摘    要目的：初步分析杭州社区卫生服务人员的职业紧张与工作能力的相关性，为如何提高社区卫生服务人员职业紧张处理和应对措施提供依据。方法：按照杭州市行政区域划分的原则，采用分层随机整群抽样的方法，抽取15个社区卫生服务中心450人进行问卷调查，对杭州市社区卫生服务人员的职业紧张得分和工作能力得分进行卡方检验、单因素方差分析、二元logistic回归分析、Spearman相关性分析。结果：1、杭州社区卫生服务人员的职业紧张程度在性别、文化程度、体育锻炼、平均月收入以及工作班次差异有统计学意义（P<0。05）。2、杭州社区卫生服务人员的工作能力在年龄、平均月收入、职称中存在差异，差异有统计学意义（P<0。05）。3、运用Spearman等级相关分析，结果显示职业紧张和工作能力等级存在负相关（P<0。05），高职业紧张组工作能力较差，进一步做多因素logistic回归分析显示，以工作能力优组为参考，工作能力差组、中等组和好组的职业紧张程度分别是优组的12。374倍、5。223倍和1。333倍。结论：1。男性、本科及以上、无体育锻炼、平均月收入6000~8999和3000以下、轮班制的职工职业紧张程度高。2。34~44岁组、平均月收入3000~5999组、中级职称的职工工作能力更优。3。职业紧张水平和工作能力存在负相关性，高职业紧张组工作能力较差，高职业紧张的工作能力更佳。89607

Objective: A preliminary analysis of hangzhou community health service personnel to the correlation of occupational stress and work ability, how to improve the community health service staff provides the basis for dealing with occupational stress and countermeasures。Method: According to the principle of administrative pision of hangzhou, with the method of stratified random cluster sampling, sampling 15 community health service center, the questionnaire survey to 450 people in hangzhou city community health service staff occupational stress and work ability chi-square test, single factor variance analysis, binary logistic regression analysis, Spearman correlation analysis。Results: 1, hangzhou community health service level of occupational stress in different gender, educational level, physical exercise, the average monthly income and work shift difference was statistically significant (P < 0。05)。 The work ability of community health service workers in hangzhou is different in different age, average monthly income and job title, and the difference is statistically significant (P < 0。05)。 3, using the Spearman rank correlation analysis, the results show that the level of occupational stress and work ability is negative correlation (P < 0。05), high occupational stress group work ability is poor, do further multiariable logistic regression analysis showed that the ability to work group for reference, the working group, medium group and poor ability of optimum group of occupational stress levels are respectively 12。374 times, 5。223 times and 1。333 times。Conclusion: 1。 Male, undergraduate and above, non-physical exercise, average monthly income 6, 000 ~ 8999 and 3, 000, shift workers are highly stressed。 The average monthly income of the group of 2。34-44 and the average monthly income was better。 There is a negative correlation between occupational stress levels and job performance, and high-skilled workers are less able to work, and those who pay high returns are better able to work。

毕业论文关键词：职业紧张； 工作能力； 社区卫生服务人员

Keyword: Occupational stress； working ability； community health service personnel

目    录

1 立体依据 5

1。1 研究背景 5

1。2 研究意义