心理弹性在肿瘤科护士共情疲劳与人文关怀能力间的中介效应  

Mediating effect of psychological resilience on relationship between empathy fatigue and humanistic care ability of nurses in oncology department

作　　者：廖晨霞 杜华[1] 韩江英[2] 陈晨[1] 袁芳臻[1] 胡安妮 LIAO Chenxia;DU Hua;HAN Jiangying;CHEN Chen;YUAN Fangzhen;HU Anni(Department of Radiation Oncology,First Affiliated Hospital of Anhui Medical University,Hefei Anhui,230022,China;Department of Nursing,First Affiliated Hospital of Anhui Medical University,Hefei Anhui,230022,China)

机构地区：[1]安徽医科大学第一附属医院肿瘤放疗科,安徽合肥230022 [2]安徽医科大学第一附属医院护理部,安徽合肥230022

出　　处：《职业与健康》2023年第21期2939-2943,共5页Occupation and Health

基　　金：安徽省高等学校省级质量工程教学研究重点项目(2020jyxm0924);2022安徽医科大学校科研基金(2022xkj306)。

摘　　要：目的探讨心理弹性在肿瘤科护士共情疲劳与人文关怀能力间的中介效应。方法2021年12月—2022年1月,采用便利抽样法,选取安徽省20所三级甲等医院的肿瘤科护士为研究对象,应用一般资料调查表、共情疲劳自评量表、人文关怀能力量表及心理弹性量表对其进行调查。结果共调查572名护士,其人文关怀能力得分为(196.33±21.11)分,共情疲劳得分为(84.05±14.65)分,心理弹性得分为(70.28±16.47)分。路径分析结果显示,肿瘤科护士共情疲劳、心理弹性均可直接正向预测人文关怀能力(r=0.278、0.239,均P<0.01);共情疲劳还以心理弹性为中介变量,间接正向预测人文关怀能力(r=0.108,P<0.01)。结论医院和护理管理者应采取多种干预措施增强肿瘤科护士的心理弹性,降低其共情疲劳,从而提升肿瘤科护士人文关怀能力。Objective To explore the mediating effect of psychologicalresilience on the relationship between empathy fatigue and humanistic care ability of nurses in oncology department.Methods From December 2021 to January 2022,the convenience sampling method was used to select nurses in the oncology department of 20 tertiary hospitals in Anhui Province as the research objects.They were investigated by the general information questionnaire,empathy fatigue self-assessment scale,humanistic care ability scale,and psychological resilience scale.Results A total of 572 nurses were investigated,and the scores of nurses'humanistic care ability,empathy fatigue and psychological resilience were(196.33±21.11),(84.05±14.65)and(70.28±16.47)points,respectively.The results of path analysis showed that empathy fatigueand psychological resilienceof nurses in the oncology department could directly and positively predict humanistic care ability(r=0.278,0.239,both P<0.01).The empathy fatigue indirectly and positively predicted humanistic caring ability by using psychological resilience as a mediating variable(r=0.108,P<0.01).Conclusion The hospitals and nursing managers should take a variety of intervention measures to enhance the psychological resilience of oncology nurses and reduce their empathy fatigue,so as to improve the humanistic care ability of oncology nurses.

关 键 词：心理弹性 共情疲劳 人文关怀 护士 

分 类 号：R395.6[哲学宗教—心理学]