摘要
目的调查ICU护士共情疲劳现状并分析其影响因素。方法采用便利抽样法,采用自行设计的一般资料调查表、中文版共情疲劳简短量表(C-CFSS)、自我复原力量表(ERS)、领悟社会支持量表(PSSS)于2019年5—6月对烟台市某三甲医院的194名ICU护士进行调查。采用t检验、单因素方差分析、Pearson相关分析、多重线性回归进行统计分析。结果ICU护士C-CFSS总得分为(58.85±36.2)分,共情疲劳整体处于中等水平。ICU护士ERS得分为(39.96±7.65)分,PSSS得分为(61.15±14.65)分。单因素分析结果显示,不同年龄、科室床位数、最终学历、自感健康状况、月收入、育儿情况的护士C-CFSS得分差异有统计学差异(P<0.05);相关性分析显示,ICU护士ERS得分与C-CFSS得分呈负相关(r=-0.200,P<0.01);PSSS得分与C-CFSS得分及呈负相关(r=-0.278,P<0.01)。多因素分析结果显示,年龄、科室床位数、最终学历、自感健康状况、领悟社会支持力是ICU护士共情疲劳的主要影响因素,共同解释了共情疲劳总变异的30.1%(F=9.673,P<0.01)。结论ICU护士共情疲劳程度整体处于中等水平,作为护理管理者应关注不同年龄、学历、健康状况等不同特征的ICU护士,开展有关共情疲劳讲座与培训,增加ICU护士的社会支持力等并制订相应的预防干预措施,进而降低共情疲劳的发生。
Objective To investigate current situation of compassion fatigue of ICU nurses and to analyze its influencing factors.Methods By convenient sampling,a self-designed general information questionnaire,Chinese version of the Compassion Fatigue Short Scale(C-CFSS),Ego-Resilience Scale(ERS)and Perceived Social Support Scale(PSSS)were used to investigate 194 ICU nurses in a ClassⅢGrade A hospital in Yantai from May 2019 to June 2019.The t-test,one-way ANOVA,Pearson correlation analysis and multiple linear regression were used for statistical analysis.Results The total C-CFSS score of ICU nurses is(58.85±36.2).ICU nurses had a moderate compassion fatigue level.The ICU nurse's ERS score was(39.96±7.65),the PSSS score was(61.15±14.65).The univariate analysis showed that there were statistically significant differences in C-CFSS scores among nurses of different ages,department beds,final education,self-perceived health status,monthly income,parenting(P<0.05);Correlation analysis showed that ICU nurse ERS score was negatively correlated with C-CFSS score(r=-0.200,P<0.01);PSSS score was negatively correlated with C-CFSS score(r=-0.278,P<0.01).The results of multivariate analysis showed that age,the number of beds in the department,final education,self-perceived health status,and understanding of social support were the main influencing factors of compassion fatigue among ICU nurses,which together explained 30.1%of the total variation of compassion fatigue(F=9.673,P<0.01).Conclusions The overall degree of compassion fatigue of ICU nurses is moderate.As nursing managers,they should pay attention to ICU nurses with different characteristics such as age,educational background and health status,carry out lectures and training on compassion fatigue,increase the social support of ICU nurses and formulate corresponding preventive intervention measures,so as to reduce the occurrence of compassion fatigue.
作者
孙莉莉
丁振梅
曲华
Sun Lili;Ding Zhenmei;Qu Hua(Department of Hematology,Yantai Yuhuangding Hospital,Yantai 264000,China;Nursing Department,Yantai Yuhuangding Hospital,Yantai 264000,China)
出处
《中华现代护理杂志》
2020年第10期1274-1280,共7页
Chinese Journal of Modern Nursing
