558
      中级以下Junior and unclassified 505 3.08(1.81~5.22)
      中级及以上Middle and above 507 1.72(1.09~2.70)
    婚姻状态Marriage status 0.010
      在婚Married 808 1.79(1.23~2.61)
      未婚/离异Unmarried/ Divorced 204 5.96(2.58~13.78)
    生育状态Birth status 0.049
      已育Kid-bearing 780 1.86(1.27~2.75)
      未育Non kid-bearing 232 4.33(2.06~9.10)
    月收入/元Monthly income/yuan 0.027
      ≤5 000 967 2.88(1.90~4.37)
      >5 000 45 1.23(0.66~2.30)
    下载: 导出CSV
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  • 收稿日期:  2023-10-12
  • 修回日期:  2023-11-17
  • 网络出版日期:  2024-02-05
  • 刊出日期:  2024-01-10

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