情绪衰竭对主诊医师负责制决策满意度的影响:调节焦点的中介作用*
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中国人民解放军陆军军医大学第二附属医院

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中国人民解放军陆军军医大学人文社科项目(项目编号:2021XRW13);重庆市社会科学界联合会资助项目(项目编号:2022NDYB92)


Studying on the Influence of Emotional Exhaustion on the Satisfaction of Decision-making of Attending Physician and Mediating Role Mediated by Regulatory Focus
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    摘要:

    探讨情绪衰竭对主诊医师负责制决策满意度的影响以及工作调节焦点在其中发挥的中介作用。运用情绪衰竭量表,工作调节焦点量表和决策满意量表对重庆市某三级甲等医院300名(78%)医护人员进行调研,结果描述性分析显示医护人员情绪衰竭总分(21.108±9.135),中度衰竭及以上者达57.94%,决策满意度总分(15.712±4.152);相关性分析显示情绪衰竭、促进焦点、防御焦点与决策满意度均具有相关性(r=-0.295、r=0.402、r=0.488,P<0.01);中介效应检验显示情绪衰竭可通过促进焦点和防御焦点的中介作用(23.55%、29.42%)间接影响决策满意。提示应设立专业化的情绪处理部门,建立医护人员对主诊医师负责制的正确认知结构并合理调整不同医务人员的调节焦点侧重点。

    Abstract:

    To explore the effect of emotional exhaustion on satisfaction of decision-making of Attending Physician and the mediating role of work regulatory focus. A total of 300(78%) health care workers from a tertiary public hospital in Chongqing were investigated with the emotional exhaustion scale, the work regulatory focus scale and the decision satisfaction scale. Results descriptive analysis showed that the total score of emotional exhaustion was (21.108 ± 9.135) ,the population suffered of moderate exhaustion and above was 57.94% , the total score of decision satisfaction was (15.712 ± 4.152) ; Correlation analysis showed that emotional exhaustion, promotion focus, prevention focus were correlated with decision satisfaction (r=-0.295、0.402、0.488, P<0.01) ;The mediating effect test showed that emotional exhaustion could affect decision satisfaction indirectly through mediating effect of promoting focus and prevention focus (23.55%,29.42%) . It is necessary to set up a professional emotion processing department, establish a correct cognitive structure of the attending physician responsibility system, and adjust the focus of regulation of different medical personnel.

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  • 收稿日期:2022-09-06
  • 最后修改日期:2022-10-08
  • 录用日期:2022-10-26
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