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目的了解海南省麻醉医师的职业压力现状,提高麻醉的安全性。方法采用普查和分层抽样方法,应用自制调查表对海南省三甲、二级、一级医院的麻醉医师工作中的阻力、困难、烦恼及对工作环境的希望22个问题进行问卷调查,所得结果分三甲医院(Ⅰ组)与二、一级医院(Ⅱ组)两组,进行比较分析,P﹤0.05为差异有统计学意义。结果发放问卷287张,回收280张,有效273张,回收有效率95.1%。工作中的困难及阻力:缺乏麻醉设备百分率最高48.7%,同事不理解率最低9.5%;手术医生不配合、缺乏麻醉设备、药品不足,Ⅱ组比Ⅰ组高,P﹤0.05。对工作环境及设备的希望:建立层流手术间63.0%,安装手术室排污设备42.5%,购买麻醉设备75.1%,安装手术室内背景音乐62.3%;两组对比P﹥0.05。麻醉医师的烦恼:收入与付出不符最高62.6%;患者术前准备不全,手术医师指挥用药,麻醉不全时手术医师抱怨,Ⅱ组比Ⅰ组高,P﹤0.05。结论海南麻醉医师的职业压力主要是收入与付出不符,麻醉设备和抢救药品不足,手术医师不配合,术前患者准备不全,手术室环境欠缺。二、一级医院麻醉医师工作压力比三甲医院麻醉医师高。
Objective To understand the current situation of occupational stress among anesthesiologists in Hainan Province and improve the safety of anesthesia. Methods Census and stratified sampling methods were used to conduct a questionnaire survey on 22 issues of obstruction, difficulty, anxiety and hope of work environment for anesthesiologists in the top three hospitals in Hainan Province, using self-made questionnaires. The results obtained Divided into three branches of hospital (Ⅰ group) and two, a hospital (Ⅱ group), comparative analysis, P <0.05 for the difference was statistically significant. Result The questionnaire was distributed 287, recovery of 280, effective 273, recovery efficiency of 95.1%. Difficulties in work and resistance: the highest percentage of patients with no anesthesia was 48.7%, the lowest rate of colleagues did not understand 9.5%; the surgeons did not cooperate, the lack of anesthesia equipment, lack of drugs, group Ⅱ higher than the group Ⅰ, P <0.05. Hope for work environment and equipment: 63.0% of laminar flow operation rooms, 42.5% of operation room sewage equipment installation, 75.1% of purchase of anesthesia equipment and 62.3% of operation room background music were installed; the two groups were compared with P> 0.05. Anesthesiologists troubles: income and pay up to 62.6%; patients preoperative preparation, surgeon commanding medication, anesthesia complained surgeons, Ⅱ group than in group Ⅰ, P <0.05. Conclusion The occupational stress of Hainan anesthesiologists is mainly due to the discrepancy between income and pay, the shortage of anesthesia equipment and rescue medicines, the incompatibility of surgeons, the incomplete preoperative preparation and the lack of operating room environment. Second, a hospital anesthesiologist working pressure higher than the top three hospital anesthesiologists.