新冠疫情期间武汉一线护士的同情心满足和同情心疲劳。
Compassion satisfaction and compassion fatigue in frontline nurses during the COVID-19 pandemic in Wuhan, China.
机构信息
Department of Digestive Endoscopy Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Department of Hematology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
出版信息
J Nurs Manag. 2022 Oct;30(7):2537-2548. doi: 10.1111/jonm.13777. Epub 2022 Sep 9.
AIM
The aim of this study is to investigate the compassion satisfaction and compassion fatigue among Chinese frontline nurses during the COVID-19 pandemic in Wuhan, China and to explore the related factors.
BACKGROUND
Frontline nurses undertake a huge nursing workload with a risk of infection, causing great pressure on them and making them face a risk of compassion fatigue during the pandemic.
METHODS
A cross-sectional online survey was conducted from 9 March to 15 March 2020. A total of 1582 nurses caring for critical patients with COVID-19 participated. Compassion satisfaction and compassion fatigue (comprising burnout and secondary traumatic stress) were assessed with the Professional Quality of Life Scale, and resilience was measured with the Chinese 10-item Connor-Davidson Resilience Scale.
RESULTS
Moderate levels of compassion satisfaction (36.99 ± 6.71), burnout (24.14 ± 5.33) and secondary traumatic stress (24.53 ± 5.24) were experienced by frontline nurses. Resilience and perceived work pressure were the main predictors.
CONCLUSIONS
Frontline nurses demonstrated a moderate level of compassion satisfaction and compassion fatigue.
IMPLICATIONS FOR NURSING MANAGEMENT
The compassion fatigue of frontline nurses should be considered. Strategies aiming to reduce stress and enhance resilience, such as training about psychological adjustment, developing professional skills and creating a supportive workplace environment, are several options. The trial is not registered. This study is a cross-sectional study, and according to China's clinical trial registration standards, such studies are not required to be registered. So the trial is not registered. However, oral consent was obtained from the ethics committee of the hospital before this study was conducted.
目的
本研究旨在调查中国武汉新冠肺炎疫情期间一线护士的同情满足感和同情疲劳状况，并探讨相关因素。
背景
一线护士承担着巨大的护理工作量和感染风险，这给他们带来了巨大的压力，使他们在疫情期间面临同情疲劳的风险。
方法
本研究采用横断面在线调查，于 2020 年 3 月 9 日至 15 日对 1582 名照顾新冠肺炎危重症患者的护士进行调查。采用职业倦怠量表（Professional Quality of Life Scale）评估同情满足感和同情疲劳（包括倦怠和二次创伤性应激），采用Connor-Davidson 韧性量表（Connor-Davidson Resilience Scale）评估韧性。
结果
一线护士的同情满足感（36.99±6.71）、倦怠（24.14±5.33）和二次创伤性应激（24.53±5.24）水平处于中等水平。韧性和感知工作压力是主要预测因素。
结论
一线护士表现出中等水平的同情满足感和同情疲劳。
护理管理意义
应考虑一线护士的同情疲劳。旨在减轻压力和增强韧性的策略，如心理调整培训、专业技能发展和创造支持性工作环境，是几种选择。本研究未注册。这是一项横断面研究，根据中国临床试验注册标准，此类研究无需注册。因此，该试验未注册。然而，在进行这项研究之前，医院的伦理委员会已经获得了口头同意。
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