Institute of Behavioural Sciences, Semmelweis University, Budapest, Hungary.
Psychooncology. 2010 Aug;19(8):855-62. doi: 10.1002/pon.1631.
Emotional burden on oncology care workers is considerable. These workers develop confidential relationship with the patient through interpersonal communication, which entails managing their own emotions as well as the emotions displayed by their patients, and it involves a great deal of emotion work. The objectives in our study were to assess the prevalence of burnout and emotional dissonance and to investigate the interrelationship among burnout, emotion work and coping in oncology care.
A cross-sectional survey with anonymous questionnaires was conducted among oncology health care workers (N = 48) and non-oncology health care workers (N = 151).
The comparison revealed differences primarily in emotion work and coping. Emotional dissonance as stress factor was more prevalent among oncology health care workers. Caregivers dealing with cancer patients felt that they have to display negative emotions less frequently, yet at the same time they frequently have to show understanding and express sympathy to the patient. When certain coping strategies were examined, we found that humour as potential resource in coping is used less frequently among oncology health care workers.
In order to devise effective interventions to oncology personnel, we need to focus on the interaction between the carer and the cancer patient and have more evidence on emotional dissonance in oncology staff.
肿瘤护理人员的情绪负担相当大。这些护理人员通过人际沟通与患者建立起保密关系，这需要他们管理好自己的情绪和患者表现出的情绪，这涉及大量的情绪劳动。我们研究的目的是评估倦怠和情绪不和谐的发生率，并探讨肿瘤护理中倦怠、情绪劳动和应对之间的相互关系。
对肿瘤科医护人员（n=48）和非肿瘤科医护人员（n=151）进行了横断面调查，采用匿名问卷进行。
比较主要显示在情绪劳动和应对方面存在差异。肿瘤科医护人员中情绪不和谐作为压力因素更为普遍。照顾癌症患者的护理人员认为他们不必经常表现出消极情绪，但同时他们也必须经常对患者表示理解和同情。当检查某些应对策略时，我们发现肿瘤科医护人员较少使用幽默作为应对的潜在资源。
为了为肿瘤护理人员设计有效的干预措施，我们需要关注护理人员和癌症患者之间的相互作用，并在肿瘤护理人员的情绪不和谐方面获得更多证据。
