精神科护士的同情疲劳分析及其对精神关怀和专业护理的影响。

Analysis of Compassion Fatigue Among Psychiatric Nurses and Its Effect on Spiritual and Competent Care.

作者信息

Hamzaa Huda Gaber, Abdelaal Mona Hassan, Hussein Ramadan Atta Mohamed, Abdelnaby Hoda Sayed Mohamed, Othman Ahmed Abdellah

机构信息

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

Mental Health Nursing, Faculty of Nursing, The British University in Egypt, Cairo, Egypt.

出版信息

J Psychiatr Ment Health Nurs. 2025 Aug;32(4):986-997. doi: 10.1111/jpm.13174. Epub 2025 Apr 15.

DOI:10.1111/jpm.13174

PMID:40231844

Abstract

BACKGROUND

Psychiatric nurses are exposed to patients experiencing severe emotional, psychological and behavioural challenges, which can lead to diminished empathy, compassion and overall well-being. Compassion fatigue, primarily work-related burnout, stems explicitly from the emotional strain of caregiving. The increasing prevalence of compassion fatigue among psychiatric nurses is a significant issue that threatens their ability to deliver competent and compassionate care.

AIM

This study seeks to explore the relationship between compassion fatigue, spiritual care and the competence of psychiatric nurses, emphasising the effect of compassion fatigue on spiritual and competent care.

METHOD

This study employed a cross-sectional and correlational design on 322 psychiatric nurses from four hospitals in Alexandria, Sohag, Portsaid and Cairo, selected using convenience sampling. Data were collected through anonymous self-administered questionnaires distributed from March to May 2024. The instruments used included the Compassion Fatigue Self-Test (CFST) scale, the Spirituality and Spiritual Care Rating Scale (SSCRS), the Self-Liking and Competence Scale-Revised Version (SLCS-R) and a demographic questionnaire.

FINDINGS

The study's findings revealed significant relationships between compassion fatigue, spirituality, spiritual care and competence among psychiatric nurses. Nurses reported a mean compassion fatigue score of 128.22, and the analyses showed that compassion fatigue negatively correlated with both spirituality and spiritual care (r = -0.411, p < 0.001) and competence (r = -0.196, p < 0.001). Additionally, spirituality and spiritual care were positively correlated with competence (r = 0.357, p < 0.001). Also, linear regression analyses indicated that compassion fatigue negatively impacted spirituality and spiritual care (β = -0.196, p < 0.001).

IMPLICATION

Enhancing nurses' spiritual care competence through training and support can foster a more compassionate and spiritually supportive environment for patients, which is crucial in psychiatric care settings where patients often face complex emotional and mental health challenges.

CONCLUSION

These findings suggest that psychiatric nurses can improve their ability to deliver spiritually and professionally competent care by mitigating compassion fatigue, thus improving patient outcomes and nurse well-being.

摘要

背景

精神科护士会接触到经历严重情感、心理和行为挑战的患者，这可能导致同理心、同情心和整体幸福感下降。同情疲劳主要源于与工作相关的职业倦怠，明确起因于护理工作带来的情感压力。精神科护士中同情疲劳的患病率不断上升，这是一个重大问题，威胁到他们提供专业且富有同情心护理的能力。

目的

本研究旨在探讨同情疲劳、精神护理与精神科护士能力之间的关系，重点关注同情疲劳对精神护理和专业护理的影响。

方法

本研究采用横断面相关设计，对来自亚历山大、索哈杰、塞得港和开罗四家医院的322名精神科护士进行研究，采用便利抽样法选取样本。数据收集时间为2024年3月至5月，通过匿名自填问卷的方式进行。所使用的工具包括同情疲劳自测（CFST）量表、灵性与精神护理评定量表（SSCRS）、自我喜爱与能力量表修订版（SLCS-R）以及一份人口统计学问卷。

研究结果

研究结果显示，精神科护士的同情疲劳、灵性、精神护理与能力之间存在显著关系。护士报告的同情疲劳平均得分为128.22，分析表明同情疲劳与灵性和精神护理均呈负相关（r = -0.411，p < 0.001），与能力也呈负相关（r = -0.196，p < 0.001）。此外，灵性和精神护理与能力呈正相关（r = 0.357，p < 0.001）。线性回归分析还表明，同情疲劳对灵性和精神护理有负面影响（β = -0.196，p < 0.001）。