اثربخشي الگوي محدوديت و سازش بر فرسودگي شغلي كاركنان واحد اسناد پزشكي سازمان تأمين اجتماعي

The effectiveness pattern of Circumscription Compromise on the Burnout among the Medical DocumentsStaff of the Social Security Organization

ﻫﺪف ﭘﮋوﻫﺶ ﺣﺎﺿﺮ ﺑﺮرﺳﻲ اﺛﺮﺑﺨﺸﻲ ﻧﻈﺮﻳﻪ ﻣﺤﺪودﻳﺖ و ﺳﺎزش ﮔﺎﺗﻔﺮدﺳﻮن (GTCC) ﺑﺮ ﻣﺆﻟﻔﻪ ﻫﺎي ﻓﺮﺳﻮدﮔﻲ ﺷﻐﻠﻲ ﻛﺎرﻛﻨﺎن واﺣﺪ اﺳﻨﺎدﭘﺰﺷﻜﻲ ﺳﺎزﻣﺎن ﺗﺄﻣﻴﻦ اﺟﺘﻤﺎﻋﻲ ﺷﻬﺮ ﺗﻬـﺮان اﺳﺖ. روش ﭘﮋوﻫﺶ، ﻧﻴﻤﻪ آزﻣﺎﻳﺸﻲ و ﻃﺮح ﺗﺤﻘﻴﻖ ﭘﻴﺶ آزﻣـﻮن ﭘﺲ آزﻣﻮن ﺑﺎ ﮔـﺮوه ﻛﻨﺘـﺮل ﺑـﻮدﺟﺎﻣﻌـﻪ آﻣـﺎري ﭘـﮋوﻫﺶ ﻛﻠﻴـﻪ ﻛﺎرﻛﻨﺎن واﺣﺪاﺳﻨﺎد ﭘﺰﺷﻜ ﻲ ﺷﻬﺮ ﺗﻬﺮان420 ﻧﻔﺮ را ﺷﺎﻣﻞ ﺷﺪ ﻛﻪ از ﻣﻴﺎن ﻛﺴﺎﻧﻲ ﻛﻪ ﺑـﻪﭘﺮﺳـﺸﻨﺎﻣﻪ ﻓﺮﺳـﻮدﮔﻲ ﺷـﻐﻠﻲ ﻣـﺴﻠﺶ ﭘﺎﺳﺦ دادﻧﺪ، 30 ﻧﻔﺮ ﺑﻪ ﺷﻴﻮه ﺗﺼﺎدﻓﻲ اﻧﺘﺨﺎب و ﺑﻪ ﺻﻮرت ﺗـﺼﺎدﻓﻲ در دو ﮔــﺮوه 15 ﻧﻔــﺮي، ﮔــﺮوه آزﻣﺎﻳــﺸﻲ ﺑــﺎ روﻳﻜــﺮد آﻣﻮزﺷــﻲ GTCC و ﻳﻚ ﮔﺮوه ﻛﻨﺘﺮل ﺟﺎﻳﮕﺰﻳﻦ ﺷﺪﻧﺪ ﮔـﺮوه آزﻣﺎﻳـﺸﻲ در 8 ﺟﻠﺴﻪ90 دﻗﻴﻘﻪ اي ﺑﺎ روﻳﻜﺮد ﮔﺎﺗﻔﺮدﺳﻮن ﺗﺤﺖ آﻣـﻮزش ﻗـﺮار ﮔﺮﻓﺘﻨــﺪ. ﻓﺮﺳــﻮدﮔﻲ ﺷــﻐﻠﻲ ﻣــﺸﺎرﻛﺖ ﻛﻨﻨــﺪﮔﺎن ﭘــﺲ از اﺟــﺮاي ﻣﺪاﺧﻠﻪ اﻧﺪازه ﮔﻴﺮي ﺷـﺪ داده ﻫـﺎ ﺑـﻪ وﺳـﻴﻠﻪ ﺗﺤﻠﻴـﻞ ﻛﻮوارﻳـﺎﻧﺲ و ﻛﻮوارﻳﺎﻧﺲ ﺗﻚ ﻣﺘﻐﻴﺮي ﺗﺠﺰﻳﻪ و ﺗﺤﻠﻴﻞ ﺷﺪﻧﺪ ﻧﺘﺎﻳﺞ ﻧـﺸﺎن داد ﻛﻪ روﻳﻜﺮد ﻣﺤﺪودﻳﺖ و ﺳﺎزش ﺑﺮ ﺑﻬﺒﻮد ﻣﺆﻟﻔـﻪ ﻫـﺎي ﻓﺮﺳـﻮدﮔﻲ ﺷﻐﻠﻲ ﺗﺤﻠﻴﻞ ﻋﺎﻃﻔﻲ، ﻣﺴﺦ ﺷﺨﺼﻴﺖ، ﻋﻤﻠﻜﺮد ﺷﺨـﺼﻲ ﻣـﺆﺛﺮ اﺳﺖ.

The aim of this research wasto effectiveness of training Gottfredson theory of circumscription and compromise (GTCC) on the burnout among the medical documentsstaff of the Social Security Organization in Tehran. The research was semi-experimental conducted using pretestposttest and a control group.The population under study consisted of all medical documentsemployees of the Social Security Organization in Tehran(n=420) amongwhich 30 people were selected randomly and assigned in two groups (n=15). The experimental groups receivedtraining with Gottfredson’s theory of circumscription and compromise. One group was considered as control group.The experimental groups were trained in eight 90-minute sessions separately. The participants’ burnout levels were measured after the intervention. The collected data were analyzed using covariance analysis. The results showed thatGottfredson theory of circumscription and compromisewas effective in reducing the frequency and severity of the emotional exhaustion and depersonalization, increase of personal accomplishment.