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执业及未来精神科医生的同情疲劳:全国视角

Compassion Fatigue Among Practicing and Future Psychiatrists: A National Perspective.

作者信息

Almadani Ahmad H, Alenezi Shuliweeh, Algazlan Maha S, Alrabiah Ebraheem S

机构信息

Department of Psychiatry, College of Medicine, King Saud University, Riyadh, SAU.

出版信息

Cureus. 2022 May 27;14(5):e25417. doi: 10.7759/cureus.25417. eCollection 2022 May.

DOI:10.7759/cureus.25417
PMID:35769686
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9233942/
Abstract

Compassion fatigue is a set of emotions and behaviors that occur as a result of assisting a person who is suffering. Compassion fatigue, burnout, and low compassion satisfaction are all hazards that professional caregivers encounter. However, in comparison to non-medical workers, psychiatrists were found to have higher levels of compassion fatigue. We conducted a cross-sectional study that targeted all psychiatrists and psychiatric trainees enlisted in Saudi Arabia at the only registering body, the Saudi Commission for Health Specialties (SCFHS). The SCFHS approved and sent an online survey consisting of a three-section questionnaire concerning sociodemographic, personal, and professional information and the Professional Quality of Life Scale (ProQOL 5). Compassion fatigue was found at an average level in 43.2% of participants, while 56.3% had a low level. An average level of burnout was found in 65.9% of participants, while 34.1% had a low level of burnout. Of all participants, 38.9% had an elevated level of compassion satisfaction. Participants who were diagnosed with psychiatric illness showed higher burnout scores (p<0.001). Divorced or separated participants had a higher compassion satisfaction score compared with single participants. A history of psychological trauma was associated with a higher compassion fatigue score (p=0.002). These findings supported the notion of trauma as a specific risk factor for compassion fatigue. They also attested to the huge burden among psychiatrists and psychiatric trainees as part of the nature of this profession. We advise developing systematic and proactive tools to screen for trauma and to support practicing and future psychiatrists, especially those at risk of compassion fatigue.

摘要

同情疲劳是因帮助受苦之人而产生的一系列情绪和行为。同情疲劳、职业倦怠和低同情满意度都是专业护理人员面临的风险。然而,与非医护人员相比,精神科医生的同情疲劳程度更高。我们开展了一项横断面研究,目标对象是沙特阿拉伯唯一的注册机构——沙特卫生专业委员会(SCFHS)登记在册的所有精神科医生和精神科实习生。SCFHS批准并发送了一份在线调查问卷,该问卷由三部分组成,涉及社会人口统计学、个人和专业信息以及职业生活质量量表(ProQOL 5)。43.2%的参与者存在平均水平的同情疲劳,而56.3%的参与者同情疲劳程度较低。65.9%的参与者存在平均水平的职业倦怠,而34.1%的参与者职业倦怠程度较低。在所有参与者中,38.9%的人同情满意度较高。被诊断患有精神疾病的参与者职业倦怠得分更高(p<0.001)。离婚或分居的参与者与单身参与者相比,同情满意度得分更高。有心理创伤史与更高的同情疲劳得分相关(p=0.002)。这些发现支持了创伤是同情疲劳的一个特定风险因素这一观点。它们还证明了作为该职业性质的一部分,精神科医生和精神科实习生面临着巨大的负担。我们建议开发系统且积极主动的工具来筛查创伤,并支持在职和未来的精神科医生,尤其是那些有同情疲劳风险的医生。