O'Hara Mandy A, McCann Teresa A, Fan Weijia, Lane Mariellen M, Kernie Steven G, Rosenthal Susan L
Department of Pediatrics, Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center, New York, USA.
New York-Presbyterian Hospital, New York, USA.
Clin Pediatr (Phila). 2020 May;59(4-5):450-457. doi: 10.1177/0009922820905865. Epub 2020 Feb 18.
Pediatricians caring for patients with child abuse or neglect (CABN) may experience secondary traumatic stress (STS) from traumatized patients, or burnout (BO) from workplace stress. This may be buffered by compassion satisfaction (CS), positive meaning from one's work. For this study, STS, BO, and CS specific to a pediatrician's care of CABN were assessed for residents, hospitalists, intensivists, and outpatient physicians. Using the Professional Quality of Life Scale modified for CABN experiences, participants (n = 62) had a mean STS score at the 84th percentile, a mean BO score at the 66th percentile, and a mean CS score at the 17th percentile. Reporting one CABN patient as most emotionally impactful predicted STS, caring for all types of CABN predicted BO, and perceived knowledge no longer predicted CS when adjusting for the experience of mandated reporting or CABN fatality. These results highlight the need to support pediatricians involved with CABN.
照顾受虐待或忽视儿童（CABN）患者的儿科医生可能会因受创伤的患者而经历继发性创伤应激（STS），或因工作场所压力而出现职业倦怠（BO）。这可能会因同情满足感（CS），即工作带来的积极意义，而得到缓解。在本研究中，针对住院医师、医院医生、重症监护医生和门诊医生，评估了他们在照顾CABN患者时特有的STS、BO和CS。使用针对CABN经历进行修改的职业生活质量量表，参与者（n = 62）的STS平均得分处于第84百分位，BO平均得分处于第66百分位，CS平均得分处于第17百分位。将一名CABN患者报告为最具情感影响力可预测STS，照顾所有类型的CABN可预测BO，在调整法定报告经历或CABN死亡情况后，感知知识不再能预测CS。这些结果凸显了支持参与CABN工作的儿科医生的必要性。
