Analysis of influencing factors and pathways of compassion fatigue in oncology nurses
肿瘤科护士共情疲劳影响因素及路径分析

摘要

目的 调查肿瘤科护士共情疲劳、共情满意影响因素，探讨影响因素间的作用路径。方法 采用一般情况调查表、中国护士压力源量表、SOC量表、护士专业生活品质量表对安徽省9所三级甲等医院的406名肿瘤科护士进行问卷调查。结果 工作年限、工作压力、心理一致感影响工作倦怠（P＜0.05，45.5%变异量）；护龄、用工性质、工作压力、心理一致感影响继发性创伤应激（P＜0.05，26.0%变异量）；夜班数、工作压力、心理一致感影响共情满意（P＜0.05，32.8%变异量）。路径分析显示工作压力的影响通过心理一致感中介作用于共情疲劳和共情满意。结论 肿瘤科护士共情疲劳中度偏高，共情满意水平相对较低。

Abstract

Objective Investigate the influencing factors of empathy fatigue and empathy satisfaction among oncology nurses, and explore the pathways of influence among these factors.
Methods 406 oncology nurses from 9 Grade A hospitals in Anhui province were investigated by general situation questionnaire, Chinese Nurse Job Stressors Questionnaire, SOC and Professional Quality of Life Scale.
Results Years of work experience, work pressure, and psychological consistency affect job burnout (P<0.05, 45.5% variance); Age of care, nature of employment, work pressure, and psychological consistency affect secondary traumatic stress (P<0.05, 26.0% variance); The number of night shifts, work pressure, and psychological consistency affect empathy satisfaction (P<0.05, 32.8% variance). Path analysis shows that the impact of work stress mediates empathy fatigue and empathy satisfaction through psychological consistency.
Conclusion   Oncology nurses have moderate to high levels of empathy fatigue and relatively low levels of empathy satisfaction.