目的 调查区县级医疗机构中护理人员的职业倦怠情况,为制定相应的对策提供依据.方法 采用便利抽样法,在会议期间用Maslach工作倦怠量表中文版((Maslach Burnout Inventory General Survey,简称MBI-GS)对我区县级医疗机构中的381名护士进行调查分析.结果 ①该地区县级医疗机构中护理人员的职业倦怠三个维度均值处于中度,职业倦怠比较严重；其中护龄6～10年与本科学历护士职业倦怠处于重度水平.②职称、职位倦怠水平呈负相关,工作负荷、夜班轮值频度、经济状况、社会地位、护患纠纷与倦怠水平呈显著负相关.③领导重视、组织支持、社会肯定、绩效呈正相关.结论 目前区县级医疗机构中护理人员的职业倦怠比较严重.政府干预,改善社会外部大环境,理解护士、尊重护士对缓解职业倦怠非常重要.领导重视、组织支持、增加编制,减轻工作负荷是缓解倦怠的必要条件.加强自我调节是消除倦怠的基础.%Objective To discuss the reason of the job burnout for nurses in district or county grade hospital. Methods 381 nurses working in district or county grade hospital were recruited with MBI-GS questionnaire. Results The total levels of job burnout were Middle-grade. The highest level of job burnout was observed in ( 6~10) year group and University degree. It was negative correlation that the levels of job burnout with professional title, position, Length of service and educational background. Marked negative correlation were heavily working load,frequently night shift, a few salary, lowly social status and dispute between nurses with patients. It was positive factor that leader makes a point, team and other people support and good performance. Conclusion Relatively high level of job burnout existed in nurses in district or county grade hospitals. It is very important to understand and respect nurses. Hospital managers should pay attention to the increased burden to nurses. That is necessary condition. It is base condition for eliminating job burnout that enhances self - regulation.
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