职业与健康 ›› 2024, Vol. 40 ›› Issue (3): 311-315.

• 论著 • 上一篇    下一篇

心理资本在肿瘤外科护士同情疲劳、职业倦怠和继发性创伤间的中介作用

李芬a, 盛进文a, 秦维a, 王笑笑a, 李娟b   

  1. 华中科技大学同济医学院附属协和医院 a消化肿瘤外科, b骨科,湖北 武汉 430022
  • 收稿日期:2023-05-28 修回日期:2023-06-13 出版日期:2024-02-01 发布日期:2026-03-12
  • 通信作者: 李娟,主管护师,E-mail:1481597912@qq.com
  • 作者简介:李芬,女,主管护师,主要从事消化系统肿瘤疾病临床与研究工作。

Mediating role of psychological capital between compassion fatigue,job burnout and secondary trauma of tumor surgery nurses

LI Fena, SHENG Jinwena, QIN Weia, WANG Xiaoxiaoa, LI Juanb   

  1. a Department of Digestive Oncology, b Department of Orthopedics, Union Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, Wuhan Hubei, 430022, China
  • Received:2023-05-28 Revised:2023-06-13 Online:2024-02-01 Published:2026-03-12
  • Contact: LI Juan,Nurse in charge,E-mail:1481597912@qq.com

摘要: 目的 了解心理资本在肿瘤外科护士同情疲劳与职业倦怠和继发性创伤间的中介作用。方法 于2020年1月—2022年12月,采用方便抽样法抽取武汉市5家综合医院176名肿瘤外科护士作为调查对象,采用一般情况量表、心理资本量表、同情疲劳量表、职业倦怠量表和继发性创伤量表进行调查并分析。结果 肿瘤外科护士心理资本得分为(82.31±10.38)分,职业倦怠得分为(60.86±7.82)分,同情疲劳得分为(86.62±9.37)分,继发性创伤得分为(52.36±8.38)分;不同年龄、工作年限、职称、月收入和每月夜班频次的肿瘤外科护士继发性创伤得分比较,差异均有统计学意义(均P<0.05);肿瘤外科护士心理资本与同情疲劳、职业倦怠和继发性创伤均呈负相关(均P<0.01),同情疲劳与职业倦怠、继发性创伤均呈正相关(P<0.01),职业倦怠与继发性创伤呈正相关(P<0.01);心理资本在肿瘤外科护士同情疲劳和继发性创伤间的起部分中介作用,中介效应为0.240,占总效应45.63%;心理资本在肿瘤外科护士职业倦怠和继发性创伤间的起部分中介作用,中介效应为0.232,占总效应39.59%。结论 肿瘤外科护士同情疲劳和职业倦怠可以通过心理资本的中介作用间接影响继发性创伤,提高其心理资本有利于降低继发性创伤水平。

关键词: 肿瘤外科, 护士, 心理资本, 同情疲劳, 职业倦怠, 继发性创伤

Abstract: Objective To discuss the mediating role of psychological capital between compassion fatigue,job burnout and secondary trauma of tumor surgery nurses. Methods From October 2020 to December 2022,176 tumor surgical nurses of five comprehensive hospitals in Wuhan City were selected by convenient sampling method as the subjects of investigation,and were investigated and analyzed with the general situation scale,psychological capital scale,compassion fatigue scale,job burnout scale and secondary trauma scale. Results The score of psychological capital of tumor surgery nurses was (82.31±10.38)points,the score of job burnout was (60.86±7.82)points,the score of compassion fatigue was (86.62±9.37)points,and the score of secondary trauma was (52.36±8.38)points. There were statistically significant differences in the scores of secondary trauma among tumor surgery nurses with different age,working years,professional title,monthly income and monthly night shift frequency(all P<0.05). The psychological capital of tumor surgery nurses was negatively correlated with sympathy fatigue,job burnout and secondary trauma(all P<0.01),the compassion fatigue was positively correlated with job burnout and secondary trauma(all P<0.01),and the job burnout was positively correlated with secondary trauma(P<0.01). The psychological capital played a part of intermediary role between compassion fatigue and secondary trauma of tumor surgical nurses,the intermediary effect was 0.240,accounting for 45.63% of the total effect. The psychological capital played a partial intermediary role between job burnout and secondary trauma of tumor surgery nurses,with the intermediary effect of 0.232,accounting for 39.59% of the total effect. Conclusion The compassion fatigue and job burnout of tumor surgery nurses can indirectly affect secondary trauma through the mediation of psychological capital,and improving their psychological capital is beneficial to reduce the level of secondary trauma.

Key words: Tumor surgery, Nurse, Psychological capital, Compassion fatigue, Job burnout, Secondary trauma

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