Journal of Shandong University (Health Sciences) ›› 2020, Vol. 1 ›› Issue (7): 102-107.doi: 10.6040/j.issn.1671-7554.0.2020.0022

Previous Articles     Next Articles

A path analysis on the influence of burnout on quality of life among staff in two tertiary hospitals in Qingdao

JI Yongjuan, XIANG Zini, KUANG Guifang   

  1. Department of Mental Health, Qingdao Women and Childrens Hospital, Qingdao 266034, Shandong, China
  • Online:2020-07-20 Published:2020-07-10

PDF (PC)

231

Abstract: Objective To explore the characteristics of burnout and quality of life among staff in two tertiary hospitals, and to analyze the influence of burnout on quality of life. Methods A total of 508 hospital staff in two tertiary hospitals in Qingdao were randomly stratified and surveyed with Maslach Burnout Inventory(MBI), Quality of Life Questionnaire(GQOLI-74)and a self-developed demographic inventory. Results MBI: The rate of burnout was 53.6%; female staff got higher MBI score than male ［(36.05±15.89)vs(30.76±15.67), t=3.351, P<0.01］; staff without a managerial position displayed more serious burnout compared with those with managerial position ［(36.11±15.02)vs(30.13±16.94), t=5.435, P<0.01); burnout in doctors(37.04±15.52), nurses(35.30±16.20)and technicians(35.01±16.78)were all higher than that in functional personnel(24.88±12.63)(F=15.303, P<0.01). GQOLI-74: Staff with less than 10 years of service(55.14±7.02)had reduced GQOLI-74 score than those with more than 10-20 years of service(56.32±6.73)and 20 years of service(57.93±5.86)(F=4.455, P<0.05); staff without a managerial position got lower GQOLI-74 score than those with a managerial position ［(55.50±6.31)vs(59.69±5.12), t=9.815, P<0.01)］; GQOLI-74 score of doctors(55.64±7.13), nurses(55.79±6.50)and technicians(55.53±6.23)were lower than that of functional personnel(57.75±5.53), (F=2.931, P<0.05). Correlation, regression and path analysis: All MBI factors demonstrated a negative correlation with mental, physical and social functions in GQOLI-74(r=-0.09 - 0.35, P<0.05); emotional exhaustion and reduced sense of accomplishment in MBI were negative predictors of GQOLI-74(β=-0.126, -0.123, P<0.01); depersonalization and reduced sense of accomplishment in MBI showed statistical significance on the path of psychological, social and physical functions in GQOLI-74(path coefficient: -0.12 - 0.17, P<0.05); emotional exhaustion in MBI displayed statistical significance on the path of psychological and social functions in GQOLI-74(path coefficient was respective -0.15 and -0.16, P<0.05). Conclusion There is a high level of burnout among hospital staff in tertiary hospitals. Characteristics of burnout and quality of life among hospital staff are different in heterogenous subgroups. Depersonalization and reduced sense of accomplishment may be the factors influencing psychological, social and physical functions in quality of life.

Key words: Burnout, Quality of life, Hospital staff, Path analysis

CLC Number: 

