肿瘤科护士共情疲劳与应对方式的相关性研究
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摘要
目的调查湖南省某市三级医院肿瘤科护士共情疲劳与应对方式现状,并探讨两者的相关性。方法采用便利抽样的方法对102位肿瘤科护士使用一般情况问卷、中文版共情疲劳简短量表、简易应对方式问卷进行调查。结果共情疲劳总分56.00±15.54,积极应对1.36±0.21,消极应对1.59±0.39;不同性别、婚姻、生育情况、工龄、职称、月夜班数等肿瘤科护士共情疲劳得分差异均有统计学意义(均P<0.05);共情疲劳总分及各个维度与消极应对呈正相关(均P<0.01)。结论肿瘤科护士存在着一定程度的共情疲劳,且与消极应对存在显著关系,护理管理者应及时关注肿瘤科护士的心理状况,采取有效性干预措施来降低肿瘤科护士的共情疲劳,有助于提高护理质量。
[Objective]To survey the status of compassion fatigue and coping styles of nurses in oncology of a tertiary hospital in a city of Hunan Province,explore the correlation between them. [Methods]A total of 102 nurses in oncology were selected in the research by convenience sampling method,and they were investigated by general situation questionnaire,the Chinese version of the Compassion Fatigue Scale and Simple Coping Style Scale. [Results]The total scores of compassion fatigue were 56.00±15.54.Positive coping score was 1.36 ±0.21 and negative coping score was 1.59 ±0.39. There were significant differences in compassion fatigue scores among nurses of different genders,marriages,childbearing status,working years,professional titles and number of monthly night shifts(all P<0.05). The total score of compassion fatigue and score of each dimension were positively correlated with negative coping styles(all P<0.01). [Conclusion]Oncology nurses have a certain degree of compassion fatigue,and have a significant relationship with negative coping. Nursing managers should pay attention to the psychological status of oncology nurses and take effective interventions to reduce the compassion fatigue of oncology nurses,which is helpful to improve the quality of nursing care.
[Objective]To survey the status of compassion fatigue and coping styles of nurses in oncology of a tertiary hospital in a city of Hunan Province,explore the correlation between them. [Methods]A total of 102 nurses in oncology were selected in the research by convenience sampling method,and they were investigated by general situation questionnaire,the Chinese version of the Compassion Fatigue Scale and Simple Coping Style Scale. [Results]The total scores of compassion fatigue were 56.00±15.54.Positive coping score was 1.36 ±0.21 and negative coping score was 1.59 ±0.39. There were significant differences in compassion fatigue scores among nurses of different genders,marriages,childbearing status,working years,professional titles and number of monthly night shifts(all P<0.05). The total score of compassion fatigue and score of each dimension were positively correlated with negative coping styles(all P<0.01). [Conclusion]Oncology nurses have a certain degree of compassion fatigue,and have a significant relationship with negative coping. Nursing managers should pay attention to the psychological status of oncology nurses and take effective interventions to reduce the compassion fatigue of oncology nurses,which is helpful to improve the quality of nursing care.
引文
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[14]熊秀娥,肖晓玲,张东华.经历负性事件护士心理健康水平与其应对方式及社会支持的相关性[J].现代临床护理,2016,15(11):19-22.
[15]刘巧梅,王媛媛,谭开宇,等.肿瘤科护士共情疲劳现状及其影响因素研究[J].中国护理管理,2016,16(5):614-620.
[16]李培培,王莹,于子荞,等.ICU护士共情能力及自我同情与同情疲劳的相关研究[J].护理研究,2017,31(26):3244-3248.
[2]LEDOUX K.Understanding compassion fatigue:understanding passion[J].J Adv Nurs,2015,71(9):2041-2050.
[3] FIGLEY CR. Compassion fatigue:psychotherapists,chronic of self care[J].J Clin Psychol,2002,58(11):1433-1441.
[4]NOLTE AG,DOWNING C,TEMANE A,et al. Compassion fatigue in nurses:a metasynthesis[J].J Clin Nurs,2017,26(3):4364-4378.
[5]王佳蕾,周琦.护理人员共情疲劳的现状及影响因素分析[J].西部中医药,2015,28(4):88-90.
[6]杨碧堃,张欢,周英,等.肺癌手术患者心理弹性与应对方式相关性研究[J].广州医科大学学报,2016,44(1):85-88.
[7]孙炳海,楼宝娜,李伟健,等.关注助人者的心理健康:共情疲劳的涵义、结构及其发生机制[J].心理科学进展,2011,19(10):1518-1526.
[8]汪向东,王希林,马弘.心理卫生评定量表手册[M].北京:中国心理卫生杂志社,1999:124-126.
[9]FINLEY BA,SHEPPARD KG. Compassion fatigue:exploring early-career oncology nurses'experiences[J].Clin J Oncol Nurs,2017,21(3):E61.
[10]陈林,曹晓翼,陈燕红,等.血液透析护士共情疲劳与工作投入的关系研究[J].护理学杂志,2017,32(1):70-72.
[11]HOOPER C,CRAIG J,JANVRIN DR,et al.Compassion satisfaction,burnout and compassion fatigue among emergency nurses compared with nurses in other selected inpatient specialties[J].J Emerg Nurs,2010,36(5):420-427.
[12]徐智华,蒋萍萍.肿瘤科护士的心理状况及其简易应对方式的调查[J].当代护士(下旬刊),2016(7):19-21.
[13]闫嵩悦,计红苹,张晓忠,等.临床护士人格特征、职业倦怠与应对方式相关性研究[J].中国医院管理,2016,36(1):75-77.
[14]熊秀娥,肖晓玲,张东华.经历负性事件护士心理健康水平与其应对方式及社会支持的相关性[J].现代临床护理,2016,15(11):19-22.
[15]刘巧梅,王媛媛,谭开宇,等.肿瘤科护士共情疲劳现状及其影响因素研究[J].中国护理管理,2016,16(5):614-620.
[16]李培培,王莹,于子荞,等.ICU护士共情能力及自我同情与同情疲劳的相关研究[J].护理研究,2017,31(26):3244-3248.