Emirza Elif Güzide, Uzun Sevda, Şenses Medine
Faculty of Health Sciences, Department of Nursing/Psychiatric Nursing, Ondokuz Mayıs University, Samsun, Türkiye.
Faculty of Health Sciences, Department of Nursing/Psychiatric Nursing, Gümüşhane University, Gümüşhane, Türkiye.
Int J Soc Psychiatry. 2025 May;71(3):564-574. doi: 10.1177/00207640241298901. Epub 2024 Nov 18.
Healthcare professionals serving in the earthquake zone may experience mental problems due to the traumatic events they witnessed.
The aim of this study was to evaluate the effect of working in earthquake-affected areas on compassion fatigue and coping strategies for earthquake stress in healthcare professionals compared to a control group.
This descriptive and correlational study was conducted in three provinces in the northern region of Türkiye. The sample of the study consisted of 146 healthcare professionals working in earthquake-affected regions and 143 healthcare professionals not working in earthquake-affected regions. Data were collected using the 'Descriptive Information Form', 'Compassion Fatigue Short Scale (CF-SS)', and 'Coping with Earthquake Stress Scale (CESS)'. Descriptive statistics, -test for independent samples, Pearson correlation analysis and binary logistic regression analysis were used to analyze the data.
Statistically significant differences were found between healthcare professionals working in earthquake-affected regions and healthcare professionals not working in these regions in terms of CF-SS total scores, 'occupational burnout' sub-dimension mean scores and 'seeking social support' mean scores among CESS sub-dimension mean scores ( < .05). However, no statistically significant difference was found between the mean scores of 'secondary trauma' sub-dimension of CF-SS and total-CESS, 'religious coping', and 'positive reappraisal' ( > .05). A high and positive correlation ( = .805; = .847; = .847; = .695, < .001) was found between total CF-SS scores and total religious coping, positive reappraisal and seeking social support scores of the participants. In addition, working in the earthquake zone negatively affects positive reappraisal and positively affects seeking social support as a significant predictor (β = .081, = 0.922, < .05; β = .111, = 1.117, < .05).
A significant positive relationship was observed between compassion fatigue and coping with earthquake stress. At the same time, it was determined that having worked in the regions affected by earthquakes had a strong positive effect on coping strategies with earthquake stress.
在地震灾区服务的医护人员可能会因目睹的创伤性事件而出现心理问题。
本研究旨在评估与对照组相比，在地震灾区工作对医护人员同情疲劳和应对地震压力策略的影响。
本描述性和相关性研究在土耳其北部的三个省份进行。研究样本包括146名在地震灾区工作的医护人员和143名不在地震灾区工作的医护人员。使用“描述性信息表”、“同情疲劳短量表（CF-SS）”和“应对地震压力量表（CESS）”收集数据。采用描述性统计、独立样本t检验、Pearson相关分析和二元逻辑回归分析对数据进行分析。
在CF-SS总分、CESS子维度平均分中的“职业倦怠”子维度平均分和“寻求社会支持”平均分方面，在地震灾区工作的医护人员与不在这些地区工作的医护人员之间存在统计学显著差异（P<0.05）。然而，CF-SS的“二次创伤”子维度平均分与CESS总分、“宗教应对”和“积极重新评价”的平均分之间未发现统计学显著差异（P>0.05）。参与者的CF-SS总分与宗教应对总分、积极重新评价和寻求社会支持得分之间存在高度正相关（r=0.805；r=0.847；r=0.847；r=0.695，P<0.001）。此外，在地震区工作对积极重新评价有负面影响，对寻求社会支持有积极影响，是一个显著预测因素（β=0.081，t=0.922，P<0.05；β=0.111，t=1.117，P<0.05）。
观察到同情疲劳与应对地震压力之间存在显著正相关。同时，确定在地震灾区工作对应对地震压力的策略有很强的积极影响。
