基于同情心疲乏的中介效应对护理缺失的影响

The Mediating Effect of Compassion Fatigue on Care Deficits

目的:调查皮肤科护士感知的管理关怀、同情心疲乏、护理缺失状况,探讨护士感知到的管理关怀水平与同情心疲乏、护理缺失的关系,分析同情心疲乏在管理关怀与护理缺失的中介效应。方法:采用便利抽样法选取全国10省22市的406名皮肤科护士为调查对象,采用中文版管理关怀性评估量表、同情心疲乏量表和护理缺失量表进行调查。结果:皮肤科护士感知的管理关怀得分为(135.46±27.11)分;同情心疲乏量表得分为(77.82±19.18)分;护理缺失得分为(33.49±12.68)分。皮肤科护士的管理关怀与同情心疲乏呈负相关(r=-0.51,P<0.05)、与护理缺失呈负相关(r=-0.12,P<0.05),同情心疲乏在管理关怀对护理缺失的影响中发挥中介效应。结论:皮肤科护士感知的管理关怀显著影响护理缺失,而其中同情心疲乏这一主观因素在其中发挥中介效应,即管理关怀通过影响同情心疲乏,进而影响护理缺失的发生。

Objective:Investigate the perceived level of management care,empathy fatigue,and nursing deficiency among dermatology nurses,explore the relationship between nurses’perceived level of management care,empathy fatigue,and nursing deficiency,and analyze the mediating effect of empathy fatigue on management care and nursing deficiency.Method:A convenient sampling method was used to select 406 dermatology nurses from 22 cities in 10 provinces across China as the survey subjects.The Chinese version of the management Care Assessment Scale,Compassion Fatigue Scale,and Nursing Deficiency Scale were used for the survey.Result:The perceived management care score of dermatology nurses was(135.46±27.11)points;The score of the Compassion Fatigue Scale is(77.82±19.18)points;The score for nursing deficiency is(33.49±12.68).The management care of dermatology nurses is negatively correlated with empathy fatigue(r=-0.51,P<0.05)and negatively correlated with nursing deficiency(r=-0.12,P<0.05).Compassionate fatigue plays a mediating role in the impact of management care on nursing deficiency.Conclusion:Nursing care perceived by nurses in dermatology department has a significant effect on nursing deficit,and the subjective factor of compassion fatigue plays a mediating role in it,and then affect the occurrence of nursing loss.