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[同情疲劳:一项概念分析]

[Compassion fatigue: a concept analysis].

作者信息

Fu Chia-Yun, Chen Hsing-Mei

机构信息

Department of Nursing, Yuan's General Hospital & Doctoral Student, College of Nursing, Kaohsiung Medical University, ROC.

出版信息

Hu Li Za Zhi. 2011 Apr;58(2):98-103.

Abstract

Compassion fatigue is a relatively new term in nursing. This term describes mood swings experienced by healthcare providers that are both complex in origin and intensify over time due to cumulative stress. Quality of care can be affected if compassion fatigue goes untreated. This paper presents a concept analysis of compassion fatigue using Walker & Avant's method. Results show the defining attributes of compassion fatigue to include: 1. accumulated patient and family suffering; 2. sufferer unable to release built-up stresses effectively; and 3. negative effects on physical, psychological, and spiritual health. Identified antecedents of compassion fatigue included: (1) working as a healthcare provider; (2) investing sympathy in others over a long period of time; and (3) ignoring stress symptoms and personal emotional needs over time. Identified consequences of compassion fatigue included: (1) decreased coping ability; (2) damage / destruction of patient relationship; and (3) increased medical care costs. This study conducted a concept analysis to offer a better understanding of the concept of compassion fatigue and provide a reference for nursing practice and compassion fatigue-related nursing research.

摘要

同情疲劳在护理领域是一个相对较新的术语。该术语描述了医疗保健提供者所经历的情绪波动,其起源复杂且由于累积压力会随时间加剧。如果同情疲劳得不到治疗,护理质量可能会受到影响。本文采用沃克和阿万特的方法对同情疲劳进行了概念分析。结果表明,同情疲劳的定义属性包括:1. 患者和家属的累积痛苦;2. 患者无法有效释放累积的压力;3. 对身体、心理和精神健康产生负面影响。已确定的同情疲劳的前因包括:(1) 作为医疗保健提供者工作;(2) 长期对他人投入同情;(3) 随着时间的推移忽视压力症状和个人情感需求。已确定的同情疲劳的后果包括:(1) 应对能力下降;(2) 医患关系受损/破裂;(3) 医疗护理成本增加。本研究进行了概念分析,以更好地理解同情疲劳的概念,并为护理实践和与同情疲劳相关的护理研究提供参考。

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