中国公共卫生

目的了解河南省医养结合工作人员的工作满意度及其影响因素,为医养结合进一步发展提供参考依据。方法于2018年7—9月采用分层多阶段整群抽样方法在河南省抽取265家医养结合机构中2 432名工作人员进行问卷调查。结果河南省2 432名医养结合工作人员中,对工作满意者1 418人,工作满意率为58.3%;多因素非条件logistic回归分析结果显示,年龄30～39岁和月均收入2 000～3 000元的河南省医养结合工作人员工作满意度较高,服务时间≥5年和机构类型为养老院的河南省医养结合工作人员工作满意度较低。结论河南省医养结合工作人员工作满意度总体不高,年龄、机构类型、月均收入和服务时间是该地区医养结合工作人员工作满意度的主要影响因素。

Objective To examine the status and influencing factors of job satisfaction among staff in institutions affording combined service of medication and nursing care to elderly people in Henan province for providing evidences to improve integration of medical and nursing care services to the elderly. Methods Using stratified multistage cluster sampling, we recruited 2 500 staff working for one year or more in 265 institutions with combined medical and nursing care services to elderly people in 72 urban districts/rural towns across Henan province. Face-to-face interviews were conducted among the staff with a self-designed questionnaire during July – September 2018. Results Of the 2 432 staff with valid responses, 58.3%(1 418) reported the satisfaction with their jobs. The results of unconditional multivariate logistic regression analysis indicated that the staff aged 30 – 39 years and those having an average monthly income of 2 000 – 3 000 RMB yuan were more likely to have job satisfaction; while those working for five years and longer and those working in nursing homes were less likely to be satisfied to their jobs. Conclusion In Henan province, the level of job satisfaction is not high generally and mainly influenced by age, working years, and whether working in nursing homes among the staff in the institutions providing combined service of medication and nursing care to elderly people.