中山市公立医院助产士心理韧性在创伤压力与共情疲劳间的中介作用

职业与健康 ›› 2025, Vol. 41 ›› Issue (15): 2053-2058.

中山市公立医院助产士心理韧性在创伤压力与共情疲劳间的中介作用

欧阳慧^a, 伍丽君^a, 彭海美^a, 吴玮伟^b, 蔡冬云^a

中山市小榄人民医院 a产房 b骨科广东中山 528415

收稿日期:2024-10-05 修回日期:2024-10-16 出版日期:2025-08-15 发布日期:2025-12-12
通信作者: 吴玮伟,副主任医师,E-mail：o1875p@163.com
作者简介:欧阳慧,女,主管护师,主要从事助产方面工作。
基金资助:
中山市医学科研项目（2022A020702）

Mediating role of psychological resilience of midwife in Zhongshan public hospitals between traumatic stress and empathy fatigue

OUYANG Hui^a, WU Lijun^a, PENG Haimei^a, WU Weiwei^b, CAI Dongyun^a

a Delivery Room, b Department of Orthopedics, Xiaolan People's Hospital of Zhongshan, Zhongshan, Guangdong 528415, China

Received:2024-10-05 Revised:2024-10-16 Online:2025-08-15 Published:2025-12-12
Contact: WU Weiwei,Associate chief physician,E-mail：o1875p@163.com

摘要/Abstract

摘要： 目的了解中山市公立医院助产士心理韧性在创伤压力与共情疲劳间的中介作用。方法采用便利抽样法,2023年8—9月抽取中山市6所公立医院的152名助产士为调查对象。采用一般情况调查表、中文版共情疲劳量表（Chinese version of compassion fatigue short scale,C-CFSS）、助产士创伤压力量表（traumatic stress scale for midwives,TSSM）、心理韧性量表（connor-davidson resilience scale,CD-RISC）进行调查。应用Pearson相关性分析C-CFSS评分与TSSM、CD-RISC评分的相关性;运用线性回归分析创伤压力对助产士共情疲劳的影响及心理韧性的中介作用,并利用AMOS 21.0软件对中介效应进行验证。结果 152名助产士C-CFSS评分为（58.56±10.18）分,TSSM评分为（40.38±7.38）分,CD-RISC评分为（86.68±11.51）分。助产士共情疲劳与创伤压力呈正相关（r=0.499,P<0.05）,与心理韧性呈负相关（r=-0.745,P<0.05）。创伤压力可正向预测共情疲劳（P<0.05）,解释24.4%的变异度;创伤压力可负向预测心理韧性（P<0.05）,解释16.2%的变异度;创伤压力、心理韧性可共同预测共情疲劳（P<0.05）,解释59.4%的变异度。心理韧性在助产士创伤压力与共情疲劳间的中介效应值为0.367（95%CI=0.236~0.493,P<0.05）,起部分中介作用。结论创伤压力会直接影响助产士的共情疲劳水平,也能通过心理韧性间接影响共情疲劳。

关键词: 助产士, 共情疲劳, 创伤压力, 心理韧性, 中介效应

Abstract: Objective To investigate the mediating role of psychological resilience of midwives in public hospitals in Zhongshan City between traumatic stress and empathy fatigue. Methods From August to September 2023,convenience sampling was used to select 152 midwives from 6 public hospitals in Zhongshan City as survey subjects. The General situation Questionnaire,Chinese version of compassion fatigue short scale（C-CFSS）,traumatic stress scale for midwives（TSSM） and connor-davidson resilience scale（CD-RISC） were used to investigate. Pearson correlation was used to analyze the correlation between C-CFSS score and TSSM,CD-RISC score,linear regression analysis was used to analyze the effects of traumatic stress on compassion fatigue and the mediating effect of psychological resilience,and AMOS 21.0 software was used to verify the mediating effect. Results The C-CFSS score of 152 midwives was （58.56±10.18）points,the TSSM score was （40.38±7.38）points,and the CD-RISC score was （86.68±11.51）points. Compassion fatigue of midwives was positively correlated with traumatic stress（r=0.499,P<0.05）,and negatively correlated with mental resilience（r=-0.745,P<0.05）. Traumatic stress could positively predict compassion fatigue（P<0.05）,explaining 24.4% of the variance. Traumatic stress could negatively predict psychological resilience（P<0.05）,explaining 16.2% of the variance. Traumatic stress and mental resilience could jointly predict compassion fatigue（P<0.05）,explaining 59.4% of the variance. The mediating effect value of psychological resilience between traumatic stress and compassion fatigue of midwives was 0.367（95%CI=0.236-0.493,P<0.05）,indicating a partial mediating role. Conclusion Traumatic stress can directly affect the level of compassion fatigue of midwives,and can also indirectly affect compassion fatigue through psychological resilience.

Key words: Midwives, Compassion fatigue, Traumatic stress, Psychological resilience, Mediating effect

中图分类号:

R181.3

欧阳慧, 伍丽君, 彭海美, 吴玮伟, 蔡冬云. 中山市公立医院助产士心理韧性在创伤压力与共情疲劳间的中介作用. [J]职业与健康, 2025, 41(15): 2053-2058.

OUYANG Hui, WU Lijun, PENG Haimei, WU Weiwei, CAI Dongyun. Mediating role of psychological resilience of midwife in Zhongshan public hospitals between traumatic stress and empathy fatigue. [J]OCCUPATION AND HEALTH, 2025, 41(15): 2053-2058.

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