四川省12所三级甲等医院肿瘤科护士职业共情疲劳现状及影响因素分析

摘要/Abstract

摘要： 目的调查四川省三级甲等医院肿瘤科护士情域能力、反馈寻求行为及职业共情疲劳的现状,探讨职业共情疲劳的影响因素。方法采用横断面研究设计,于2022年9—12月,采用便利抽样法选取四川省12所三级甲等医院286名肿瘤科护士为调查对象,采用一般资料调查表、情域能力量表、反馈寻求行为及职业共情疲劳量表进行数据收集,采用多元线性回归分析探讨职业共情疲劳的影响因素。结果四川省12所三级甲等医院肿瘤科护士情域能力得分为（86.65±15.63）分,反馈寻求行为得分为（46.85±10.50）分,职业共情疲劳得分为（56.66±15.64）分。不同年龄、性别、婚姻状况、肿瘤科工作年限、性格类型及健康状况的肿瘤科护士职业共情疲劳得分比较,差异均有统计学意义（均P<0.05）。相关分析显示,肿瘤科护士反馈寻求行为各维度及总分与职业共情疲劳各维度及总分均呈负相关（均P<0.05）;情域能力各维度及总分与职业共情疲劳各维度及总分均呈负相关（均P<0.05）;反馈寻求行为各维度及总分与情域能力各维度及总分均呈正相关（均P<0.05）。多因素分析显示,年龄、肿瘤科工作年限、健康状况、情域能力及反馈寻求行为是肿瘤科护士共情疲劳的主要影响因素（均P<0.05）,共解释总变量的60.2%。结论四川省三级甲等医院肿瘤科护士职业共情疲劳发生水平较高,年龄越大、工作年限越长、情域能力得分及反馈寻求行为得分越低的护士职业共情疲劳越高。提高护士反馈寻求行为和情域能力能有效降低个体职业共情疲劳,提升护士身心健康状况。

关键词: 护士, 情域能力, 职业共情疲劳, 反馈寻求行为, 影响因素

Abstract: Objective To investigate the current situation of emotional domain ability,feedback seeking behavior and compassion fatigue among oncology nurses in grade-A tertiary hospitals in Sichuan Province,explore the influencing factors of occupational compassion fatigue. Methods By using a cross-sectional study,a total of 286 oncology nurses from 12 grade-A tertiary hospitals in Sichuan Province were selected by convenience sampling method from September to December 2022. The data were collected using the general information questionnaire,the emotional domain ability scale,the feedback seeking behavior scale and the compassion fatigue scale. The multiple linear regression analysis was used to explore the influencing factors of occupational compassion fatigue. Results The score of emotional domain ability among oncology nurses from 12 grade-A tertiary hospitals in Sichuan Province was （86.65±15.63）points,the score of feedback seeking behavior was （46.85±10.50）points,and the score of occupational compassion fatigue was （56.66±15.64）points. There were statistically significant differences in the score of occupational compassion fatigue among oncology nurses with different age,gender,marital status,years of work in oncology department,personality type and health status（all P<0.05）. The correlation analysis showed that the dimension score and total score of feedback seeking behavior of oncology nurses were negatively correlated with the dimension score and total score of occupational compassion fatigue（all P<0.05）,the dimension score and total score of emotional domain ability were negatively correlated with the dimension score and total score of occupational compassion fatigue（all P<0.05）,and the dimension score and total score of feedback seeking behavior were positively correlated with the dimension score and total score of emotional domain ability（all P<0.05）. The multivariate analysis showed that age,years of oncology work,health status,emotional domain ability and feedback seeking behavior were the main influencing factors of occupational compassion fatigue in oncology nurses（all P<0.05）,explaining 60.2% of the total variables. Conclusions The occurrence level of occupational compassion fatigue among oncology nurses in grade-A tertiary hospitals in Sichuan Province is high. The older the nurses are,the longer the working years,the lower the scores of emotional domain ability and feedback seeking behavior,the higher the occupational empathic fatigue of nurses. Improving the feedback seeking behavior and emotional domain ability of nurses can effectively reduce individual occupational empathic fatigue and improve the physical and mental health status of nurses.

Key words: Nurses, Emotional domain ability, Occupational compassion fatigue, Feedback seeking behavior, Influencing factors

中图分类号:

R395.6

魏军, 肖开美, 罗溪. 四川省12所三级甲等医院肿瘤科护士职业共情疲劳现状及影响因素分析. [J]职业与健康, 2024, 40(11): 1508-1512.

WEI Jun, XIAO Kaimei, LUO Xi. Analysis on status quo and influencing factors of occupational compassion fatigue among oncology nurses in 12 grade-A tertiary hospitals in Sichuan Province. [J]OCCUPATION AND HEALTH, 2024, 40(11): 1508-1512.

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