乌鲁木齐市326名心内科护士共情疲劳现状及对心理资本的影响

职业与健康 ›› 2024, Vol. 40 ›› Issue (20): 2805-2809.

乌鲁木齐市326名心内科护士共情疲劳现状及对心理资本的影响

魏红, 刘婷, 赵娟, 刘志强

新疆医科大学第一附属医院综合心脏内科,新疆乌鲁木齐 830054

收稿日期:2023-12-20 修回日期:2024-01-22 出版日期:2024-10-15 发布日期:2026-03-17
通信作者: 刘志强,主任医师,E-mail：15099079685@163.com
作者简介:魏红,女,护师,主要从事临床护理工作。
基金资助:
新疆维吾尔自治区自然科学基金资助项目（2022D01E23）

Current status of empathy fatigue among 362 cardiology nurses in Urumqi and its impact on psychological capital

WEI Hong, LIU Ting, ZHAO Juan, LIU Zhiqiang

Department of Cardiology,The First Affiliated Hospital of Xinjiang Medical University,Urumqi,Xinjiang 830054,China

Received:2023-12-20 Revised:2024-01-22 Online:2024-10-15 Published:2026-03-17
Contact: LIU Zhiqiang,Chief physician,E-mail：15099079685@163.com

摘要/Abstract

摘要： 目的调查乌鲁木齐市三级甲等医院心内科护士的共情疲劳与心理资本现状,分析二者之间的作用关系。方法 2022年12月—2023年6月,选择乌鲁木齐市5所三级甲等医院的326名心内科护士为调查对象,采用一般资料问卷、共情疲劳测评量表和心理资本评定量表进行测评,并对数据进行分析。结果乌鲁木齐市326名心内科护士共情疲劳总分为（88.60±9.49）分,其中无共情疲劳者44人,占13.50%;轻度共情疲劳者83人,占25.46%;中度共情疲劳者121人,占37.12%;重度共情疲劳者78人,占23.92%。心理资本总分为（104.66±17.35）分,不同性别、护龄、是否接受过心理培训、每月夜班次数的心内科护士心理资本得分比较,差异均有统计学意义（均P<0.05）。心内科护士共情疲劳总分与心理资本总分和各维度间均呈显著负相关（均P<0.05）,共情满意与心理资本各维度间均呈显著正相关（均P<0.05）,共情倦怠和二次创伤心理资本各维度间均呈显著负相关（均P<0.05）。多元逐步回归结果显示,乌鲁木齐市326名心内科护士共情疲劳得分能够引起心理资本得分29.7%的变化（P<0.05）。结论乌鲁木齐市三级甲等医院心内科护士的共情疲劳水平对心理资本影响显著,通过提升护士心理资本能够缓解共情疲劳程度。建议医院管理者能够重视共情疲劳和心理资本两者对心内科护士职业健康的影响程度,并根据心内科护士的不同特征建构健康工作环境,从多维度促进心内科护士正性心理资源的获取和职业发展信心。

关键词: 心内科, 护士, 共情疲劳, 心理资本

Abstract: Objective To investigate the status quo of empathic fatigue and psychological capital among nurses in the cardiology department of grade-A tertiary hospitals in Urumqi,and analyze the relationship between them. Methods From December 2022 to June 2023,362 cardiology nurses from 5 grade-A tertiary hospitals in Urumqi were selected for evaluation using general information questionnaire,empathy fatigue scale and psychological capital scale,and the data were analyzed. Results The total score of empathy fatigue among 362 nurses in the department of cardiology in Urumqi was （88.60±9.49）points,of which 44（13.50%） had no empathy fatigue. There were 83 cases of mild empathy fatigue,accounting for 25.46%. There were 121 cases with moderate empathy fatigue,accounting for 37.12%. There were 78 patients with moderate empathy fatigue,accounting for 23.92%. The total psychological capital score was（104.66±17.35）points. There were statistically significant differences in psychological capital scores among cardiology nurses of different gender,nursing experience,receiving psychological training or not,monthly night shift frequency（all P<0.05）. There was a significant negative correlation between the total score of empathy fatigue and the total score of psychological capital and all dimensions of cardiology nurses in Urumqi（all P<0.05）,there was a significant positive correlation between empathy satisfaction and all dimensions of psychological capital（all P<0.05）,there was a significant negative correlation between empathy burnout and all dimensions of secondary trauma psychological capital（all P<0.05）. The results of multiple stepwise regression showed that the empathic fatigue score of 362 cardiology nurses in Urumqi could cause 29.7% change in psychological capital score（P<0.05）. Conclusion The level of empathy fatigue of nurses in the cardiology department of grade-A tertiary hospitals in Urumqi has a significant impact on their psychological capital,which indicates and validates the feasibility of alleviating the degree of empathy fatigue by improving nurses' psychological capital. It is suggested that hospital managers should pay attention to the influence of empathic fatigue and psychological capital on the occupational health of nurses in the department of cardiology,and construct a healthy working environment according to the different characteristics of nurses in the department of cardiology,so as to promote the acquisition of positive psychological resources and career development confidence of nurses in multiple dimensions.

