南京市城乡结合部二级医院护士同情心疲乏与压力现状及相关因素研究

Research on the compassion fatigue and stress status and the relationship between them of nurses ;working in secondary hospitals of integrated areas of urban and rural places

目的：调查研究城乡结合部二级医院护士同情心疲乏与压力现状以及两者之间的关系，探讨社会因素对护士同情心疲乏与压力的影响。方法采用抽样方法选取南京市城乡结合部二级医院的护士370名作为调查对象，采用医护人员同情心疲乏量表和中国护士压力源量表进行问卷调查。采用独立样本t检验和单因素方差分析法分析两者的影响因素，将有统计学意义的因素进行多元逐步回归分析。结果南京市城乡结合部二级医院护士同情心疲乏总分为（15.9±1.83）分；压力现状总分为（86.18±19.96）分。南京市城乡结合部二级医院护士同情心疲乏与压力现状呈正相关（r=0.218，P<0.01），热情丧失、精神紧张、能力怀疑以及斗志丧失均对医护人员工作压力有显著影响作用（P<0.05）。结论由于护士的职业因素，护士同情心疲乏和压力水平处于中等水平，两者相互正性影响；护理管理者应更加关注护士职业的心理健康水平，增加护理人员热情的投入，缓解护士因同情心疲乏而引起的职业压力。

Objective To investigate the compassion fatigue and stress status and the relationship between them of nurses working in secondary hospitals of integrated areas of urban and rural places, and explore the social factors that influence the compassion fatigue and stress status. Methods 378 nurses from secondary hospitals in urban-rural integrated area were selected as samples in Nanjing. Paramedic′s Compassion Fatigue Scale and Chinese Nurse Stressor Questionnaire were adopted to develop the survey. Results The nurse compassion fatigue score was (15.9 ± 1.83) points; Stress status score was (86.18 ± 19.96) points. Urban-rural fringe secondary hospital nurse compassion fatigue status was positively associated with the pressure (r=0.218, P<0.01), and loss of enthusiasm, nervousness, loss of ability to doubt, and morale were on the medical staff work pressure had significant influence (P<0.05). Conclusions The nurse compassion fatigue and stress level were in the medium level; Nursing managers should pay more attention to the psychological health level of the nurses, increase nurses' enthusiasm, alleviate the occupational stress of nurses caused by compassion fatigue.