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重症监护急救护士的同情疲劳和焦虑:在效率与人道之间。

Compassion fatigue and anxiety in critical care emergency nurses: In between efficiency and humanity.

机构信息

Hospital Clínic, Universidad de Barcelona (UB), Barcelona, Spain.

Departamento de Salud Pública, Universidad de Lleida (UdL), Lleida, Spain.

出版信息

Enferm Intensiva (Engl Ed). 2023 Jan-Mar;34(1):4-11. doi: 10.1016/j.enfie.2022.02.001. Epub 2023 Feb 9.

DOI:10.1016/j.enfie.2022.02.001
PMID:36774247
Abstract

OBJECTIVES

To determine the emotional impact of permanent proximity to trauma and death in the Emergency and ICU's nurses establishing prevalence of Compassionate Fatigue (burnout and Secondary Traumatic Stress) and anxiety. Analyze its relationship with sociodemographic, training, workplace and psychological variables.

METHODS

Descriptive, cross-sectional and multicentre study. The validated ProQOL v. IV and STAI scales and an ad-hoc questionnaire with the variables of the second objective were used in 710 nurses from nine highly complex hospitals in Catalonia (Spain).

RESULTS

In both units, the prevalence of professionals affected with high scores of burnout was higher than 20%, on Secondary Traumatic Stress was 30% and, 12% on anxiety. Each subscale was significantly associated with the intention to leave units and the career. 97% of participants stated that they needed to be trained in emotional management.

CONCLUSION

The prevalence of burnout and Secondary Traumatic Stress were higher in our study than those offered in the reference literature in emergency and ICU nurses. The prevalence of each construct was individually related to the desire to leave work units and career. This fact, together with the participants' desire to be better trained in emotional management exposes the need to establish educational plans, as well as institutional measures to prevent and support nurses for Compassion Fatigue.

摘要

目的

确定急诊和 ICU 护士长期接触创伤和死亡所带来的情绪影响,确定职业耗竭(倦怠和二次创伤应激)和焦虑的普遍程度。分析其与社会人口统计学、培训、工作场所和心理变量的关系。

方法

描述性、横断面和多中心研究。在西班牙加泰罗尼亚的 9 家高度复杂的医院中,使用经过验证的 ProQOL v. IV 和 STAI 量表以及专门用于第二个目标的变量的调查问卷,对 710 名护士进行了调查。

结果

在这两个科室中,职业倦怠得分较高的专业人员比例均高于 20%,二次创伤应激比例为 30%,焦虑比例为 12%。每个子量表与离开科室和职业的意愿显著相关。97%的参与者表示他们需要接受情绪管理方面的培训。

结论

与急诊和 ICU 护士的参考文献相比,我们的研究中职业倦怠和二次创伤应激的发生率更高。每个结构的发生率都与离开工作单位和职业的愿望有关。这一事实,再加上参与者希望在情绪管理方面得到更好的培训,暴露了需要制定教育计划以及机构措施来预防和支持职业耗竭的护士。

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