College of Nursing Science, Kyung Hee University, Seoul 02447, Korea.
Int J Environ Res Public Health. 2021 Sep 16;18(18):9763. doi: 10.3390/ijerph18189763.
The purpose of this research is to identify a path model to explain burnout in community mental health professionals based on the compassion satisfaction-compassion fatigue (CS-CF) model. A total of 125 mental health professionals, including nurses, social professionals, and psychologists working in mental health welfare centers in various regions across South Korea were surveyed using a structured questionnaire. A path analysis was conducted using SPSS 24.0 and AMOS 24.0. The results showed that compassion satisfaction and compassion fatigue are significant predictors of burnout (β = -0.20, = 0.011; β = 0.40, < 0.001, respectively). The indirect pathways associated with burnout included occupational stress (β = 0.21, = 0.021) and experience with aggressive behavior in the workplace (β = 0.33, = 0.004) through maladaptive cognitive emotion regulation and compassion satisfaction. The total effect of the variables on burnout via compassion fatigue and compassion satisfaction explained 62.5% of burnout among mental health professionals. These findings indicate that providing nursing interventions might reduce compassion fatigue and increase compassion satisfaction to reduce burnout. Furthermore, intervention programs that help to reduce the use of maladaptive cognitive emotion regulation strategies are necessary to effectively reduce burnout in mental health professionals.
本研究旨在基于同情满足-同情疲劳（CS-CF）模型，确定一个能够解释社区心理健康专业人员倦怠的路径模型。共对韩国各地不同地区心理健康福利中心工作的 125 名心理健康专业人员（包括护士、社会工作者和心理学家）进行了问卷调查，使用的是结构化问卷。采用 SPSS 24.0 和 AMOS 24.0 进行路径分析。结果表明，同情满足和同情疲劳是倦怠的显著预测因素（β=-0.20，p=0.011；β=0.40，p<0.001）。与倦怠相关的间接途径包括职业压力（β=0.21，p=0.021）和工作场所中遭遇攻击行为的经历（β=0.33，p=0.004），通过适应不良的认知情绪调节和同情满足。通过同情疲劳和同情满足对变量对倦怠的总效应解释了心理健康专业人员倦怠的 62.5%。这些发现表明，提供护理干预措施可能会减少同情疲劳并增加同情满足感，从而降低倦怠感。此外，有必要实施干预计划，帮助减少适应不良的认知情绪调节策略的使用，以有效降低心理健康专业人员的倦怠感。
