新型冠状病毒肺炎疫情期方舱医护人员共情疲劳及影响因素分析  

Investigation on and influencing factors of compassion fatigue among medical staff working in Fangcang shelter hospitals during the COVID- 19 outbreak

作　　者：刘美[1] 杨纯子[1] 何细飞 陈凤菊[1] 汪晖 Liu Mei;Yang Chunzi;He Xifei;Chen Fengju;Wang Hui(Department of Oncology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院综合肿瘤科,湖北武汉430030 [2]华中科技大学同济医学院附属同济医院内科,湖北武汉430030 [3]华中科技大学同济医学院附属同济医院护理部,湖北武汉430030

出　　处：《护理学杂志》2020年第14期75-78,共4页Journal of Nursing Science

摘　　要：目的了解新型冠状病毒肺炎疫情期方舱医护人员共情疲劳现状及其影响因素。方法应用专业生活质量量表(ProQOL)和心理弹性量表(CD-RISC)对在武汉市3所方舱医院工作的219名医护人员进行问卷调查。结果方舱医院医护人员共情疲劳得分为共情满意维度(38.74±7.83)分,职业倦怠维度(21.64±5.05)分,继发性创伤应激维度(20.90±6.29)分;其中轻度共情疲劳105人(47.95%),中度共情疲劳32人(14.61%),重度共情疲劳23人(10.50%);共情疲劳受医护人员工作单位所在省份、突发公共卫生事件工作史、方舱工作时间、工作环境适应情况、工作负荷、睡眠情况、心理弹性的影响(P<0.05,P<0.01)。结论新型冠状病毒肺炎疫情下医护人员共情疲劳现象普遍存在,可通过加强突发公共卫生事件相关培训与督导、合理人力资源管理、创造良好的工作氛围、加强一线医护人员人文关怀等措施帮助改善共情疲劳状态,维护医护人员的身心健康。Objective To investigate the status and influencing factors of compassion fatigue among medical staff working in Fangcang shelter hospitals during the COVID-19 outbreak.Methods A total of 219 medical staffers working in 3 Fangcang shelter hospitals in Wuhan were investigated with the Professional Quality of Life Scale(ProQOL)and the Connor-Davidson Resilience Scale(CD-RISC).Results The scores of compassion fatigue among the medical staff working in Fangcang shelter hospitals were as follows:sympathy satisfaction(38.74±7.83),occupational burnout(21.64±5.05)and secondary trauma stress(20.90±6.29).Among them,105(47.95%)had mild compassion fatigue,32(14.61%)moderate,and 23(10.50%)severe.The level of compassion fatigue was affected by the provinces where the medical staffers were from,work experience of public health emergencies,length of service in Fangcang shelter hospitals,adaptability to the working environment,workload,sleep and psychological resilience(P<0.05,P<0.01).Conclusion Under COVID-19 outbreak,medical staff shared a commom condition of compassion fatigue.Meausres should be taken to ramp up training and supervision related to public health emergencies,optimize human resource management,creat a good working atmosphere,and implement humanistic care to frontline medical staff,etc.,in an effort to improve the state of compassion fatigue in medical staff,and protect their physical and mental well-being.

关 键 词：新型冠状病毒肺炎 方舱医院 医护人员 共情疲劳 心理弹性 

分 类 号：R47[医药卫生—护理学] R395.6[医药卫生—临床医学]