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肿瘤医护人员的继发性创伤压力

Secondary traumatic stress in oncology staff.

作者信息

Quinal Leonida, Harford Stephanie, Rutledge Dana N

机构信息

St. Joseph Hospital, Orange, California, USA.

出版信息

Cancer Nurs. 2009 Jul-Aug;32(4):E1-7. doi: 10.1097/NCC.0b013e31819ca65a.

DOI:10.1097/NCC.0b013e31819ca65a
PMID:19444086
Abstract

As empathetic caregivers, oncology staff may be prone to secondary traumatic stress (STS). Secondary traumatic stress results from exposure to persons who have experienced trauma and from giving care to such persons. The presence of STS among oncology staff has not been documented. This correlational descriptive study examined STS among oncology staff at a 500-bed Magnet-designated community hospital by determining the presence of individual symptoms and frequency with which diagnostic criteria for STS are met. Also determined were associations between STS demographic characteristics and specific stress-reduction activities.In this study, 43 staff members from an inpatient oncology unit completed mailed surveys. The Secondary Traumatic Stress Scale assessed the frequency of intrusion, avoidance, and arousal symptoms associated with STS; also assessed were use/helpfulness of stress-reduction activities. In this first study to document the prevalence of STS among oncology staff, prevalence ranged from 16% (Bride's method) to 37% (cutoff-score method). Most common symptoms were difficulty sleeping, intrusive thoughts about patients, and irritability. Least common were avoidance of people, places, and things and disturbing dreams about patients. Current use of massage was significantly predictive of not having STS. Ethnicity of staff member was related to having STS. Further research is warranted evaluating STS prevalence in different groups of oncology staff along with the effect of STS on burnout and job retention.

摘要

作为富有同理心的护理人员,肿瘤科室工作人员可能容易遭受继发性创伤压力(STS)。继发性创伤压力源于接触经历过创伤的人以及为这类人提供护理。肿瘤科室工作人员中继发性创伤压力的存在尚未有文献记载。这项相关性描述性研究通过确定个体症状的存在情况以及满足继发性创伤压力诊断标准的频率,对一家拥有500张床位的磁铁认证社区医院的肿瘤科室工作人员中的继发性创伤压力进行了调查。同时还确定了继发性创伤压力与人口统计学特征以及特定减压活动之间的关联。在本研究中,来自肿瘤住院部的43名工作人员完成了邮寄调查。继发性创伤压力量表评估了与继发性创伤压力相关的侵入、回避和唤醒症状的频率;还评估了减压活动的使用情况/有效性。在这项首次记录肿瘤科室工作人员中继发性创伤压力患病率的研究中,患病率范围从16%(布赖德方法)到37%(临界分数方法)。最常见的症状是睡眠困难、对患者的侵入性想法和易怒。最不常见的是回避人和地方以及关于患者的困扰梦境。当前使用按摩能显著预测没有继发性创伤压力。工作人员的种族与继发性创伤压力有关。有必要进一步研究评估不同肿瘤科室工作人员群体中的继发性创伤压力患病率以及继发性创伤压力对职业倦怠和工作保留的影响。

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