Norin Saima, Mahboob Usman, Mahsood Naheed, Raziq Sohail
Saima Norin, BDS, MHPE (KMU). CMH Lahore, Pakistan.
Usman Mahboob, MBBS, MPH, DHPE, Post-Doc, Fellow FAIMER. Institute of Health Professions Education and Research, Khyber Medical University, Peshawar, Pakistan.
Pak J Med Sci. 2024 Oct;40(9):1941-1946. doi: 10.12669/pjms.40.9.9265.
To determine the prevalence of compassion fatigue, compassion satisfaction and burnout and identify the socio-demographic and work-related factors associated with compassion fatigue among FCPS Part-II trainees in Pakistan.
A cross-sectional study of FCPS-II trainees was conducted using stratified sampling at multiple centers over six months. Data was collected through an online, self-administered survey, which consisted of the 30-item ProQOL-V and a socio-demographic and work-related characteristics questionnaire. Informed consent was obtained from all participants. Data was analysed using SPSS 26 for descriptive stats, one-sample t-test, Pearson correlation, and multivariate linear regression at a 95% significance level.
Out of 460, only 392 trainees completely filled the online survey (completion rate: 90.74%). The study found that 78.80% of postgraduate trainees experienced moderate levels of compassion fatigue (CF) (Mean = 27.6, SD = 6.3), with moderate burnout (BO) (75.50%, Mean = 26.6, SD = 5.9), while moderately high Compassion satisfaction (CS) (90.60%, Mean = 33.3, SD = 5.5). Compared to normative data, compassion fatigue levels were significantly elevated among post-graduate trainees (p < 0.001). Significant correlations were observed between CF and BO (r =0.59), CF and CS (r = -0.20), and BO and CS (r = -0.63). Factors associated with higher CF included family dependents (p = 0.029), longer working hours (p < 0.001), and inadequate sleep (p < 0.001). Trainees in "Poor" work environments reported higher CF levels than those in "Excellent" environments (p < 0.001). Additionally, engaging in self-care activities such as exercise, prayer, and socialising were associated with lower CF levels (p < 0.05).
The study revealed that many postgraduate trainees experience moderate compassion fatigue and burnout, with a strong positive correlation between CF and BO. Compassion satisfaction inversely related to both CF and BO, highlighting the need to boost CS. Factors like longer work hours, poor sleep, family dependents and unfavorable work conditions were linked to higher Compassion Fatigue. Conversely, engaging in self-care practices like prayer, meditation, exercise, and socialising is associated with decreased compassion fatigue levels. These results stress the importance of tailored interventions to enhance trainees' well-being and ultimately improve patient care quality.
确定同情疲劳、同情满足感和职业倦怠的患病率，并找出与巴基斯坦FCPS第二部分培训学员同情疲劳相关的社会人口学和工作相关因素。
对FCPS-II培训学员进行了一项横断面研究，在多个中心采用分层抽样，为期六个月。通过在线自我管理调查收集数据，该调查包括30项的职业生活质量量表（ProQOL-V）以及一份社会人口学和工作相关特征问卷。所有参与者均获得了知情同意。使用SPSS 26进行数据分析，以进行描述性统计、单样本t检验、Pearson相关性分析和多变量线性回归，显著性水平为95%。
在460名学员中，只有392名学员完全填写了在线调查问卷（完成率：90.74%）。研究发现，78.80%的研究生学员经历了中度水平的同情疲劳（CF）（均值=27.6，标准差=6.3），同时伴有中度职业倦怠（BO）（75.50%，均值=26.6，标准差=5.9），而同情满足感处于中度偏高水平（90.60%，均值=33.3，标准差=5.5）。与标准数据相比，研究生学员的同情疲劳水平显著升高（p<0.001）。观察到CF与BO之间存在显著相关性（r=0.59），CF与CS之间存在显著相关性（r=-0.20），BO与CS之间存在显著相关性（r=-0.63）。与较高CF相关的因素包括家庭抚养人（p=0.029）、工作时间较长（p<0.001）和睡眠不足（p<0.001）。处于“差”的工作环境中的学员报告的CF水平高于处于“优”的工作环境中的学员（p<0.001）。此外，进行锻炼、祈祷和社交等自我护理活动与较低的CF水平相关（p<0.05）。
该研究表明，许多研究生学员经历了中度的同情疲劳和职业倦怠，CF与BO之间存在很强的正相关性。同情满足感与CF和BO均呈负相关，这突出了提高CS水平（同情满足感）的必要性。工作时间较长、睡眠不佳、家庭抚养人和不利的工作条件等因素与较高的同情疲劳相关。相反，进行祈祷、冥想、锻炼和社交等自我护理活动与较低水平的同情疲劳相关。这些结果强调了采取针对性干预措施以提高学员幸福感并最终改善患者护理质量的重要性。
