助产士共情疲劳现状及影响因素研究  

Current status and influencing factors of compassion fatigue in midwives

作　　者：夏婷君 段耀祥 段霞[2] 刘金凤[2] Xia Tingjun;Duan Yaorxiang;Duan Xia;Liu Jinfeng(Deliver Room,Obstetrics and Gynecology Hospital of Tongji University·Shanghai First Maternity and Infant Hospital,Shanghai 200040,China;Nursing Department,Obstetrics and Gynecology Hospital of Tongji UniversityShanghai First Maternity and Infant Hospital,Shanghai 200040,China)

机构地区：[1]同济大学附属妇产科医院·上海市第一妇婴保健院产房,上海200040 [2]同济大学附属妇产科医院·上海市第一妇婴保健院护理部,上海200040

出　　处：《中华妇幼临床医学杂志（电子版）》2024年第3期302-311,共10页Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition)

基　　金：上海市科技创新行动计划医学创新研究专项课题(21Y11905900)。

摘　　要：目的探讨上海市助产士共情疲劳(CF)现状与影响因素。方法采用便利抽样法,选取2023年5月至6月上海市具有助产资质医院的195名助产士作为研究对象,进行横断面调查。根据助产士CF严重程度,将其分别纳入研究组(n=100,发生中度或重度CF者)与对照组(n=95,未发生CF或发生轻度CF者)。采用《一般资料调查表》《社会支持评定量表》(SSRS)和《专业生活品质量表》(ProQOL),对助产士一般资料、SSRS评分、CF情况进行调查。采用χ2检验或Wilcoxon秩和检验,对2组助产士一般资料进行比较。采用Pearson相关性分析法,对助产士ProQOL评分与SSRS评分相关性进行分析。采用多因素非条件logistic回归分析方法,对助产士发生CF的影响因素进行分析。本研究通过同济大学附属妇产科医院伦理委员会审批(伦理号:KS21273)。结果①本研究共计195名助产士填写问卷,回收有效问卷195份,有效问卷回收率为100%。助产士CF发生率为81.5%(159/195),其中发生轻、中、重度CF者分别为59名(30.3%)、43名(22.1%)、57名(29.2%)。ProQOL各维度评分:共情满意、职业倦怠、继发性创伤应激维度评分分别为(33.8±7.4)分、(24.4±5.4)分、(22.0±6.6)分。SSRS评分为(38.2±6.7)分。②研究组与对照组助产士的婚姻状况、从事助产年限、睡眠质量、经历创伤性分娩事件次数、对工作待遇满意度、工作负荷强度、对工作氛围喜欢程度、近1个月工作被认可程度构成比分别比较,差异均有统计学意义(P<0.05)。③助产士ProQOL共情满意维度评分与SSRS主观、客观支持维度评分和对支持的利用度维度评分及总评分,均呈显著正相关关系(r=0.387、0.171、0.250、0.422,P<0.05);ProQOL职业倦怠维度评分与SSRS主观支持维度评分、对支持的利用度维度评分及总评分,均呈显著负相关关系(r=-0.332、-0.332、-0.331,P<0.001);ProQOL继发性创伤应激维度评分与SSRS对支持的利用度维�Objective To explore the current situation and influencing factors of compassion fatigue(CF)among midwives in Shanghai.Methods A total of 195 midwives from hospitals with midwifery qualifications in Shanghai from May to June in 2023 were selected as study subjects for a cross-sectional survey by convenience sampling method.According to the severity of CF among midwives,they were included into study group(n=100,those with moderate or severe CF)and control group(n=95,those without CF or with mild CF),respectively.General information,social support,and CF of midwives were investigated using the General Information Questionnaire,Social Support Rating Scale(SSRS),and the Professional Quality of Life Scale(ProQOL).Chi-square test and Wilcoxon rank sum test were used to compare the general information of midwives in 2 groups.Pearson correlation analysis was used to analyze the correlation between ProQOL scores and SSRS scores in midwives.Multivariate unconditional logistic regression analysis was used to analyze the influencing factors on the occurrence of CF among midwives.This study was approved by the Ethics Committee of Obstetrics and Gynecology Hospital of Tongji University(Ethics No.KS21273).Results①A total of 195 midwives completed the questionnaire in this study,and 195 valid questionnaires were recovered,with a valid questionnaire recovery rate of 100%.The incidence of CF among midwives was 81.5%(159/195),with 59(30.3%)experiencing mild CF,43(22.1%)moderate CF,and 57(29.2%)severe CF.The ProQOL dimensions were scored as(33.8±7.4)points for compassion satisfaction,(24.4±5.4)points for job burnout,and(22.0±6.6)points for secondary traumatic stress.The SSRS score was(38.2±6.7)points.②The constituent ratio of marital status,years of experience in midwifery,quality of sleep,witness of traumatic childbirth events,satisfaction with job pay,workload,degree of liking the work environment,and level of work recognition received in the past month between study group and control group were statistically significant(P

关 键 词：助产士 共情疲劳 社会支持 社会心理支持系统 影响因素分析 

分 类 号：R47[医药卫生—护理学]