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同理心与职业倦怠——法国心理医疗服务提供者的一项横断面研究

Empathy and Burnout - A Cross-Sectional Study Among Mental Healthcare Providers in France.

作者信息

Sturzu Livia, Lala Adrian, Bisch Michael, Guitter Marie, Dobre Daniela, Schwan Raymund

机构信息

Pôle Hospitalo-Universitaire de Psychiatrie d'Adultes du Grand Nancy, "Centre Psychothérapique de Nancy", Laxou, France.

Centre Hospitalier Spécialisé de Sarreguemines, Sarreguemines, France.

出版信息

J Med Life. 2019 Jan-Mar;12(1):21-29. doi: 10.25122/jml-2018-0050.

Abstract

Previous studies have established a correlation between empathy and burnout among healthcare providers. The aim of this study is to explore whether empathy - the ability to understand what another person is experiencing, was related to mental healthcare staffs' burnout. We performed a descriptive, cross-sectional, observational study among medical and nursing mental healthcare staff working in the district of Moselle, France. Participants completed a survey including The French versions of the Jefferson Scale of Empathy (JSPE) and The Maslach Burnout Inventory-Human Services Survey (MBI-HSS). The sample included 241 (n=241) participants (N=420, response rate=51.7%). 187 (77.6%) respondents had low burnout, 43 (17.8%) had intermediate burnout and 11 (4.6%) had high burnout. 41 (17%) had low empathy, 156 (64.7) had moderate empathy and 44 (18.3%) scored high. Empathy scores were positively correlated with scores of personal accomplishment of the MBI-HSS (r=0.2; p<0.001), but negatively correlated with scores of depersonalization (r=-0.2; p<0.003). Highest means of depersonalization (DP) (M=8.7; SD=6.8; p<0.009) and lowest means of compassionate care (M=40.05; SD=7.9; p=0.0001) were found among forensic psychiatric security units staff. Participation in the Omega educational program was associated with lower scores of EE on the MBI-HSS survey (mean score 14.7 versus a mean score of 19.7 for nonparticipants). Empathic mental healthcare providers have lower levels of burnout. Forensic psychiatric staff showed low means of compassionate care and high depersonalization. Interventions designed to foster attributes and skills such as empathy, resilience, and perception of security may be an essential step in reducing and preventing burnout.

摘要

以往的研究已经证实了医疗服务提供者的同理心与职业倦怠之间存在关联。本研究的目的是探讨同理心——即理解他人经历的能力,是否与精神科医护人员的职业倦怠有关。我们在法国摩泽尔地区工作的医护人员中开展了一项描述性、横断面观察性研究。参与者完成了一项调查,其中包括法语版的杰斐逊同理心量表(JSPE)和马氏职业倦怠量表-人类服务调查(MBI-HSS)。样本包括241名(n = 241)参与者(N = 420,回复率 = 51.7%)。187名(77.6%)受访者职业倦怠程度较低,43名(17.8%)处于中度职业倦怠,11名(4.6%)处于高度职业倦怠。41名(17%)同理心较低,156名(64.7%)同理心中等,44名(18.3%)得分较高。同理心得分与MBI-HSS个人成就感得分呈正相关(r = 0.2;p < 0.001),但与去个性化得分呈负相关(r = -0.2;p < 0.003)。法医精神病安全部门的工作人员去个性化得分最高(M = 8.7;SD = 6.8;p < 0.009),而同情关怀得分最低(M = 40.05;SD = 7.9;p = 0.0001)。参与欧米伽教育项目与MBI-HSS调查中较低的情感耗竭得分相关(平均得分14.7,未参与者平均得分19.7)。具有同理心的精神科医护人员职业倦怠水平较低。法医精神病工作人员的同情关怀得分较低,去个性化程度较高。旨在培养同理心、恢复力和安全感等特质和技能的干预措施可能是减少和预防职业倦怠的关键一步。

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