  • R574
[1] 邵岑怡,张舜行,台明. 国内外医务人员职业倦怠研究进展[J]. 中华医院管理杂志, 2019, 35(6): 487-489. SHAO Cenyi, ZHANG Shunxing, TAI Ming. Recent studies in job burnout of medical staff at home and overseas [J]. Chinese Journal of Hospital Administration, 2019, 35(6): 487-489.
[2] Rotenstein LS, Torre M, Mata DA. Prevalence of burnout among physicians: a systematic review [J]. JAMA, 2018, 320(11): 1131-1150.
[3] 冀永娟, 衡中玉, 项紫霓, 等. 青岛市551名医务人员心理健康状况及其影响因素分析[J]. 中国健康教育, 2015, 31(6): 577-580. JI Yongjuan, HENG Zhongyu, XINAG Zini, et al. A study of affecting factors on mental health of 551 medical staffs in Qingdao [J]. Chinese Journal of Health Education, 2015, 31(6): 577-580.
[4] Koutsimani P, Montgomery A, Georganta K. The relationship between burnout, depression, and anxiety: a systematic review and meta analysis [J]. Front Psychol, 2019, 10(3): 284.
[5] Dewa CS, Loong D, Bonato S, et al. The relationship between physician burnout and quality of healthcare in terms of safety and acceptability: a systematic review [J]. BMJ Open, 2017, 7(6): e015141. doi: 10.1136/bmjopen-2016-015141.
[6] Panagioti M,Geraghty K,Johnson J,et al. Association between physician burnout and patient safety, professionalism, and patient satisfaction: a systematic review and meta-analysis [J]. JAMA Intern Med, 2018, 178(10): 1317-1330.
[7] 卫生部统计信息中心. 中国医患关系调查研究[M]. 北京: 中国协和医科大学出版社, 2010.
[8] 陈曲, 孟开, 刘旭, 等. 基于文献计量法的我国医护人员职业倦怠研究现状分析[J]. 中国健康教育, 2017, 33(4): 346-348. CHEN Qu, MENG Kai, LIU Xu, et al. Analysis on research status of job burnout among Chinese medical staffs based on bibliometric method [J]. Chinese Journal of Health Education, 2017, 33(4): 346-348.
[9] 项紫霓, 解金娜, 衡中玉, 等. 社会支持、应对方式对医务人员职业倦怠及心理健康影响分析[J]. 中国职业医学, 2017, 44(5): 615-618. XINAG Zini, XIE Jinna, HENG Zhongyu, et al. Analysis on the effect of social support and coping styles on job burnout and mental health in medical staffs [J]. China Occupational Medicine, 2017, 44(5): 615-618.
[10] 孙天聪. 医护人员工作压力、工作倦怠与生活质量相关性研究[J]. 中国卫生产业, 2018, 15(14): 156-157.
[11] 杨培秀. 护理人员职业倦怠感与生活质量相关性调查分析[J]. 齐鲁护理杂志, 2016, 22(3): 65-66.
[12] Maslach C, Schaufeli W. Professional burnout: recent devdopments in theory and research[M]. Washington DC: Taylor Francis,1993.
[13] 李永鑫, 李亿敏. 工作倦怠评价标准的初步探讨[J]. 心理科学, 2006, 29(1): 148-150. LI Yongxin, LI Yimin. Developing the diagnostic criterion of job burnout [J]. Psychological Science, 2006, 29(1): 148-150.
[14] 汪向东, 王希林, 马弘. 心理卫生评定量表手册 [J]. 中国心理卫生杂志, 1999: 81-86.
[15] Maslach C, Schaufeli WB, Leiter MP. Job Burnout [J]. Annu Rev Psychol, 2001, 52(1): 397-422.
[16] Low ZX, Yeo KA, Sharma VK, et al. Prevalence of burnout in medical and surgical residents: a meta-analysis [J]. Int J Environ Res Public Health, 2019, 16(9): 1479.
[17] Rodrigues H, Cobucci R, Oliveira A, et al. Burnout syndrome among medical residents: a systematic review and meta-analysis [J]. PLoS One, 2018, 13(11): e0206840. doi: 10.1371/journal.pone.0206840.
[18] Chambers CN, Frampton CM, Barclay M, et al. Burnout prevalence in New Zealands public hospital senior medical workforce: a crosssectional mixed methods study [J]. BMJ Open, 2016, 6(11): e013947. doi: 10.1136/bmjopen-2016-013947.
[19] 杨霈, 彭宇竹, 朱敏. 南京市某大型综合公立医院医务人员职业倦怠现状分析[J]. 统计与管理, 2018,(5): 92-95.
[20] Chemali Z, Ezzeddine FL, Gelaye B, et al. Burnout among healthcare providers in the complex environment of the Middle East: a systematic review [J]. BMC Public Health, 2019, 19(1): 1337. doi:10.1186/s12889-019-7713-1.
[21] 周明会. 论做好女性职工工作对医院发展建设的作用[J].中国卫生产业, 2017, 14(21): 195-196.
[22] 潘源. 真正的平等?——两性平权视野下当代中国职场女性的角色冲突略论[J]. 贵州大学学报(社会科学版), 2017, 35(2): 148-153.
[23] 易慧宁, 彭宇竹, 朱敏, 等. 江苏省不同等级公立医院医务人员职业倦怠现状及影响因素分析[J]. 中国医院, 2017, 21(4): 27-30. YI Huining, PENG Yuzhu, ZHU Min, et al. Analysis on the current situation and influencing factors of job burnout of medical staff in different grade public hospitals of Jiangsu province [J]. Chinese Hospitals, 2017, 21(4): 27-30.
