儿科医生睡眠障碍与职业倦怠的关系

Relationship between sleep disorders and occupational burnout in pediatricians

关键词: 儿科医生  睡眠  职业倦怠  独立作用  累积作用  潜剖面分析

Keywords: pediatricians  sleep  occupational burnout  independent effect  cumulative effect  latent profile analysis

摘 要: 目的 探讨儿科医生睡眠障碍与职业倦怠的关系。方法 选取山东省和宁夏回族自治区儿科医院和综合性三甲医院 413 名儿科医生,评估其睡眠障碍、职业倦怠以及社会人口学状况,并采用潜剖面分析、线性回归分析等识别睡眠问题异质性亚组,探究异质性亚组与职业倦怠的关系。结果 睡眠障碍(B=3.66,β=0.13,P=0.018)和日间功能障碍(B=7.92,β=0.38,P<0.001)与职业倦怠呈正相关;睡眠问题的累积与职业倦怠得分呈正相关(B=3.67,β=0.47,P<0.001);潜剖面分析识别出无睡眠问题组、中度睡眠问题组、睡眠效率低下组和日间睡眠障碍组 4 个亚组,与无睡眠问题组相比,其他 3 组儿科医生的职业倦怠得分较高;与中度睡眠问题组相比,日间睡眠障碍组的职业倦怠得分较高。结论 睡眠在儿科医生职业倦怠中发挥重要作用,相关部门应该提高对儿科医生睡眠障碍影响的认识,实施以睡眠为靶点的干预措施。

Abstract: Objective To explore the relationship between sleep disorders and occupational burnout among pediatricians.Methods Four hundred and thirteen pediatricians from pediatric hospitals and comprehensive tertiary hospitals in Shandong province and the Ningxia Hui Autonomous Region were selected to evaluate their sleep disorders,occupational burnout,and social demographic characteristics.The latent profile analysis,linear regression analysis,and other methods were used to identify heterogeneous subgroups of sleep problems and explore the relationship between heterogeneous subgroups and occupational burnout. Results The results showed that the sleep disorders (B=3.66,β=0.13,P=0.018) and daytime dysfunction (B=7.92,β=0.38,P<0.001) were positively correlated with occupational burnout; the accumulation of sleep problems was positively correlated with occupational burnout scores (B=3.67,β=0.47,P<0.001).The latent profile analysis identified four subgroups:no sleep problem,moderate sleep problem,low sleep efficiency,and daytime sleep disorder.Compared with no sleep problem subgroup,the other three subgroups of pediatricians had higher occupational burnout scores,compared with the moderate sleep problem subgroup,the daytime sleep disorder subgroup had higher scores of occupational burnout.Conclusion The results suggested that sleep plays an important role in the occupational burnout among pediatricians,and relevant departments should enhance awareness of the impact of sleep disorders on pediatricians and implement interventions targeting sleep.