重庆市急诊科护士共情满意、共情疲劳特点及与正念的关系分析

职业与健康 ›› 2024, Vol. 40 ›› Issue (14): 1937-1940.

重庆市急诊科护士共情满意、共情疲劳特点及与正念的关系分析

袁媛^a, 王钰姝^b, 孙溦^a

陆军军医大学第一附属医院 a临床护理学教研室,b急诊医学科,重庆 400038

收稿日期:2023-10-26 修回日期:2023-11-16 发布日期:2026-03-17
通信作者: 孙溦,主任护师,E-mail：supersunwei@tom.com
作者简介:袁媛,女,主管护师,主要从事临床护理管理工作。
基金资助:
陆军军医大学人文社科基金一般项目（2020XRW09）

Analysis on characteristics of compassion satisfaction,compassion fatigue and their relationship with mindfulness among emergency nurses of Chongqing City

YUAN Yuan^a, WANG Yushu^b, SUN Wei^a

a Nursing Teaching and Researching Department, b Emergency Department, First Affiliated Hospital of Army Medical University, Chongqing 400038, China

Received:2023-10-26 Revised:2023-11-16 Published:2026-03-17
Contact: SUN Wei,Chief nurse,E-mail：supersunwei@tom.com

摘要/Abstract

摘要： 目的了解重庆市急诊科护士共情满意、共情疲劳的现状和特点及其与正念之间的关系。方法 2022年10—11月,采用便利抽样法,用中文版专业生活品质量表、正念注意觉知量表对重庆市22家医院525名急诊科护士进行问卷调查,并对数据进行分析。结果调查对象共情满意得分为（29.41±9.15）分,存在中重程度倦怠和二次创伤的护士分别占75.7%和73.6%;共情疲劳主要表现为较低的职业成就感、较强的疲溃感和高警觉的应激反应;年龄越大、职称、职务、正念水平越高的急诊科护士共情满意水平越高,倦怠水平越低,聘用人员、每周夜班频率多的护士则相反（P<0.05）;年龄、每周夜班频率和正念是共情满意和倦怠的主要影响因素（r=-0.165、0.221,均P<0.01）。结论重庆市急诊科护士共情满意和共情疲劳状况处于中等水平,需根据急诊科护士的共情疲劳特点,制定针对性的正念干预方案,在进一步促进共情满意的基础上缓解共情疲劳。

关键词: 急诊科护士, 共情满意, 共情疲劳, 正念

Abstract: Objective To investigate the status and characteristics of compassion satisfaction and compassion fatigue and their relationship with mindfulness among emergency nurses of Chongqing City. Methods From October to November 2022,525 emergency nurses were collected from 22 hospitals in Chongqing City by the convenience sampling,the questionnaire investigation was conducted by the Chinese version of the professional quality of life scale and mindfulness attention awareness scale,and the data were analyzed. Results The score of compassion satisfaction of respondents was（29.41±9.15）points. The nurses with moderate burnout and secondary trauma accounted for 75.7% and 73.6%,respectively.The main manifestations of compassion fatigue were low career achievement,strong fatigue and high alert stress response.The emergency nurses with higher age,higher title,higher position and higher mindfulness reported higher compassion satisfaction and lower burnout,the opposite was true for nurses who were employed staff and work more night shifts each week（P<0.05）.The age,frequency of night shifts per week and mindfulness were the main influencing factors for compassion satisfaction and burnout（r=-0.165,0.221,both P<0.01）. Conclusion The empathy satisfaction and empathy fatigue among emergency nurses of Chongqing are at a moderate level,and it is urgent to develop a targeted mindfulness intervention program according to the characteristics of their compassion fatigue to further promote compassion satisfaction and alleviate compassion fatigue.

Key words: Emergency nurses, Compassion satisfaction, Compassion fatigue, Mindfulness

中图分类号:

R181.3

袁媛, 王钰姝, 孙溦. 重庆市急诊科护士共情满意、共情疲劳特点及与正念的关系分析. [J]职业与健康, 2024, 40(14): 1937-1940.