[24] Messias E, Gathright MM, Freeman ES, et al. Differences in burnout prevalence between clinical professionals and biomedical scientists in an academic medical centre: a cross-sectional survey [J]. BMJ Open, 2019, 9(2): e023506. doi: 10.1136/bmjopen-2018-023506.
[25] 顾沁怡, 曾靓. 上海某三甲医院医务人员职业倦怠现状调查研究[J].上海医药, 2017, 38(5): 44-48,70. GU Qinyi, ZENG Liang. Investigation of the occupational burnout of medical staff in a tertiary hospital of Shanghai [J]. Shanghai Medical & Pharmaceutical Journal, 2017, 38(5): 44-48,70.
[26] Liang Y, Wang H, Tao X. Quality of life of young clinical doctors in public hospitals in Chinas developed cities as measured by the Nottingham health profile(NHP)[J]. Int J Equity Health, 2015, 14(1): 1-12.
[27] Azevedo WF, Mathias LADST. Work addiction and quality of life: a study with physicians [J]. Einstein(Sao Paulo), 2017, 15(2): 130-135.
[28] 冀永娟, 张福平, 匡桂芳, 等. 青岛市748名医务人员生活质量状况及影响因素分析[J]. 中国健康教育, 2015, 31(11): 1025-1028. JI Yongjuan, ZHANG Fuping, KUANG Guifang, et al. A study of affecting factors on quality of life of 748 medical staff in Qingdao [J]. Chinese Journal of Health Education, 2015, 31(11): 1025-1028.
[29] Asante JO, Li MJ, Liao J, et al. The relationship between psychosocial risk factors, burnout and quality of life among primary healthcare workers in rural Guangdong province: a cross-sectional study [J]. BMC Health Serv Res, 2019, 19(1): 447. doi: 10.1186/s12913-019-4278-8.
[30] Salvagioni DAJ, Melanda FN, Mesas AE, et al. Physical, psychological and occupational consequences of job burnout: A systematic review of prospective studies [J]. PLoS One, 2017,12(10): e0185781. doi: 101371/journal.pone.0185781.
[31] 谭健烽, 蔡静怡, 万崇华, 等. 医护人员工作倦怠与生活质量关系[J].中国公共卫生, 2012, 28(6): 812-814. TAN Jianfeng, CAI Jingyi, WAN Chonghua, et al. Relationship between job burnout and quality of life in doctors and nurses [J]. Chin J Public Health, 2012, 28(6): 812-814.
[1] WU Ruifang, LI Changzhong. Status and progress of female fertility protection [J]. Journal of Shandong University (Health Sciences), 2022, 60(9): 1-7.
[2] DONG Xiaoqian, LI Guanjiang, XU Qianqian, XU Hongwei. Comparison among ERCP combined with ursodeoxycholic acid and other therapies in the treatment of choledocholithiasis complicated with cholecystolithiasis [J]. Journal of Shandong University (Health Sciences), 2022, 60(5): 59-66.
[3] LU Yane, WANG Juan, ZHANG Xuan, MAO Fangxiang, SUN Meng, CAO Fenglin. Latent class analysis of workplace psychological violence experienced by nurses and its association with job burnout [J]. Journal of Shandong University (Health Sciences), 2022, 60(5): 118-124.
[4] WANG Heng, XIANYU Junjie, FENG Shengjie, ZHAO Jing, LI Jiahuan. Path analysis of negative life events, rumination and sleep quality on emotional state in ward nurses [J]. Journal of Shandong University (Health Sciences), 2021, 59(4): 117-121.
[5] HAO Wenting, LI Jie, JING Zhengyue, ZHAO Dan, YUAN Yemin, YU Caiting, ZHOU Chengchao. Physical frailty as a mediator between sleep quality and quality of life in rural elderly with chronic diseases in Shandong Province, China [J]. Journal of Shandong University (Health Sciences), 2021, 59(2): 102-107.
[6] LU Mengxin, YANG Yaoyao, FENG Danjun. Relationships between occupational burnout profiles and neuroticism, life quality among civil servants [J]. Journal of Shandong University (Health Sciences), 2021, 59(10): 114-119.
[7] DENG Qingwen, LIU Wenbin. Multilevel analysis of health related quality of life of patients with cardiovascular disease and its determinants [J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 115-121.
[8] CAO Mingkun, XU Yiqing, LI Yifei, JIANG Zhenxia, ZHANG Xijiang, LI Xiufang, JIANG Baofa. An investigation on the psychosocial factors affecting condom use among older sex workers in Qingdao City [J]. Journal of Shandong University (Health Sciences), 2018, 56(6): 58-62.
