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同情疲劳与继发性创伤:儿童重症监护病房医护人员的自我关怀

Compassion fatigue and secondary traumatization: provider self care on intensive care units for children.

作者信息

Meadors Patrick, Lamson Angela

机构信息

East Carolina University, Department of Child Development and Family Relations, Greenville, NC 27858, USA.

出版信息

J Pediatr Health Care. 2008 Jan-Feb;22(1):24-34. doi: 10.1016/j.pedhc.2007.01.006.

Abstract

INTRODUCTION

Unexpressed grief in health care providers who care for chronically ill children may lead to the development of some symptoms of compassion fatigue. The purpose of this study was to describe the scope of compassion fatigue in health care providers working on critical care units with children. A secondary aim was to evaluate the effectiveness of providing educational seminars on compassion fatigue to health care providers working on critical care units with children.

METHOD

In this quantitative study, 185 providers employed within a Children's Hospital attended an educational seminar and voluntarily completed the questionnaires before and after the seminar. A modified version of the Social Readjustment Rating Scale, Index of Clinical Stress, and a compassion fatigue measure developed by the researchers were used in this study.

RESULTS

The researchers found that this educational seminar was successful in raising awareness on compassion fatigue and reducing clinical stress. In addition, the results suggested that providers who experienced higher levels of personal stressors also experienced higher levels of clinical stress and compassion fatigue.

DISCUSSION

Providers working on the intensive care units for children needed to be aware of compassion fatigue symptoms and techniques to manage or minimize their symptoms. Taking care of the providers on a personal and professional level had a significant impact on the amount of stress and compassion fatigue exhibited by health care professionals.

摘要

引言

照顾慢性病患儿的医护人员中未表达出的悲伤可能会导致一些同情疲劳症状的出现。本研究的目的是描述在儿童重症监护病房工作的医护人员中同情疲劳的范围。次要目的是评估为在儿童重症监护病房工作的医护人员提供关于同情疲劳的教育研讨会的效果。

方法

在这项定量研究中,一家儿童医院的185名医护人员参加了一次教育研讨会,并在研讨会前后自愿完成问卷。本研究使用了社会再适应评定量表的修订版、临床压力指数以及研究人员开发的一种同情疲劳测量工具。

结果

研究人员发现,这次教育研讨会成功提高了对同情疲劳的认识并减轻了临床压力。此外,结果表明,经历较高水平个人压力源的医护人员也经历了较高水平的临床压力和同情疲劳。

讨论

在儿童重症监护病房工作的医护人员需要了解同情疲劳症状以及管理或尽量减轻这些症状的技巧。在个人和职业层面照顾医护人员对医护人员表现出的压力和同情疲劳程度有重大影响。

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