Zhang Bixia, Li Huiyuan, Jin Xiaohuan, Peng Wenqi, Wong Cho Lee, Qiu Dingrong
The Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, China.
The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.
Asia Pac J Oncol Nurs. 2021 Dec 25;9(3):153-160. doi: 10.1016/j.apjon.2021.12.012. eCollection 2022 Mar.
This cross-sectional study examined the prevalence and factors associated with compassion satisfaction and fatigue among oncology healthcare professionals (doctors and nurses) in mainland China.
A total of 337 subjects were recruited via convenience sampling from the oncology departments of five general hospitals in Guangzhou, Guangdong, China. They were invited to complete a survey that included demographic characteristics, the Profession Quality of life Scale, the Brief Cope Questionnaire, and the Connor-Davidson Resilience Scale.
The findings showed medium levels of compassion satisfaction, burnout, and secondary traumatic stress among oncology healthcare professionals in China, reaching rates of 78.34%, 63.50% and 75.96%, respectively. Multiple regression analyses suggested that active coping, positive reframing, and strength were the significant factors of compassion satisfaction, explaining 48.6% of the total variance ( < 0.001). Substance use and self-blame were the significant factors of burnout, explaining 45.1% of the total variance ( < 0.001). Venting, denial, substance use, self-blame, and strength were the significant factors of secondary traumatic stress, explaining 37.6% of the total variance ( < 0.001).
The high prevalence of compassion fatigue warrants the attention of the hospitals' senior management. The effective coping styles identified may be considered when developing strategies to improve the professional quality of life among oncology healthcare professionals.
本横断面研究调查了中国大陆肿瘤医疗保健专业人员(医生和护士)中同情满足感及与之相关的疲劳的患病率及因素。
通过便利抽样从中国广东省广州市五家综合医院的肿瘤科招募了337名受试者。邀请他们完成一项调查,该调查包括人口统计学特征、职业生活质量量表、简易应对问卷和康纳-戴维森复原力量表。
研究结果显示,中国肿瘤医疗保健专业人员的同情满足感、职业倦怠和继发性创伤应激处于中等水平,发生率分别为78.34%、63.50%和75.96%。多元回归分析表明,积极应对、积极重新评价和力量是同情满足感的重要因素,解释了总方差的48.6%(<0.001)。物质使用和自责是职业倦怠的重要因素,解释了总方差的45.1%(<0.001)。发泄、否认、物质使用、自责和力量是继发性创伤应激的重要因素,解释了总方差的37.6%(<0.001)。
同情疲劳的高患病率值得医院高级管理层关注。在制定提高肿瘤医疗保健专业人员职业生活质量的策略时,可考虑已确定的有效应对方式。