J Hosp Palliat Nurs. 2020 Jun;22(3):246-253. doi: 10.1097/NJH.0000000000000640.
Hospice volunteers are a high-risk group for anxiety and depression owing to their frequent exposure to patients at the end of life and their subsequent deaths. Resilience is known to be a powerful factor that affects the occurrence of anxiety and depression; however, research on this subject is scarce. We investigated the relationship of resilience with anxiety or depression in hospice volunteers. A total of 145 volunteers were included in the analysis. Participants completed self-reported scales, including the Korean version of the Connor-Davidson Resilience Scale, the State-Trait Anxiety Inventory, Patient Health Questionnaire-9, and the Professional Quality of Life Scale version 5. Pearson correlation coefficients were analyzed to identify the relationship of compassion satisfaction and compassion fatigue with anxiety or depression. A PROCESS macro mediation analysis was used to investigate the mediation effects of compassion satisfaction and compassion fatigue on the relationship between resilience and anxiety or depression. There were significant associations of compassion satisfaction and compassion fatigue with anxiety and depression. The relationship between resilience and anxiety/depression was mediated by compassion fatigue, which had indirect effects on anxiety and depression. Efforts to reduce compassion fatigue and increase resilience could help prevent anxiety and depression in hospice volunteers.
由于经常接触临终患者及其随后的死亡，临终关怀志愿者是焦虑和抑郁的高风险群体。韧性被认为是影响焦虑和抑郁发生的一个强大因素；然而，关于这个主题的研究很少。我们调查了韧性与临终关怀志愿者焦虑或抑郁之间的关系。共有 145 名志愿者参与了分析。参与者完成了自我报告量表，包括韩国版康纳-戴维森韧性量表、状态-特质焦虑量表、患者健康问卷-9 和职业生活质量量表第 5 版。分析了 Pearson 相关系数，以确定同情满足感和同情疲劳与焦虑或抑郁的关系。使用 PROCESS 宏中介分析来研究韧性与焦虑或抑郁之间的关系，以及同情疲劳和同情满足感的中介作用。同情满足感和同情疲劳与焦虑和抑郁显著相关。韧性与焦虑/抑郁的关系受到同情疲劳的中介作用，同情疲劳对焦虑和抑郁有间接影响。减少同情疲劳和增强韧性的努力可能有助于预防临终关怀志愿者的焦虑和抑郁。
