目的 研究眼科住院医师规范化培训(简称住培)学员工作满意度与工作倦怠现状及影响因素。方法 2022年6至7月对11家国家级眼科住培基地学员采用问卷形式进行调查,应用明尼苏达满意度量表和马氏工作倦怠量表对学员进行评估。采用Spearman相关分析、多元线性回归等检验方法对数据进行分析。结果 共177名学员参与调查,总体满意度评价为满意、不完全满意、不满意的分别为52人(29.4%)、96人(54.2%)和29人(16.4%);对目前工作评价为无倦怠、中度倦怠、重度倦怠的分别为27人(15.3%)、113人(63.8%)和37人(20.9%)。发现工作满意度与工作倦怠呈负相关(r=-0.657,P<0.001)。影响总体工作满意度的因素为年收入(β=0.196)、学历(β=-0.125)以及是否担心未来就业问题(β=0.062),均P<0.05,R2=0.222;影响总体工作倦怠的因素为住培年级(β=0.094)和是否担心未来就业问题(β=-0.060),均P<0.05,R2=0.129。结论 眼科住院医师规范化培训学员工作满意度较低、工作倦怠程度较高,收入、学历、住培年级和对未来就业问题的担心会对其满意度和工作倦怠产生影响。应当适当提高学员薪资水平,降低学员对未来就业的焦虑,可考虑加入医学人文的相关课程等,以提高眼科住培学员的工作满意度,降低工作倦怠。
Objective To study the current situation and influencing factors of job satisfaction and job burnout of ophthalmology residents in training. Methods From June to July 2022, a questionnaire survey was conducted among the students from 11 national ophthalmology residential training bases. The MSQ scale was used to evaluate job satisfaction, and the MBI-GS scale was used to evaluate job burnout. The data were analyzed by Spearman correlation analysis and multiple linear regression. Results A total of 177 participants participated in the study, and 52 (29.4%) were satisfied, 96 (54.2%) were not completely satisfied, and 29 (16.4%) were not satisfied. There were 27 people (15.3%) with no burnout, 113 people (63.8%) with moderate burnout and 37 people (20.9%) with severe burnout. It is found that job satisfaction is negatively correlated with job burnout (r=-0.657,P<0.001). Factors affecting overall job satisfaction were annual income (β=0.196), current highest degree (β=-0.125) and employment issues (β=0.062), all P<0.05, R2=0.222. The factors affecting the overall job burnout are the years of residential training (β=0.094) and employment issues (β=-0.060), all P<0.05, R2=0.129. Conclusions The ophthalmology residents has low job satisfaction and high job burnout. Income, education degree, the years of residential training and employment issues will affect their satisfaction and job burnout. Improving salaries and reducing anxiety about future employment, such as joining courses related to medical humanities, may improve job satisfaction and reduce job burnout.
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