新入职院前急救护士职业应激、心理资本与共情疲劳感的关系分析

Relationship of compassion fatigue, occupational stress and psychological capital among new graduate ambulance nurses

目的：探讨新入职院前急救护士职业应激、心理资本与共情疲劳感的关系。方法选取入职1个月的253名院前急救护士为研究对象,采用护士专业生活品质量表（ ProQOL-V）、心理资本问卷（PCQ-24）和护士应激源量表（CNSS）进行测评,入职后3,6个月进行追踪测评。结果入职后6个月院前急救护士CNSS得分、CNSS-4得分、CNSS-6得分分别为（100.21±14.82）,（185.54±50.54）,（165.54±51.87）分,分别优于入职后1,3个月,差异有统计学意义（F值分别为14.53,17.41,14.89；P〈0.05）。新入职院前急救护士 CNSS得分与 PCQ-24得分呈负相关（r=-0.45,P〈0.05）,与 CNSS-1、CNSS-2、CNSS-4、CNSS-6得分呈正相关（r=0.28,0.15,0.37,0.36；P〈0.05）；PCQ-24得分与 CNSS-1、CNSS-2、CNSS-3、CNSS-4、CNSS-6得分呈负相关（r=-0.30,-0.30,-0.27,-0.34,-0.23；P〈0.05）。结论新入职院前急救护士共情疲劳感症状严重,可能与职业应激及心理资本的消耗有关。

Objective To explore the relationship of compassion fatigue, occupational stress and＆amp;nbsp;psychological capital among new graduate ambulance nurses. Methods A total of 253 new graduate nurses were selected and followed-up in ambulance department. They were assessed by Professional Quality of Life（ProQOL-V）, Chinese Nursing Stressor Scale （CNSS） and Psychological Capital Questionnaire-24 （PCQ-24）. Results After six months, the scores of CNSS, CNSS-4 and CNSS-6 were （100. 21 ± 14. 82）, （185. 54 ± 50. 54） and （165. 54 ± 51. 87）, which were significantly higher than those at the first and third month （F=14. 53, 17. 41, 14. 89, respectively;P〈0. 05）. The score of CNSS was negatively correlated with the score of PCQ-24 （r=-0. 45,P〈0. 05） and was positively correlated with the scores of CNSS-1, CNSS-2, CNSS-4 and CNSS-6 （r=0. 28, 0. 15, 0. 37, 0. 36, respectively;P〈0. 05）. The score of PCQ-24 was negatively correlated with the scores of CNSS-1, CNSS-2, CNSS-3, CNSS-4 and CNSS-6 （r= -0. 30, -0. 30, -0. 27, -0. 34, -0. 23, respectively;P〈0. 05）. Conclusions It suggests that the compassion fatigue is prevalence among new graduate nurses in ambulance department and it may be positively correlated with the occupational stress and negatively correlated with the psychological capital.