增强适应力以预防重症监护病房护士的职业倦怠和继发性创伤压力。
Promoting resilience to prevent burnout and secondary traumatic stress among intensive care units' nurses.
作者信息
Kchaou Amel, Kotti Nada, Dhouib Feriel, Hrairi Anouar, Ben Messaoud Wafa, Trigui Ahmed, Hajjaji Mounira, Jmal Hammami Kaouthar
机构信息
Department of Occupational Medicine, Hedi Chaker University Hospital, Faculty of Medicine of Sfax, University of Sfax, Sfax, Tunisia.
Higher Institute of Nursing Sciences of Sfax, University of Sfax, Sfax, Tunisia.
出版信息
J Intensive Care Soc. 2025 Sep 7:17511437251357121. doi: 10.1177/17511437251357121.
OBJECTIVES
This study aimed to: (a) determine the levels of burnout, secondary traumatic stress, and compassion satisfaction among intensive care unit nurses at the university hospital in Sfax, Tunisia, and (b) explore the relationship between resilience and the three dimensions of professional quality of life in this nursing specialty.
DESIGN AND METHODS
This was a descriptive and predictive study using validated self-reporting instruments: Professional Quality of Life Scale version 5 and Brief Resilience Scale. Multiple regression using stepwise solution was employed to explore the relationship between resilience and the three dimensions of professional quality of life (burnout (BO), compassion satisfaction (CS), and secondary traumatic stress (STS)). Statistical significance was set at < 0.05.
RESULTS
The results revealed that 61.3%, 63.2%, and 47.2% of ICU nurses were in the moderate range for BO, CS, and STS, respectively. Resilience score was the critical predictor contributing to Professional Quality of Life subscales scores: Burnout (β = -0.26, = 0.001), secondary traumatic stress (β = -0.23, = 0.001) scores were negatively predicted by resilience score. However, CS score was positively predicted by resilience score (β = 0.28, = 0.002).
CONCLUSION
The current study's findings support the argument for the development of training programs to promote psychological resilience among ICU nurses in order to improve the quality of professional life.
目的
本研究旨在：(a) 确定突尼斯斯法克斯大学医院重症监护病房护士的职业倦怠、继发性创伤压力和同情满足感水平；(b) 探讨复原力与该护理专业职业生活质量的三个维度之间的关系。
设计与方法
这是一项描述性和预测性研究，使用经过验证的自我报告工具：第5版职业生活质量量表和简易复原力量表。采用逐步求解的多元回归方法探讨复原力与职业生活质量的三个维度（职业倦怠（BO）、同情满足感（CS）和继发性创伤压力（STS））之间的关系。统计学显著性设定为<0.05。
结果
结果显示，分别有61.3%、63.2%和47.2%的重症监护病房护士在职业倦怠、同情满足感和继发性创伤压力方面处于中等范围。复原力得分是职业生活质量子量表得分的关键预测因素：职业倦怠得分（β = -0.26，P = 0.001）、继发性创伤压力得分（β = -0.23，P = 0.001）与复原力得分呈负相关。然而，同情满足感得分与复原力得分呈正相关（β = 0.28，P = 0.002）。
结论
当前研究结果支持开展培训项目以提高重症监护病房护士心理复原力从而改善职业生活质量这一观点。
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