关键词: 放射工作人员, 职业倦怠, 影响因素, Logistic回归分析, 心理契约

Abstract: Objective To investigate the multifactorial associations with occupational burnout among radiological professionals and to provide an evidence base for the formulation of psychological and human resource management strategies within medical institutions. Methods A multicenter, stratified random sampling method was employed between June and July 2024. Radiological professionals were recruited from the radiology departments of one Grade A Tertiary hospital and three Grade A Secondary hospitals, which were randomly selected from a pool of two Grade A Tertiary and five Grade A Secondary hospitals in Hengshui City. The Maslach Burnout Inventory-General Survey (MBI-GS) was utilized to assess the status of occupational burnout. A self-administered questionnaire was developed to gather occupational-related data. Descriptive statistics were used to summarize the prevalence of burnout. Subsequently, univariate and multivariate logistic regression analyses were conducted to identify influencing factors. Results The study included 1 014 radiological professionals, with an age range of 26 to 58 years (mean±SD: 42.25±7.69 years), comprising 620 males and 394 females. The mean scores for the dimensions of emotional exhaustion, depersonalization, and reduced personal accomplishment were 3.95±0.54, 2.72±0.19, and 5.05±1.08, respectively. The overall mean MBI-GS score was 3.92±1.68. The prevalence of occupational burnout was 82.94% (841), while 17.06% (173) did not exhibit burnout. The logistic regression analysis revealed that average monthly income (OR=0.537), average daily duration of radiation exposure (OR=3.787), overtime frequency (OR=3.257), level of organizational support (OR=0.493), positive and negative affectivity (OR=0.601), and the status of the psychological contract (OR=0.377) were significantly associated with occupational burnout (all P<0.05). Conclusions This study reveals a high prevalence of occupational burnout among radiological professionals. Factors including average monthly income, duration of radiation exposure, overtime work, organizational support, positive and negative affectivity, and the psychological contract were identified as significant correlates of burnout. These findings suggest that healthcare institutions could implement targeted interventions focusing on these areas to mitigate occupational burnout.

Key words: Radiological professionals, Occupational burnout, Influencing factors, Logistic regression analysis, Psychological contract