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护士和助产士在护理患有致命缺陷的新生儿时所伴随的个人特质和情感。

Personal characteristics and emotions accompanying nurses and midwives in caring for a newborn with a lethal defect.

作者信息

Urbańska Katarzyna, Drosdzol-Cop Agnieszka, Naworska Beata

机构信息

Neonatology Unit, BCM The Guardian Angels Hospital of the Brothers Hospitallers of St. John of God in Katowice, Markiefki 87, Katowice, 40-211, Poland.

Chair and Department of Gynecology, Obstetrics and Oncological Gynecology, Medical University of Silesia in Katowice, Katowice, 40-751, Poland.

出版信息

Sci Rep. 2025 Aug 29;15(1):31809. doi: 10.1038/s41598-025-16322-9.

Abstract

The aim of this study was to assess how professional experience, workplace setting, and personality traits influence the type and intensity of emotions experienced by nurses and midwives while caring for newborns with lethal congenital anomalies. A quantitative, cross-sectional study was conducted between April and June 2023 in five level II and III referral hospitals located in the Silesian Voivodeship, southern Poland. A total of 307 nurses and midwives meeting the inclusion criteria participated in the study. Data were collected using an original questionnaire comprising sociodemographic variables, self-assessed personality traits, and a scale measuring the type and intensity of emotions. Statistical analysis was conducted using Pearson's and Spearman's correlation coefficients (α = 0.05). The results indicated that longer professional experience was associated with increased empathy, patience, and sadness, and with decreased anger and emotional detachment. Higher levels of self-reported discomfort and frequent exposure to neonatal death were significantly correlated with intensified experiences of despair, fear, and helplessness. The findings highlight the complexity of emotional responses among perinatal healthcare professionals and underline the need for systemic emotional support and mental health strategies aimed at preventing burnout in emotionally demanding clinical settings.

摘要

本研究的目的是评估专业经验、工作场所环境和人格特质如何影响护士和助产士在照顾患有致命先天性异常的新生儿时所经历的情绪类型和强度。2023年4月至6月,在波兰南部西里西亚省的五家二级和三级转诊医院进行了一项定量横断面研究。共有307名符合纳入标准的护士和助产士参与了该研究。使用一份原始问卷收集数据,该问卷包括社会人口统计学变量、自我评估的人格特质以及一个测量情绪类型和强度的量表。使用Pearson和Spearman相关系数进行统计分析(α = 0.05)。结果表明,较长的专业经验与同理心、耐心和悲伤情绪的增加相关,与愤怒和情感疏离的减少相关。自我报告的较高不适感和频繁接触新生儿死亡与绝望、恐惧和无助感的加剧显著相关。研究结果凸显了围产期医疗保健专业人员情绪反应的复杂性,并强调了在情感要求高的临床环境中,需要系统性的情感支持和心理健康策略来预防职业倦怠。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4130/12394424/6de4975a862e/41598_2025_16322_Fig1_HTML.jpg

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