Department of Nursing, Sichuan Vocational College of Health and Rehabilitation, Zigong, Sichuan, China.
Department of Emergency, The People's Hospital of Neijiang Dongxing District, Neijiang, Sichuan, China.
BMJ Open. 2022 Apr 28;12(4):e055941. doi: 10.1136/bmjopen-2021-055941.
Emergency department physicians and nurses are at high risk of compassion fatigue, burnout and depression. The purpose of this study was to examine the inter-relationship between compassion fatigue, burnout, compassion satisfaction and depression in emergency department physicians and nurses.
A cross-sectional study.
This study was conducted in five tertiary hospitals in five different cities across the province of Sichuan, China, in 2021.
A total of 342 emergency department physicians and nurses participated in the study.
Compassion fatigue, burnout, compassion satisfaction and depression scores.
Among the study participants, 100% were found to have depressive symptoms, 27.8% had low compassion satisfaction, 2.3% had high burnout and 3.8% had compassion fatigue. In the final multiple linear regression model, marital status (p=0.008; 95% CI -5.205 to -0.789), history of chronic disease (p=0.003; 95% CI -6.461 to -1.386), compassion satisfaction (p<0.001; 95% CI 0.593 to 1.274), burnout (p=0.019; 95% CI 0.084 to 0.930) and compassion fatigue (p<0.001; 95% CI -1.527 to -1.053) among emergency department physicians and nurses were considered to be significant predictors of depression.
The prevalence of depression among emergency department physicians and nurses is high in the province of Sichuan, China. Compassion fatigue, burnout and compassion satisfaction were significantly associated with depression in emergency department physicians and nurses. Hospital administrations should consider these findings to develop appropriate psychological interventions and strategies, to prevent, alleviate or treat severe depression among emergency department physicians and nurses in the province of Sichuan.
急诊科医生和护士容易出现同情疲劳、倦怠和抑郁。本研究旨在探讨急诊科医生和护士的同情疲劳、倦怠、同情满足感与抑郁之间的相互关系。
横断面研究。
本研究于 2021 年在中国四川省五个不同城市的五所三级医院进行。
共有 342 名急诊科医生和护士参与了这项研究。
同情疲劳、倦怠、同情满足感和抑郁评分。
研究参与者中，100%存在抑郁症状，27.8%同情满足感较低，2.3%倦怠程度较高，3.8%存在同情疲劳。在最终的多元线性回归模型中，婚姻状况（p=0.008；95%CI-5.205 至-0.789）、慢性病史（p=0.003；95%CI-6.461 至-1.386）、同情满足感（p<0.001；95%CI0.593 至 1.274）、倦怠（p=0.019；95%CI0.084 至 0.930）和同情疲劳（p<0.001；95%CI-1.527 至-1.053）被认为是急诊科医生和护士抑郁的显著预测因子。
中国四川省急诊科医生和护士的抑郁患病率较高。同情疲劳、倦怠和同情满足感与急诊科医生和护士的抑郁显著相关。医院管理层应考虑这些发现，制定适当的心理干预和策略，以预防、减轻或治疗四川省急诊科医生和护士的重度抑郁。
