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理解医学背景下推断心理状态、同理心和职业倦怠之间的联系。

Understanding the Links between Inferring Mental States, Empathy, and Burnout in Medical Contexts.

作者信息

Delgado Naira, Bonache Helena, Betancort Moisés, Morera Yurena, Harris Lasana T

机构信息

Departamento de Psicología Cognitiva, Social y Organizacional, Universidad de La Laguna, 38205 La Laguna, Spain.

Departamento de Psicología Clínica, Psicobiología y Metodología, Universidad de La Laguna, 38205 La Laguna, Spain.

出版信息

Healthcare (Basel). 2021 Feb 3;9(2):158. doi: 10.3390/healthcare9020158.

Abstract

It is generally accepted that empathy should be the basis of patient care. However, this ideal may be unrealistic if healthcare professionals suffer adverse effects when engaging in empathy. The aim of this study is to explore the effect of inferring mental states and different components of empathy (perspective-taking; empathic concern; personal distress) in burnout dimensions (emotional exhaustion; depersonalization; personal accomplishment). A total of 184 healthcare professionals participated in the study (23% male, age = 44.60; = 10.46). We measured participants' empathy, the inference of mental states of patients, and burnout. Correlation analyses showed that inferring mental states was positively associated with perspective-taking and with empathic concern, but uncorrelated with personal distress. Furthermore, emotional exhaustion was related to greater levels of personal distress and greater levels of inferences of mental states. Depersonalization was associated with greater levels of personal distress and lower levels of empathic concern. Personal accomplishment was associated with the inference of mental states in patients, lower levels of personal distress, and perspective-taking. These results provide a better understanding of how different components of empathy and mental state inferences may preserve or promote healthcare professionals' burnout.

摘要

人们普遍认为,同理心应该是患者护理的基础。然而,如果医护人员在产生同理心时受到不利影响,那么这个理想状态可能就不现实了。本研究的目的是探讨推断心理状态以及同理心的不同组成部分(换位思考;同情关注;个人痛苦)对职业倦怠维度(情感耗竭;去个性化;个人成就感)的影响。共有184名医护人员参与了这项研究(男性占23%,年龄 = 44.60;标准差 = 10.46)。我们测量了参与者的同理心、对患者心理状态的推断以及职业倦怠情况。相关分析表明,推断心理状态与换位思考和同情关注呈正相关,但与个人痛苦不相关。此外,情感耗竭与更高水平的个人痛苦以及更高水平的心理状态推断有关。去个性化与更高水平的个人痛苦和更低水平的同情关注相关。个人成就感与对患者心理状态的推断、更低水平的个人痛苦以及换位思考有关。这些结果有助于更好地理解同理心的不同组成部分和心理状态推断如何可能导致或促进医护人员的职业倦怠。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37da/7913277/b9bb95caa0a0/healthcare-09-00158-g001.jpg

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