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与心肺复苏相关的同情疲劳和压力:一项关于重症监护护士经历的研究。

Compassion fatigue and stress related to cardiopulmonary resuscitation: a study of critical care nurses' experiences.

作者信息

El-Ashry Ayman Mohamed, Elsayed Shimmaa Mohamed, Ghoneam Mohamed Adel, Atta Mohamed Hussein Ramadan

机构信息

Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Alexandria University, Alexandria, Egypt.

Critical Care and Emergency Nursing Department, Faculty of Nursing, Damanhour University, Damanhour, Egypt.

出版信息

BMC Nurs. 2023 Dec 18;22(1):482. doi: 10.1186/s12912-023-01640-y.

Abstract

BACKGROUND

Cardiopulmonary resuscitation (CPR) is considered one of the most stressful experiences in critical care nursing; it directly and indirectly leads to compassion fatigue and burnout.

AIM

Determine the levels of and relationship between postcode stress and compassion fatigue.

DESIGN AND METHODS

A descriptive-correlational study using 300 critical care nurses from five intensive care units in two hospitals was conducted.

TOOLS

Demographic and work-related data, the Postcode Stress Scale, and the Professional Quality of Life Scale: Compassion Fatigue subscale.

RESULTS

Nurses had moderate to high postcode stress and compassion fatigue (67.98 ± 16.39 and 65.40±14.34, respectively). Moreover, there was a significant positive correlation between postcode stress, burnout (r=0.350, p=<0.001), secondary traumatic stress (r=0.518, p=<0.001), and subsequently, compassion fatigue (r=0.449, p=<0.001). In addition, higher levels of postcode stress were associated with higher levels of compassion fatigue with its subscales: burnout and secondary traumatic stress, with a coefficient of determination for compassion fatigue (0.199), burnout subscale (0.121), and secondary traumatic stress (0.266).

CONCLUSION

Critical care nurses involved in resuscitation experiences are susceptible to postcode stress, burnout, secondary traumatic stress, and compassion fatigue. There is a significant relationship between these factors, with higher levels of postcode stress contributing to higher levels of compassion fatigue and its subscales: burnout and secondary traumatic stress. These results highlight the importance of addressing and managing the psychological well-being of nurses in resuscitation settings to mitigate the adverse effects of stress and promote their overall resilience and well-being.

摘要

背景

心肺复苏术(CPR)被认为是重症护理中压力最大的经历之一;它直接或间接地导致同情疲劳和职业倦怠。

目的

确定邮编压力与同情疲劳的水平及两者之间的关系。

设计与方法

采用描述性相关性研究,对两家医院五个重症监护病房的300名重症护理护士进行了调查。

工具

人口统计学和工作相关数据、邮编压力量表以及生活质量专业量表:同情疲劳分量表。

结果

护士的邮编压力和同情疲劳程度为中度至高度(分别为67.98±16.39和65.40±14.34)。此外,邮编压力、职业倦怠(r = 0.350,p < 0.001)、继发性创伤压力(r = 0.518,p < 0.001)以及随后的同情疲劳(r = 0.449,p < 0.001)之间存在显著正相关。此外,较高水平的邮编压力与较高水平的同情疲劳及其分量表(职业倦怠和继发性创伤压力)相关,同情疲劳的决定系数为0.199,职业倦怠分量表为0.121,继发性创伤压力为0.266。

结论

参与复苏工作的重症护理护士易患邮编压力、职业倦怠、继发性创伤压力和同情疲劳。这些因素之间存在显著关系,较高水平的邮编压力会导致较高水平的同情疲劳及其分量表(职业倦怠和继发性创伤压力)。这些结果凸显了关注和管理复苏环境中护士心理健康的重要性,以减轻压力的不利影响,促进他们的整体恢复力和幸福感。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/113a/10726549/97984a54cc7f/12912_2023_1640_Fig1_HTML.jpg

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