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精神科护士对双重诊断患者的同理心:一项描述性研究。

Mental health nurses' empathy towards consumers with dual diagnosis: A descriptive study.

机构信息

Institute of Health and Wellbeing, Federation University Australia, Berwick, Victoria, Australia.

Health Innovation and Transformation Centre (HITC), Federation University Australia, Berwick, Victoria, Australia.

出版信息

J Clin Nurs. 2024 Aug;33(8):3199-3211. doi: 10.1111/jocn.17011. Epub 2024 Jan 29.

Abstract

AIM

This study aimed to assess mental health nurses' empathy towards consumers with dual diagnosis in Australian mental health settings. The research question was What is mental health nurses' empathy towards consumers with co-existing mental health and drug and alcohol problems?

DESIGN AND METHODS

A cross-sectional survey was carried out to understand mental health nurses' empathy. The convenience sample included 96 mental health nurses from various mental health settings with experience working with consumers with dual diagnosis. We assessed empathy using the Toronto Empathy Questionnaire. We utilised SPSS™ software to analyse both the descriptive data and multiple-regression.

RESULTS

The mean empathy score was 47.71 (SD 8.28). The analysis of the association between demographic variables and individual subscales showed an association between the clinical setting and empathy (p = .031) and sympathetic physiological arousal (p = .049). The work sector was associated with sympathetic physiological arousal (p = .045) and conspecific altruism (p = .008). Emotional contagion (β = .98, p < .001), emotional comprehension (β = 1.02, p < .001), sympathetic physiological arousal (β = 1.01, p < .001) and conspecific altruism (β = 10.23, p < .001) predicted mental health nurses' empathy.

CONCLUSIONS

This study found that most mental health nurses showed empathy towards consumers with dual diagnosis. Mental health nurses who are more empathetic towards their consumers experience emotional contagion. They understand emotions better, show sympathetic physiological responses and exhibit kind behaviour towards consumers.

IMPLICATIONS FOR THE PROFESSION AND PATIENT CARE

Further research is required to understand how mental health nurses adapt to consumers' emotional states in different mental health settings. This information can help clinicians make better decisions about care quality for consumers with dual diagnosis.

IMPACT

This study addressed mental health nurses' empathy towards consumers with dual diagnosis. Mental health nurses showed increased empathy towards consumers with dual diagnosis. The empathy levels vary based on age, clinical setting, work sector and work experience. Mental health nurses' empathy levels were predicted by emotional contagion, emotion comprehension, sympathetic physiological arousal and conspecific altruism. Empathy enhancement among mental health nurses, particularly towards consumers with dual diagnosis, is crucial and should be regarded as a top priority by healthcare leaders and educators.

REPORTING METHOD

Outlined by the Consensus-Based Checklist for Reporting of Survey Studies (CROSS).

PATIENT OR PUBLIC CONTRIBUTION

No Patient or Public Contribution.

摘要

目的

本研究旨在评估澳大利亚精神卫生环境中精神健康护士对同时患有精神健康障碍和药物及酒精问题的消费者的同理心。研究问题是:精神健康护士对同时患有精神健康障碍和药物及酒精问题的消费者的同理心如何?

设计和方法

采用横断面调查来了解精神健康护士的同理心。便利样本包括来自不同精神卫生环境的 96 名具有与双诊断消费者合作经验的精神健康护士。我们使用多伦多同理心问卷评估同理心。我们使用 SPSS 软件分析描述性数据和多元回归。

结果

平均同理心得分为 47.71(SD 8.28)。对人口统计学变量和个体分量表之间的关联进行分析表明,临床环境与同理心(p=.031)和同情生理唤醒(p=.049)之间存在关联。工作部门与同情生理唤醒(p=.045)和同类利他主义(p=.008)相关。情绪感染(β=.98,p<.001)、情绪理解(β=1.02,p<.001)、同情生理唤醒(β=1.01,p<.001)和同类利他主义(β=10.23,p<.001)预测精神健康护士的同理心。

结论

本研究发现,大多数精神健康护士对同时患有双诊断的消费者表现出同理心。对消费者更有同理心的精神健康护士会经历情绪感染。他们更好地理解情绪,表现出同情的生理反应,并对消费者表现出友善的行为。

对专业和患者护理的影响

需要进一步研究以了解精神健康护士如何在不同的精神卫生环境中适应消费者的情绪状态。这些信息可以帮助临床医生做出关于同时患有双诊断的消费者护理质量的更好决策。

影响

本研究探讨了精神健康护士对同时患有双诊断的消费者的同理心。精神健康护士对同时患有双诊断的消费者表现出更强的同理心。同理心水平因年龄、临床环境、工作部门和工作经验而异。精神健康护士的同理心水平由情绪感染、情绪理解、同情生理唤醒和同类利他主义预测。精神健康护士同理心的增强,特别是对同时患有双诊断的消费者的同理心增强,至关重要,应被医疗保健领导者和教育工作者视为重中之重。

报告方法

按照基于共识的调查研究报告清单(CROSS)列出。

患者或公众贡献

无患者或公众贡献。

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