a Faculty of Medicine Foča, University of East Sarajevo , Bosnia and Herzegovina.
b Primary Health Care Centre Zvornik , Bosnia and Herzegovina.
Int J Occup Saf Ergon. 2019 Dec;25(4):630-637. doi: 10.1080/10803548.2018.1440044. Epub 2018 Mar 19.
. The aim of this study was to examine self-perceived compassion fatigue and compassion satisfaction among family physicians in Bosnia and Herzegovina and describe potential contributing factors. . The cross-sectional study enrolled 120 family physicians. Professional quality of life compassion satisfaction and fatigue version 5 (ProQOL5) was used to assess compassion satisfaction and two components of compassion fatigue, secondary traumatic stress and burnout. The symptoms of chronic fatigue were evaluated using the Chalder fatigue scale. . The majority of family physicians had moderate levels of compassion satisfaction (70%), burnout (75%) and secondary traumatic stress (55.8%). Family physicians with higher levels of secondary traumatic stress reported chronic fatigue ( = 0.001), longer length of service ( = 0.024) and residency training ( = 0.041). Chronic fatigue ( = 0.001), living in a rural environment ( = 0.033), larger size of practice ( = 0.006) and high number of patients with chronic disease ( = 0.001) were associated with a higher risk of burnout. . Family physicians with large practices, long years of experience, a high number of chronically ill patients and experiencing chronic fatigue are at risk of developing compassion fatigue. A systematic exploration of compassion fatigue in relation to working conditions might provide an appropriate starting point for the development of preventive interventions.
本研究旨在探讨波黑家庭医生的自我感知同情疲劳和同情满足感，并描述潜在的影响因素。这项横断面研究纳入了 120 名家庭医生。使用职业生活质量同情满足感和疲劳量表 5 版（ProQOL5）评估同情满足感和同情疲劳的两个组成部分，即继发性创伤应激和倦怠。使用 Chalder 疲劳量表评估慢性疲劳症状。大多数家庭医生的同情满足感处于中等水平（70%），倦怠（75%）和继发性创伤应激（55.8%）。报告有较高水平继发性创伤应激的家庭医生报告有慢性疲劳（ = 0.001）、更长的服务年限（ = 0.024）和住院医师培训（ = 0.041）。慢性疲劳（ = 0.001）、居住在农村环境（ = 0.033）、更大的执业规模（ = 0.006）和患有慢性疾病的患者数量较多（ = 0.001）与倦怠的风险增加相关。执业规模较大、经验丰富、患有慢性疾病的患者较多且经历慢性疲劳的家庭医生有发生同情疲劳的风险。系统探讨与工作条件相关的同情疲劳可能为制定预防干预措施提供适当的起点。