Key words: Department of Cardiology, Nurse, Empathy fatigue, Psychological capital

中图分类号:

R192.6

魏红, 刘婷, 赵娟, 刘志强. 乌鲁木齐市326名心内科护士共情疲劳现状及对心理资本的影响. [J]职业与健康, 2024, 40(20): 2805-2809.

WEI Hong, LIU Ting, ZHAO Juan, LIU Zhiqiang. Current status of empathy fatigue among 362 cardiology nurses in Urumqi and its impact on psychological capital. [J]OCCUPATION AND HEALTH, 2024, 40(20): 2805-2809.

参考文献

[1] CAO X Y,CHEN L.Relationships between resilience,empathy,compassion fatigue,work engagement and turnover intention in haemodialysis nurses:A cross-sectional study[J].J Nurs Manag,2021,29(5):1054-1063.
[2] 张文瑜,杜善淑,原月霜,等.社区护士心理资本和共情疲劳的现状及相关因素分析[J].职业与健康,2022,38(12):1692-1701.
[3] 王译曼,李瑞玲,张乐乐,等.正念干预在护士共情疲劳中应用的范围综述[J].中华护理杂志,2023,58(9):1142-1148.
[4] 吴敏,何英.护士共情疲劳对离职意愿的影响:应对方式的中介作用[J].农垦医学,2023,45(2):167-172,186.
[5] 王琳琳,王皓月,赵海珍,等.工作压力对儿科护士共情疲劳的影响[J].全科护理,2023,21(13):1848-1852.
[6] 方萌萌,赵艳雪,薛燕飞,等.急诊科护士共情疲劳现状与情绪劳动的相关性研究[J].护理管理杂志,2022,22(7):499-503.
[7] 袁中清,王佳琳,金曼,等.护士心理资本量表的编制及信效度检验[J].中华护理杂志,2023,58(1):74-80.
[8] JIN M,ZHANG Y,WANG F,et al.A cross sectional study of the impact of psychological capital on organisational citizenship behaviour among nurses:Mediating effect of work engagement[J].J Nurs Manag,2022,30(5):1263-1272.
[9] 刘丽娟,吴静,彭守华.三级医院规范化培训护士心理资本与职场适应的相关性研究[J].中国社会医学杂志,2023,40(2):201-204.
[10] 郑杏,杨敏,高伟,等.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.
[11] LUTHNAS F,YOUSSEF C M,AVOLIOB B J.心理资本[M].李超平,译.北京:中国轻工业出版社,2008:191-216.
[12] 徐祥敏,李明霞,张经纬,等.儿科护士同情疲劳的研究进展[J].中华护理教育,2023,20(4):495-499.
[13] 周婷,宋开兰,张迪,等.护士管理关怀感知的研究进展[J].职业与健康,2023,39(9):1292-1296.
[14] 俞淑芳,诸伟红,王莉娜,等.感染科护士社会支持、积极应对与工作倦怠的相关性研究[J].中华现代护理杂志,2022,28(25):3485-3488.
[15] 曾丽,王佳琳,金曼,等.护士心理资本、组织承诺与工作投入关系的研究进展[J].现代临床医学,2023,49(3):176-179.
[16] 刘春妮,王静,赵海燕,等.三级甲等医院护士职业延迟满足、职业生涯管理及职业认同的相关性研究[J].护理研究,2023,37(8):1380-1384.
[17] 段耀祥,江会.助产士共情疲劳的研究进展[J].中华现代护理杂志,2023,29(20):2796-2800.
[18] 宋亚杰. ICU护士共情疲劳现状及正念减压疗法的干预效果研究[D].新乡:新乡医学院,2022.
[19] 徐凤霞,邬燕平,黄叶莉,等.已育二孩女护士工作家庭冲突与工作家庭支持路径关系分析[J].中国社会医学杂志,2021,38(5):507-510.
[20] 韩悦,石婷婷.疲劳感和工作疏离感在轮值夜班护士昼夜节律改变与职业倦怠间的中介作用[J].工业卫生与职业病,2023,49(1):53-57.
[21] 刘英,甄倩,王晓庄,等.乳腺癌患者和配偶的创伤后成长及与积极心理资本的关系[J].中华护理杂志,2023,58(7):794-799.
[22] 李艳萍,黄丹丹.心理资本在ICU护士道德勇气与死亡应对能力间的中介效应分析[J].护士进修杂志,2023,38(3):204-208.
[23] 贺小品,贺清明,温莲,等.心理资本对我国护理人员职业影响的研究进展[J].卫生职业教育,2023,41(10):139-142.
[24] 黄玮,王浩云,宋晔莹,等.基于激励-保健理论对肿瘤科护士职业稳定及促进因素的质性研究[J].全科护理,2023,21(8):1100-1103.
[25] 王妍妍,刘文婷,牟晓玲,等.急诊科护士共情疲劳真实体验的质性研究[J].军事护理,2023,40(3):63-65,69.
[26] 郝晓文,陈娴,孙翠华,等.门诊护士的一般自我效能感在工作环境感知和共情疲劳间的中介效应[J].中国护理管理,2023,23(3):461-466.