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护理学报 ›› 2018, Vol. 25 ›› Issue (20): 10-14.doi: 10.16460/j.issn1008-9969.2018.20.010

• 文献研究 • 上一篇    下一篇

护理领域共情疲劳概念分析

于洁1, 季红2, 王兆秀3, 张彦红4, 丁文秀3   

  1. 1.山东中医药大学护理学院,山东 济南 250355;
    2.山东大学附属千佛山医院,山东 济南 250014;
    3.山东大学护理学院,山东 济南 250012;
    4.潍坊医学院,山东 潍坊261053
  • 收稿日期:2018-07-05 发布日期:2020-07-06
  • 通讯作者: 季 红（1974-）,女,江苏海安人,硕士,主任护师,硕士研究生导师。E-mail：honghongji-2005@163.com
  • 作者简介:于 洁（1993-）,女,山东德州人,本科学历,硕士研究生在读,护士。
  • 基金资助:
    山东省中医药科技发展计划项目（2015-284）

Compassion Fatigue of Nurses: A Conceptual Analysis

YU Jie1, JI Hong2, WANG Zhao-xiu3, ZHANG Yan-hong4, DING Wen-xiu3   

  1. 1. School of Nursing, Shandong University of Traditional Chinese Medicine, Jinan 250355, China;
    2. Qianfoshan Hospital Affiliated to Shandong University, Jinan 250014, China;
    3. School of Nursing, Shandong University, Jinan 250012, China;
    4. Weifang Medical College, Weifang 261053, China
  • Received:2018-07-05 Published:2020-07-06

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摘要： 目的 通过文献回顾,对共情疲劳的相关概念进行分析,对其定义属性、前因、后果和实证性测量工具进行系统分析,为今后共情疲劳在护理领域中的研究和实践提供参考。方法 检索PubMed、CINAHL、中国知网、万方数据库,采用Walker和Avant的概念分析法进行分析。结果 通过分析相关概念,提出共情疲劳在护理领域中的概念：护理人员在护理患者时能站在患者的角度感知患者的情绪,主动付出共情,但由于长期接触患者及其经历又没有充分的休息,导致共情压力超过护理人员本身的耐力水平,且缺少社会的支持,最终出现身体上、情绪上、精神上、社会上的一系列变化。结论 通过共情疲劳的概念分析,正确理解、预防、识别或干预共情疲劳,有助于未来继续深入开展其在护理领域中的相关研究。

关键词: 共情疲劳, 护理, 护士, 概念分析

Abstract: Objective To explore the concept of compassion fatigue through literature review and provide references for future research and practice in this field through the systematical analysis of concept property, cause and effect and empirical measuring tools. Methods Walker and Avant's concept analysis method was used to analyze related articles from PubMed, CINAHL, CNKI and Wanfang Data. Results Compassion fatigue was defined as the following. When caring for patients, nurses can perceive patients' emotions from their perspective and initiatively show compassion. However, due to long-term exposure to patients and insufficient rest, the stress of compassion exceeded the endurance of the nurses, and this together with the lack of social support resulted in a series of physical, emotional, psychological and social changes. Conclusion The conceptual analysis of compassion fatigue is helpful to prevent, identify and intervene compassion fatigue and it provides references for future research in this field.

Key words: compassion fatigue, nursing, nurse, concept analysis

中图分类号: 

