创伤性分娩事件影响助产士共情疲劳的现象学研究  

Phenomenological study of the effects of traumatic birth events on compassion fatigue among midwives

作　　者：杨瑶 黄美凌[2] 陈云[2] 李佳梅 茹柯耶姆·奥布力 任玉兰 罗太珍[2] 凌冬兰 苏茜 Yang Yao;Huang Meiling;Chen Yun;Li Jiamei;Rukiyam Aobuli;Ren Yulan;Luo Taizhen;Ling Donglan;Su Xi(Nursing College,Guangzhou Medical University,Guangzhou 510180,China;Obstetrics Department,the Third Affiliated Hospital of Guangzhou Medical University,Guangzhou 510140,China;Nursing Department,the Second Affiliated Hospital of Guangzhou Medical University,,Guangzhou 510260,China)

机构地区：[1]广州医科大学护理学院,广州510180 [2]广州医科大学附属第三医院妇产科,广州510140 [3]广州医科大学附属第二医院护理部,广州510260

出　　处：《中国实用护理杂志》2022年第33期2587-2593,共7页Chinese Journal of Practical Nursing

基　　金：广东省教育厅粤港澳大湾区国际教育示范区建设研究项目(2020WQYB003);广州医科大学教育科学规划课题(01-408-2102068);广州医科大学护理学院研究生教育科研创新项目计划(Q22153033);广州市教育局广州市广医大教育科研项目重点学科(06-410-2108021)。

摘　　要：目的深入探究创伤性分娩事件对助产士共情疲劳的影响,为构建有效的防控策略提供理论参考。方法2021年4—6月采用半结构式访谈法,对广州市5所三级甲等医院15名助产士进行深入访谈。运用Colaizzi分析法和Nvivo12 plus软件分析整合访谈资料,提取主题。结果提取三大主题,包括创伤性分娩事件特征(发生率高、突发且凶险、可防可控);加剧共情疲劳(降低共情满意水平、加重职业倦怠、加重创伤应激反应);探索有效应对策略(需要时间调适、寻求压力释放)。结论创伤性分娩事件作为强烈应激,加重助产士共情疲劳症状。管理者应关注创伤性分娩事件这一职业暴露,积极引导助产士进行心理调适;同时加大社会支持,加强对助产士的思政教育,使其具有良好的压力承受能力和优秀的职业心理素质。Objective To provide theoretical reference for the construction of effective prevention and control strategies.The study deeply investigates the impact of traumatic birth events on compassion fatigue and inner feelings of midwives.Methods Fifteen midwives from five tertiary hospitals in Guangzhou were interviewed in depth by semi-structured interview method from April to June 2021.Colaizzi analysis and Nvivo12 plus software were used to analyze and integrate the data and extract themes.Results Three main themes were extracted,including the characteristics of traumatic birth events(high incidence,sudden and dangerous,preventable and controllable);exacerbating compassion fatigue(reducing compassion satisfaction levels;exacerbating burnout;and aggravating traumatic stress responses);and exploring effective coping strategies(time required for adjustment,seeking stress release).Conclusions As a strong stressor,traumatic birth events aggravate the symptoms of compassion fatigue in midwives.Managers should pay attention to the occupational exposure of traumatic childbirth events,actively guide midwives to make psychological adjustments.In addition,managers can increase social support and strengthen the ideological and political education of midwives,so that they have good stress tolerance and excellent professional psychological quality.

关 键 词：助产士 定性研究 创伤性分娩事件 共情疲劳 现象学研究 

分 类 号：R192.7[医药卫生—卫生事业管理]