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[目的] 了解内蒙古临床医生职业紧张现状,并分析其影响因素.[方法]采用整群随机抽样的方法,抽取内蒙古二级(8家)、三级(12家)医院的临床医生作为研究对象,采用目前国际公认的职业紧张量表(OSI-R)对医生的职业紧张状况进行测评.采用t检验、方差分析和多重线性回归分析职业紧张的影响因素.[结果]男性、薪酬高、工龄10～20年、夜班频率高者职业任务得分较高(P＜0.05);男性、研究生、每周工作时间长、每月夜班频率高、薪酬高、中高级职称者紧张反应较强(P＜ 0.05);男性、本科、每周工作时间短、薪酬低、初级职称、工龄短者个体应对资源得分较高(P＜0.05).临床医生在职业任务问卷及其各维度(除工作环境)、个体紧张反应问卷及其各维度得分均高于科研人员常模(P＜0.05);个体应对资源问卷及其各维度得分低于科研人员常模(P＜0.05).多重线性回归分析显示:职业任务的独立影响因素为性别、薪酬、职称、工龄、夜班频率(F=32.70,P＜0.001,R2=0.178);个体紧张反应的独立影响因素为性别、学历、薪酬、职称、工龄、夜班频率、每周工作时间(F=16.951,P＜0.001,R2=0.196);个体应对资源的独立影响因素为性别、学历、职称、薪酬、每周工作时间、工龄(F=26.614,P＜0.001,R2=0.146).[结论]内蒙古临床医生职业紧张程度较高,建议相关部门针对其影响因素制定相应的防护对策,以保护临床医生的身心健康.“,”[Objective] To understand the status quo of occupational stress of physicians in Inner Mongolia,and analyze its influencing factors.[Methods] This study adopted a cluster random sampling method to select physicians from secondary (n=8) and tertiary (n=12) hospitals in Inner Mongolia.Occupational Stress Inventory-Revised Edition was used to assess occupational stress of the participants.The influencing factors of occupational stress were analyzed by t test,one-way ANOVA,and multiple linear regression.[Results] Male,high salary,and working for 10-20 years,and frequent night shifts were the factors for elevated occupational role scores of the participants (P ＜ 0.05).Male,postgraduate,long working hours per week,frequent night shifts,high salary,and intermediate job title were associated with higher personal strain scores (P ＜ 0.05).Male,undergraduate,short working hours per week,low salary,junior job title,and short working years were associated with higher personal resources scores (P ＜ 0.05).The scores of Occupational Role Questionnaire and its dimensions (except for working environment) as well as Personal Strain Questionnaire and its dimensions of the physicians were higher than those of the corresponding researcher norms (P ＜ 0.05),whereas,the scores of Personal Resources Questionnaire and its dimensions were lower than those of the corresponding researcher norms (P ＜ 0.05).The results of multiple linear regression analysis showed that:the independent contributory factors of occupational role were gender,frequency of night shift,salary,job title,and length of service (F=32.70,P＜ 0.001,R2=0.178);the independent contributory factors of personal strain were gender,education,salary,job title,length of service,frequency of night shift,and working hours per week (F=16.951,P ＜ 0.001,R2=0.196);in addition,the independent contributory factors of personal resources were gender,education,job title,salary,working hours per week,and length of service (F=26.614,P ＜ 0.001,R2=0.146).[Conclusion] The occupational stress of physicians in Inner Mongolia is high.Therefore,countermeasures for the identified contributory factors are required to protect the health of physicians.