Hospital Clinic Barcelona, Faculty of Health Sciences, University of Barcelona (UB), 08036 Barcelona, Spain.
Faculty of Health Sciences, Campus Bellvitge, University of Barcelona (UB), 08036 Barcelona, Spain.
Int J Environ Res Public Health. 2022 May 4;19(9):5569. doi: 10.3390/ijerph19095569.
Compassion fatigue and anxiety derived from continued exposure to trauma and death greatly impact nurses' quality of care and quality of life, increasing their desire to leave work. The aim of the study is to assess compassion fatigue and anxiety prevalence and their association with secondary variables. A multicenter, cross-sectional study in nurses from four high-risk units, Emergency, Intensive Care, Oncology, and Pediatrics, was carried out in 14 hospitals in Catalonia (Spain) between 2015 and 2016. The primary endpoints were compassion satisfaction and compassion fatigue (burnout and secondary traumatic stress), which were assessed by Professional Quality of Life (ProQOL), and anxiety, assessed with the State-Trait Anxiety Inventory (STAI). Multivariable logistic regression analyzed the association of sociodemographic, training, working, and psychological factors. Of a total of 1302 nurses, 18.6% presented low compassion satisfaction; 19.7%, high burnout; and 36.4%, high secondary traumatic stress. Trait anxiety scored high in 7.2%. Although compassion satisfaction was present, it did not protect sufficiently against the high level of compassion fatigue or anxiety present in nurses in all centers. The working conditions in the units and variables showed a strong association with nurses' desire to leave. This corroborates the global challenge of healthcare professionals' shortage. Participants expressed the need for better training in emotional management.
持续接触创伤和死亡导致的同情疲劳和焦虑极大地影响了护士的护理质量和生活质量，增加了他们离职的意愿。本研究旨在评估同情疲劳和焦虑的患病率及其与次要变量的关系。这是一项在 2015 年至 2016 年间在加泰罗尼亚（西班牙）的 14 家医院的四个高风险科室（急诊、重症监护、肿瘤和儿科）中的护士中进行的多中心、横断面研究。主要终点是同情满足和同情疲劳（倦怠和二次创伤压力），通过职业生活质量（ProQOL）进行评估，焦虑通过状态-特质焦虑量表（STAI）进行评估。多变量逻辑回归分析了社会人口统计学、培训、工作和心理因素的关联。在总共 1302 名护士中，18.6%的人同情满足感较低；19.7%的人倦怠程度较高；36.4%的人二次创伤压力较高。特质焦虑得分为 7.2%。尽管存在同情满足感，但它并没有充分保护所有中心的护士免受高水平的同情疲劳或焦虑的影响。各科室的工作条件和变量与护士离职的意愿有很强的关联。这证实了全球医疗保健专业人员短缺的挑战。参与者表示需要更好的情绪管理培训。
