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在为老年人提供长期护理服务的医疗机构中工作的医护人员的抑郁情绪与同理心。

Depression and empathy in health professionals who work in the long-term care institutions for older adults.

作者信息

Borges Marina Miranda, Bomfim Ana Julia de Lima, Chagas Marcos Hortes Nisihara

机构信息

Research Group on Mental Health, Cognition and Aging, Universidade Federal de São Carlos - São Carlos, SP, Brazil.

Department of Neuroscience and Behavior, Universidade de São Paulo - Ribeirão Preto, SP, Brazil.

出版信息

Dement Neuropsychol. 2021 Jul-Sep;15(3):381-386. doi: 10.1590/1980-57642021dn15-030011.

Abstract

UNLABELLED

Empathy is an important factor to guarantee the quality of care provided in the long-term care institutions (LTCIs) for older adults, and depression is a factor that affects the health of the professional and, consequently, the care. Thus, it is important that studies are conducted on the relationship of these variables in this context.

OBJECTIVE

The aim of this study is to verify the relationship between empathy and depressive symptoms among health professionals working in the LTCIs.

METHODS

A cross-sectional study was carried out at LTCIs in the state of São Paulo, Brazil. The final sample was constituted by 101 health professionals (i.e., caregivers and nursing technicians) with direct participation in the care of institutionalized older adults. The instruments were used as follows: the Interpersonal Reactivity Index (IRI) to assess empathy and the Patient Health Questionnaire-9 (PHQ-9) for the diagnosis of depression. For the analyses, the patients were divided into groups with and without depression, according to the score of the PHQ-9.

RESULTS

The prevalence of depression among health professionals was 19.8%. Significant statistical differences were found between the groups for the total score of the IRI (p=0.029), for the emotional domain (p=0.023), and for the personal distress (p=0.009).

CONCLUSIONS

The findings indicate that the presence of depression among health professionals at LTCIs is related to the higher levels of empathy, especially in the emotional domain. Thus, future studies that contribute to understanding how care must be provided with empathy, but without harming the health of the professional, should be carried out.

摘要

未标注

同理心是保证为老年人提供长期护理机构(LTCI)护理质量的重要因素,而抑郁是影响专业人员健康并进而影响护理的一个因素。因此,在此背景下对这些变量之间的关系进行研究很重要。

目的

本研究旨在验证在长期护理机构工作的卫生专业人员中同理心与抑郁症状之间的关系。

方法

在巴西圣保罗州的长期护理机构进行了一项横断面研究。最终样本由101名直接参与机构化老年人护理的卫生专业人员(即护理人员和护理技术员)组成。使用的工具如下:人际反应指数(IRI)用于评估同理心,患者健康问卷-9(PHQ-9)用于诊断抑郁。为了进行分析,根据PHQ-9的得分将患者分为有抑郁和无抑郁两组。

结果

卫生专业人员中抑郁的患病率为19.8%。在IRI总分(p=0.029)、情感领域(p=0.023)和个人困扰(p=0.009)方面,两组之间存在显著的统计学差异。

结论

研究结果表明,长期护理机构中卫生专业人员的抑郁与较高水平的同理心有关,尤其是在情感领域。因此,应开展未来研究,以有助于理解如何在不损害专业人员健康的情况下以同理心提供护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e48d/8485649/fdacc895c6ab/1980-5764-dn-15-03-381-gf01.jpg

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