YUAN Yuan, WANG Yushu, SUN Wei. Analysis on characteristics of compassion satisfaction,compassion fatigue and their relationship with mindfulness among emergency nurses of Chongqing City. [J]OCCUPATION AND HEALTH, 2024, 40(14): 1937-1940.

参考文献

[1] FIGLEY C R.Compassion fatigue:Coping with secondary traumatic stress disorder in those who treat the traumatized[M].NY:Brunner Mazel,1995:26.
[2] 岳玉娇,王鸣,徐晓,等.重症监护室护士共情疲劳与职业认同的相关性分析[J].工业卫生与职业病,2021,47(6):466-469.
[3] 曾巍,钱小芳,刘桂华.临床护士正念水平与职业倦怠及主观幸福感的相关性研究[J].护理研究,2017,31(6):1982-1985.
[4] 袁媛,邵艳霞,王钰姝,等.急诊科护士创伤后应激反应与正念及应对方式的关系研究[J].护理学杂志,2021,36(10):17-20,44
[5] STAMM B H.The Pro-QOL manual:The professional quality of life:Compassion satisfaction and Fatigue Scale Version 5(ProQOL)[EB/OL].(2012-03-21)[2023-08-20].http://www.proqol.org.
[6] 郑杏,杨敏,高伟.中文版护士专业生活品质量表的信效度检测[J].护理学杂志,2013,28(5):13-15.
[7] 陈思佚,崔红,周仁来,等.正念注意觉知量表(MAAS)的修订及信效度检验[J].中国临床心理学杂志,2012,20(2):148-151.
[8] 王傲枭,王斌全.临床护士共情疲劳现状及影响因素分析[J].护理研究,2020,34(24):4368-4373.
[9] 聂婷瑶,廖若夷,夏鹏辉,等.ICU护士共情疲劳与良心压力的现状及其相关性研究[J].职业与健康,2022,38(19):2657-2661.
[10] 田梅梅,施雁,刘海俐,等.临床护士共情疲劳影响因素的质性研究[J].护理学杂志,2017,32(9):60-63.
[11] 朱振爱,李秀红,王倩倩,等.精神科护士共情疲劳与社会支持、职业认同的相关性分析[J].齐鲁护理杂志,2022,28(18):111-113.
[12] 田梅梅,范霖,施雁,等.临床护士共情疲劳的现状及其影响因素分析[J].中华护理杂志,2018,53(1):76-82.
[13] 杨雅淇,朱莎.临床护士共情疲劳现状及其影响因素研究[J].护理管理杂志,2020,20(9):653-657.
[14] HUNSAKER S,CHEN H C,MAUGHAN D,et al.Factors that influence the development of compassion fatigue,burnout,and compassion satisfaction in emergency department nurses[J].J Nurs Scholarsh,2015, 47(2):186-194.
[15] 周守志,尹弘青,金学勤,等.急诊科护士创伤后应激障碍与生存质量及睡眠质量的相关性研究[J].护士进修杂志,2020,35(15):1357-1361.
[16] 沈海琴,王秀霞.我国急诊科排班模式研究进展[J].全科护理,2018,16(4):426-427.
[17] 赵静波,马幸会,侯艳飞,等.临床医生正念与共情疲劳的关系[J].广东医学,2017,38(21):3323-3326,3332.
[18] 陈海霞. 心理咨询师的特质正念、应对方式与共情疲劳的关系研究[D].南京:东南大学,2021.
[19] 卢庆华,王文萍,王斌,等.精神科护士的工作满意度与执业环境和正念的关系[J].中国心理卫生杂志,2019(5):381-385.
[20] 袁颖,耿力,娄湘红,等.临床护士共情疲劳干预的研究进展[J].护理学杂志,2019,34(8):97-100.
[21] DUCAR D M,PENBERTHY J K,SCHORLING J B,et al.Mindfulness for healthcare providers fosters professional quality of life and mindful attention among emergency medical technicians[J].Explore(NY),2020,16(1):61-68.
[22] 叶雪花,王明星,吴满花,等.抑郁症住院患者参与正念治疗体验的质性研究[J].中国实用护理杂志,2021,37(5):385-389.