四川省24所三级医院ICU护士关怀行为的现状及影响因素研究

doi:10.3761/j.issn.0254-1769.2022.15.011

摘要/Abstract

摘要：

目的调查ICU护士共情疲劳及关怀行为现状,并分析其相关性及关怀行为的影响因素。方法于2021年2月—6月便利选取四川省24所三级医院的538名ICU护士,采用一般资料调查问卷、中文版共情疲劳简短量表及关怀行为量表进行横断面调查。结果共回收问卷550份,有效问卷538份,问卷有效回收率为97.8%。ICU护士共情疲劳得分为（45.37±20.60）分,34.4%的ICU护士处于中重度共情疲劳状态;关怀行为得分为（122.25±15.33）分,整体具有高水平关怀行为;Pearson相关分析结果显示,共情疲劳与关怀行为呈负相关（r=-0.328,P<0.001）;多重线性回归分析结果显示,共情疲劳、学历是ICU护士关怀行为的影响因素（P<0.05）。结论 ICU护士共情疲劳对其关怀行为产生负性影响,ICU护士共情疲劳程度越低,关怀行为水平越高,护理管理者应持续关注ICU护士的共情疲劳状况并积极提供相关支持,以改善其共情疲劳、提升其关怀行为。

关键词: ICU护士, 共情疲劳, 关怀行为, 横断面研究

Abstract:

Objective To investigate the status quo of compassion fatigue and caring behavior in ICU nurses,and to analyze the correlation between them. Methods A cross-sectional study was conducted among 538 ICU nurses from 24 tertiary hospitals in Sichuan province from February to June,2021. The questionnaire included the general information questionnaire,Chinese version of Compassion Fatigue Short Scale（C-CFSS） and Nurse Caring Behavior Scale（C-CBI）. Pearson linear correlation and multiple linear regression were used to analyze the influence and correlation of compassion fatigue on caring behavior of ICU nurses. Results A total of 550 questionnaires were collected,of which 538 were valid,with an effective rate of 97.8%. The score of compassion fatigue was（45.37±20.60）,indicating that ICU nurses were in a state of mild compassion fatigue. Among them,34.4% of ICU nurses suffered from moderate to severe compassion fatigue. The score of caring behavior was（122.25±15.33）,which was in a high level of caring behavior. Pearson correlation analysis showed that compassion fatigue was negatively correlated with caring behavior（r=-0.328,P<0.001）. Multiple linear regression analysis showed that compassion fatigue and educational background were the main influencing factors of caring behavior （P<0.05）. Conclusion The compassion fatigue of ICU nurses will have a negative impact on their caring behavior. The lower level of compassion fatigue of ICU nurses can predict the higher level of caring behavior. Nursing managers should continue to pay attention to the compassion fatigue of ICU nurses and actively provide relevant support to improve the compassion fatigue and improve the caring behavior of nurses.

Key words: ICU Nurses, Compassion Fatigue, Caring Behavior, Cross-Sectional Study

周川茹, 黄霞, 王聪, 喻婷, 蒋艳. 四川省24所三级医院ICU护士关怀行为的现状及影响因素研究[J]. 中华护理杂志, 2022, 57(15): 1868-1873.

ZHOU Chuanru, HUANG Xia, WANG Cong, YU Ting, JIANG Yan. The current status and influencing factors of caring behavior among ICU nurses in 24 tertiary hospitals in Sichuan Province[J]. Chinese Journal of Nursing, 2022, 57(15): 1868-1873.

图/表 4

表1 ICU护士一般资料、共情疲劳与关怀行为的单因素分析结果（n=538）

Table 1 General data and univariate analysis of compassion fatigue and caring behavior of ICU nurses（n=538）

表2 ICU护士的共情疲劳及其关怀行为水平（n=538）

Table 2 Compassion fatigue and caring behavior level of ICU nurses（n=538）

表3 ICU护士共情疲劳与关怀行为的相关性分析n=538,r value）

Table 3 Pearson correlation analysis between compassion fatigue and caring behavior of ICU nurses（n=538,r value）

表4 ICU护士关怀行为的多重线性回归分析（n=538）

Table 4 Multiple linear regression analysis of caring behavior of ICU nurses（n=538）

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