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[姑息治疗中一组护士的职业倦怠和述情障碍评估:一项试点研究。]

[Evaluation of burnout and alexithymia in a group of nurses in palliative care: a pilot study.].

作者信息

Caccamo Floriana, Ghedin Simona, Marogna Cristina

机构信息

Dipartimento di Filosofia, Sociologia, Pedagogia e Psicologia Applicata, Università degli Studi di Padova, Italy.

Hospice "Le Rose", Latina, Italy.

出版信息

G Ital Med Lav Ergon. 2017 Dec;39(4):249-255.

Abstract

OBJECTIVES

Health workers, particularly those working in palliative care, are confronted daily with situations that increase stress and emotional fatigue, since constantly exposed to the disease and the death of patients. The proximity to the pain and the feelings of psychological suffering of patients submits them to a very intense emotional charge, making them susceptible to burnout. The skills required for those involved in this type of assistance are very specific and it is therefore necessary training that is aimed at providing the healthcare professional knowledge and basic skills, both professional and empathic, because the service is of good quality. Psychological support for nursing staff is a key factor in giving voice to the anxieties that inevitably rise in palliative care.

METHODS

The paper reports the evaluation of a psychological intervention for health workers (doctors and nurses) of a Hospice of Central Italy. It was measured the level of burnout and alexithymia of the workers in order to investigate possible relationships between the two constructs and assess the change in scores after the psychological intervention.

RESULTS

The results showed a positive correlation between the total score of alexithymia and emotional exhaustion subscale (r = .44, p = .023) and an inverse correlation between the total score of alexithymia and Personal fulfilment subscale (r = - 0:55, p = .003). In addition, there is a reduction of the scores in both alexithymia dimensions and emotional exhaustion subscale.

CONCLUSIONS

The results show the effectiveness of the intervention and invite us to continue to search for further relations between the construct of burnout and alexithymia and other variables.

摘要

目标

医护人员,尤其是从事姑息治疗的人员,每天都面临着增加压力和情绪疲劳的情况,因为他们经常接触患者的疾病和死亡。与患者的疼痛和心理痛苦感的近距离接触使他们承受着非常强烈的情绪负荷,使他们容易产生职业倦怠。参与此类援助的人员所需的技能非常特殊,因此有必要进行培训,旨在为医护人员提供专业和共情的知识及基本技能,因为这样才能提供高质量的服务。对护理人员的心理支持是表达姑息治疗中不可避免出现的焦虑情绪的关键因素。

方法

本文报告了对意大利中部一家临终关怀医院的医护人员(医生和护士)进行的心理干预评估。测量了工作人员的职业倦怠和述情障碍水平,以调查这两个构念之间的可能关系,并评估心理干预后分数的变化。

结果

结果显示述情障碍总分与情绪耗竭分量表之间呈正相关(r = .44,p = .023),述情障碍总分与个人成就感分量表之间呈负相关(r = - 0.55,p = .003)。此外,述情障碍两个维度和情绪耗竭分量表的分数均有所降低。

结论

结果表明干预是有效的,并促使我们继续探索职业倦怠和述情障碍构念与其他变量之间的进一步关系。

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