[9] LI Changjin, HONG Wei, ZHAO Jia, GAN Wei. Relationship between quality of life and perceived social support and the mediating effect of resilience in old people [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(9): 6-10.
[10] LI Mi, SU Lina, XU Lingzhong. Health-related quality of life among vulnerable people in Shandong Province based on the EQ-5D utility value integral system [J]. Journal of Shandong University (Health Sciences), 2017, 55(12): 71-76.
[11] DING Lilu, SUN Qiang. Path analysis for influencing factors of the total health expenditure of China [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2015, 53(12): 86-89.
[12] GONG qing, ZHANG Hao, QIAO Ying. Investigation on quality of life in family members of the schizophreniac [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(Z2): 177-178.
[13] ZHANG Yanliang1, ZHUANG Zirong2, ZHU Lin1, LIANG Tingting1 . Quality of life after laparoscopic surgery for cervical cancer patients [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(6): 62-66.
[14] CHENG Yuan-yuan1, TANG Mao-qin2. Reliability and validity of the Q-LES-Q-SF in patients  with anxiety disorders [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2011, 49(7): 147-150.
[15] LI Xia, LIU Pei-shu, MAO Hong-luan, ZHANG Xiao-Lei, ZHENG Jing-fang. Prevalence of pelvic floor dysfunction in a community  of Shandong Province [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2011, 49(5): 66-70.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] SHI Shuang, LI Juan, MI Qi, WANG Yunshan, DU Lutao, WANG Chuanxin. Construction and application of a miRNAs prognostic risk assessment model of gastric cancer[J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 47 -52 .
[2] JIANG Bao-dong,MA Xiang-xing,WANG Qing,WANG Qian,FENG Xiao-yuan,LI Ke,YU Fu-hua. Imaging parameters of multislice spiral CT venography in cerebral veins[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2008, 46(11): 1084 -1086 .
[3] LYU Longfei, LI Lin, LI Shuhai, QI Lei, LU Ming, CHENG Chuanle, TIAN Hui. Application of laparoscopic fine needle catheter jejunostomy in minimally invasive McKeown resection of esophageal cancer[J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 77 -81 .
[4] SHAO Haigang, WANG Xuan, WANG Qing. Anatomy of the root canal system of mandibular first premolar in population of Shandong Province[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(9): 85 -89 .
[5] HUANG Fei,WANG Huaijing,XING Yi,GAO Wei,LI Yonggang,XING Ziying,LI Zhenzhong. Protective effects of NGF and GM1 on primary sensory neurons in SD rat with sciatic nerve injury[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2006, 44(4): 332 -335 .
[6] TANG Fang1,2, ZHANG Yingqian3, WANG Zhiqiang4, KANG Dianmin4,
WANG Jiezhen1, XUE Fuzhong1. A 2D minimal spanning tree model of the spatial structures of natural focal disease[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2009, 47(01): 106 -110 .
[7] ZHU Xiaoli1, GUO Shuling1, SU Lei1, FENG Yuxin2, YUAN Fangshu1. Extraction of total proteins from demodex and qualification of their molecular weights[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(5): 58 -62 .
[8] LI Wei,LI Dao-wei,YE Qian,GAO Shun-cui,JIANG Shu-juan.

Diagnostic value of transbronchial needle aspiration in paratracheal mediastinal lesions

[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2008, 46(11): 1063 -1065 .
[9] LI Yu-liang,WANG Yong-zheng,WANG Xiao-hua,ZHANG Fu-jun,ZHU Li-dong,ZHANG Wang-ming,LI Zheng,LI Zhen-jia,ZHANG Kai-xian. I implantation combined with Gemcitabine in the treatment of advanced pancreatic cancer[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2007, 45(4): 393 -396 .
[10] LIU Hai-Chun, ZHANG Jian-Feng, CHEN Yuan-zhen. Bone collagen and biomechanical propertyies in the femur of osteoporosis rats[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2009, 47(5): 42 -45 .
Copyright 2018 © Editorial office of Journal of Shandong University (Health Sciences)
Supported by Beijing Magtech Co.Ltd