引用本文：李艳超1　张淑娥1　张进1　徐嘉鸣1　王真1　杨茂玲1　赵晨曦1　李庆林1　田静1　朱丽燕1　杨立斌2　曹德品1.全科医生组织支持感与工作压力的关系：职业认同感的中介作用[J].中华医学教育探索杂志,2020,19(5):609-614
全科医生组织支持感与工作压力的关系：职业认同感的中介作用
Relationship between perceived organizational support and occupational pressure of general practitioners: the mediating role of professional identity
DOI：
中文关键词:  全科医生  组织支持感  工作压力  职业认同感
英文关键词:General practitioners  Perceived organizational support  Occupational pressure  Professional identity
基金项目:
作者单位
李艳超1　张淑娥1　张进1　徐嘉鸣1　王真1　杨茂玲1　赵晨曦1　李庆林1　田静1　朱丽燕1　杨立斌2　曹德品1 1哈尔滨医科大学卫生管理学院　150086；2哈尔滨医科大学高教研究与教学质量评估中心　150081 
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中文摘要:
      目的　调查黑龙江省全科医生工作压力的现状，并探讨其与组织支持感以及职业认同感的关系。旨在为全科医生队伍建设、全科医学教育发展提供参考。方法　使用一般情况问卷、组织支持感量表、工作压力量表和职业认同感量表，通过网络调查及现场调查的方式收集数据，共回收问卷288份，有效问卷263份，有效率为91.3%。采用描述性统计分析、Pearson相关分析以及bootstrap中介效应检验方法对数据进行分析。结果　全科医生工作压力平均分为（115.95±22.40），组织支持感与工作压力呈负相关（r＝-0.413，P＜0.01），与职业认同感呈正相关（r＝0.587，P＜0.01）；职业认同感与工作压力呈负相关（r＝-0.442，P＜0.01），中介检验的结果（LLCI=-0.2039，ULCI=-0.0760），说明职业认同感在组织支持感与工作压力的关系中发挥部分中介作用。结论　全科医生的工作压力处于较高水平，可以通过提高全科医生职业认同感和组织支持感，降低全科医生的工作压力。
英文摘要:
      Objective　To investigate the current situation of general practitioners' occupational pressure in Heilongjiang Province, and explore its relationship with professional identity and perceived organizational support. It aims to provide references for the construction of general practitioners and the development of general medical education. Methods　The general situation questionnaire, perceived organizational support scale, occupational pressure scale, and professional identity scale were applied through network and site surveys for collecting data. A total of 288 questionnaires were collected with 263 valid questionnaires (91.3%). Pearson correction analysis and bootstrap analysis were performed for data analysis. Results　The average score of occupational pressure among general practitioners was (115.95±22.40), and the results of Pearson correction analysis showed that perceived organizational support was negatively correlated with occupational pressure (r=-0.413, P<0.01) and positive correlation with professional identity (r=0.587, P<0.01). There were also significant negative correlations between professional identity and occupational pressure (r=-0.442, P<0.01). Moreover, the mediating effect showed that professional identity had a certain mediating effect on the relationship between perceived organizational support and occupational pressure (LLCI=-0.2039, ULCI=-0.0760, P<0.05). Conclusion　General practitioners' occupational pressure was at a high level, which can be reduced through improving the perceived organizational support and professional identity.
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