  • R471
[1] 杨希,史瑞芬.护士共情能力的研究现状及展望[J].护理学杂志,2012,27(16):86-89. DOI:10.3870/hlxzz.2012.16.086.
[2] Coetzee S K, Klopper H C.Compassion Fatigue within Nursing Practice: A Concept Analysis[J]. Nurs Health Sci,2010,12(2):235-243.DOI:10.1111/j.1442-2018.2010.00526.x.
[3] Joinson C.Coping with Compassion Fatigue[J].Nursing,1992,22:116-121.
[4] 王章安,黄宝芹,韦艳华.护理核心能力的概念分析[J].中华护理杂志,2012, 47(6):562-564. DOI:10.3761/j.issn.0254-1769.2012.06.032.
[5] Walker L O, Avant K C.Strategies for Theory Construction in Nursing[M].Boston:Prentice Hall,2011.
[6] 李晴歌,胡嘉乐,郑窑文,等. 概念分析方法及在护理研究中的应用[J].护理学杂志,2018,33(4):100-102.DOI:10.16460/j.issn1008-9969.2017.15.032.
[7] Fu C Y, Chen H M.Compassion Fatigue:A Concept Analysis[J]. J Nurs,2011, 58(2):98-103.
[8] Yang L C, Lin T R, Yu Y L, et al.Compassion Fatigue and Coping Strategies for Hospital Nurses[J]. J Nurs,2012,59(3):93-99. DOI:10.6224/JN.59.3.93.
[9] Rogers.当事人中心治疗[M].李孟潮,译.北京:中国人民大学出版社,2004:19-29.
[10] Figley C R.Compassion Fatigue: Coping with Secondary Traumatic Stress Disorder in Those Who Treat the Traumatized[M].New York:Brunnwe-Maze,1995.
[11] Figley C R.Compassion Fatigue:Psychotherapists’ Chronic Lake of Self Care[J]. J Clin Psychol, 2002,58(11):1433-1441. DOI:10.1002/jclp.10090.
[12] Flemister B.Be Aware of Compassion Fatigue[J].J Wound Ostomy Continence Nurs,2006,33(5):465-466.
[13] Aycock N, Boyle D.Interventions to Manage Compassion Fatigue in Oncology Nursing[J].Clin J Oncol Nurs,2009,13:183-191. DOI:10.1188/09.CJON.183-191.
[14] Potter P, Deshields T, Divanbeigi J, et al.Compassion Fatigue and Burnout: Prevalence Among Oncology Nurses[J].Clin J Oncol Nurs,2010,14(5):E56-E62. DOI:10.1188/10.CJON.E56-E62.
[15] 孙炳海,楼宝娜,李伟健,等.关注助人者的心理健康:共情疲劳的涵义、结构及其发生机制[J].心理科学进展,2011,19(10):1518-1526. DOI:10.3724/SP.J.1042.2011.01518.
[16] Boyle D A.Compassion Fatigue: The Cost of Caring[J].Nursing, 2015, 45(7):48-51.DOI:10.1097/01.NURSE.0000461857.48809.a1.
[17] Branch C, Klinkenberg D.Compassion Fatigue among Pediatric Healthcare Providers[J]. Am J Maternal Child Nurs,2015,40(3):160-166.DOI:10.1097/NMC.0000000000000133.
[18] Harris C, Griffin M T Q.Nursing on Empty:Compassion Fatigue Signs,Symptoms,and System Interventions[J]. J Christ Nurs, 2015,32(2):80-87.DOI:10.1097/CNJ.0000000000000155.
[19] Bush N J.Compassion Fatigue:Are You at Risk[J].Oncology Nursing Forum,2009, 36(1):24-28.DOI:10.1188/09.ONF.24-28.
[20] Franza F, Del Buono G, Pellegrino F.Psychiatric Caregiver Stress: Clinical Implications of Compassion Fatigue[J]. Psychiatr Danub,2015,27(Suppl 1):321-327.
[21] 段妮,冯玉芳,刘彩兴,等.创伤后应激障碍研究进展[J].四川精神卫生,2014,27(6):575-577. DOI:10.11886/j.issn.1007-3256.2014.06.031.
[22] Li A, Early S F, Nahrer N E, et al.Group Cohesion and Organizational Commitment: Protective Factors for Nurse Residents’ Job Satisfaction, Compassion Fatigue, Compassion Satisfaction, and Burnout[J]. J Prof Nurs,2014,30(1):89-99. DOI:10.1016/j.profnurs.2013.04.004.
[23] White D.The Hidden Costs of Caring:What Managers Need To Know[J]. The Health Care Manager,2006,25(4):341-347.
[24] 田梅梅. 护士共情疲劳研究现状[J].中国护理管理,2012,12(11):86-90.
[25] Jenkins S R, Baird S.Secondary Traumatic Stress and Vicarious Trauma: A Validation Study[J].Journal of Traumatic Stress,2002,15(5):423-432.DOI:10.1023/A:1020193526843.
[26] Salston M D, Figley C R.Secondary Traumatic Stress Effects of Working with Survivors of Criminal Victimization[J].Journal of Traumatic Stress,2003, 16(2):167-174. DOI:10.1023/A:1022899207206.
[27] Secor C M.Compassion Fatigue:A Concept Analysis[EB/OL](2015-12-01)[2018-05-01].http://sophia.stkate.edu/dnp-projects.
[28] Sorenson C, Bolick B,Wright K,et al.An Evolutionary Concept Analysis of Compassion Fatigue[J].J Nurs Scholarship,2017,49(5):557-563. DOI:10.1111/jnu.12312.
[29] Figley C R.Introduction.In:Figley CR (ed.).Treating Compassion Fatigue[J].New York:Brunner-Routledge,2002.
[30] Portnoy D.Burnout and Compassion Fatigue:Watch for the Signs[J].Health Prog,2011,92(4):46-50.
[31] Jenkins B, Warren N A.Concept Analysis:Compassion Fatigue and Effects Upon Critical Care Nurses[J]. Critical Care Nursing Quarterly,2012,35(4):388-395. DOI:10.1097/CNQ.0b013e318268fe09.
[32] Hooper C, Craig J, Janvrin D,et al.Compassion Satisfaction,Burnout and Compassion Fatigue among Emergency Nurses Compared with Nurses in Other Selected Inpatient Specialties[J].J Emerg Nurs,2010,36(5):420-427. DOI:10.1016/j.jen.2009.11.027.
[33] Sacco T L, Copel L C.Compassion Satisfaction: A Concept Analysis in Nursing[J]. Nurs Forum,2018,53:76-83. DOI:10.1111/nuf.12213.
[34] Walker L O,Avant K C.Strategies for Theory Constructionin Nursing[M].Norwalk,CT:Appleton Lange,1995.
[35] Gentry J E, Baranowsky A B, Dunning K.ARP:The Accelerated Recovery Program (ARP) for Compassion Fatigue.In C.R.Figley(Ed.),Treating Compassion Fatigue (pp.123-137)[M].New York:Brunner-Rutledge,2002.
[36] Adams R E, Boscarino J A, Figley C R.Compassion Fatigue and Psychological Distress Among Social Workers:A Validation Study[J]. Am J Orthopsychiat,2006,76:103-108. DOI:10.1037/0002-9432.76.1.103.
[37] Bride B E, Radey M, Figley C R.Measuring Compassion Fatigue[J]. Clin Soc Work J, 2007,35:155-163. DOI:10.1007/s10615-007-0091-7.
[38] Stamm B H.The Professional Quality of Life Scale:Compassion Satisfaction, Burnout, Compassion Fatigue/Secondary Trauma Scales[M].Baltimore:Sidran Press,2005.
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