临床医生正念与共情疲劳的关系  

The correlation between mindfulness and compassion fatigue in clinicians

作　　者：赵静波[1] 马幸会 侯艳飞[1] 尹绍雅[1] ZHAO Jing - bo;MA Xing - hui;HOU Yan - fei;YIN Shao - ya(School of Public Health, Southern Medical University, Guangzhou 510515, Guangdong , China)

机构地区：[1]南方医科大学公共卫生学院心理学系,广东广州510515

出　　处：《广东医学》2017年第21期3323-3326,3332,共5页Guangdong Medical Journal

基　　金：2014年度教育部人文社会科学研究一般项目(编号:14YJA190013)

摘　　要：目的探讨临床医生正念与共情疲劳的关系,为临床医生共情疲劳的干预提供依据。方法在广州市6所医院按照科室随机选取有执业医师执照并具有1年以上从医经验的临床医生430名,采用临床医生共情疲劳量表、五因素正念度量表为评价工具进行问卷调查。结果临床医生正念均分3.22±0.27,5个维度的均分分别是2.43±0.67、3.54±0.59、3.91±0.66、3.19±0.55、3.03±0.50,共情满足均分为3.79±0.73,职业倦怠均分为2.40±0.57,二次创伤均分为2.09±0.53;正念总分与共情疲劳3个维度之间的相关性均有统计学意义(P<0.01);回归分析表明,描述、觉知的行动、对内在经验的非反应性是预测共情疲劳的重要变量,3个维度低分组与高分组被试出现共情疲劳的OR值分别为2.238∶1、6.598∶1和2.909∶1。结论临床医生正念水平与共情疲劳显著负相关,描述、觉知的行动、对内在经验的非反应性得分低的临床医生更容易出现共情疲劳,针对这3个方面进行正念训练、提升正念水平可以预防和缓解临床医生的共情疲劳。Objective To investigate the correlation between mindfulness and compassion fatigue in clinicians, so to help alleviate compassion fatigue in clinicians. Methods 430 qualified clinicians, who had practiced medicine for more than one year in 6 hospitals in Guangzhou, were selected using random sampling method. The ProfessionalQuality of Life Scale and Five Facet Mindfulness Questionnaire were carried out among them. Results The mindfulness score was 3.22 ±0. 27, the scores of the five factors were 2.43 ±0. 67, 3.54 ±0. 59, 3.91 ±0. 66, 3.19 ±0. 55 and 3.03 ±0. 50, the compassion satisfaction score was 3.79 ± 0. 73, the burnout score was 2.40 ± 0. 57, and the secondary traumatic stress score was 2. 09 ± 0. 53. The three dimensions of compassion fatigue of clinicians were correlated to their mindfulness （P 〈 0. 01 ）. According to logistic regression analysis, describing, acting with awareness and non -reactivity to inner experi- ence were found to influence the compassion fatigue. The OR ratios of the low score groups to the high score groups accord- ing to describing, acting with awareness and non -reactivity to inner experience were 2. 238： 1, 6. 598：1 and 2. 909： 1, respectively. Conclusion Significantly negative correlation exists between mindfulness and compassion fatigue in clini- cians. Those who got low scores in describing, acting with awareness and non - reactivity to inner experience tent to state more compassion fatigue. Mindfulness training is effective in the prevention and alleviation of compassion fatigue.

关 键 词：临床医生 正念 共情疲劳 

分 类 号：R192.3[医药卫生—卫生事业管理]