护理SCI晨读:护士的同情满意度和同情疲劳患病率:系统评价和荟萃分析

2021
06/24

+
分享
评论
NursingResearch护理研究前
A-
A+
护理SCI晨读:

护士的同情满意度和同情疲劳患病率:系统评价和荟萃分析

 

 



分享智慧

共同成长


摘要

背景

同情疲劳是医疗保健提供者长期与工作相关的压力暴露的结果。护理是一项高风险,高压力的职业,与其他医护人员相比,它增加了护士对同情疲劳症状的抵抗力。同情疲劳会对护理人员,患者和医疗机构造成严重后果。尽管已经发表了几篇有关护士同情疲劳患病率的研究,但各研究报告的数据差异很大。很少有荟萃分析检查大样本护士的同情满意度和同情疲劳的患病率。

目标

为了系统地评估护士的同情满意度和同情疲劳的患病率,并评估不同地理区域,年份和部门对同情疲劳的患病率的影响。

设计

系统评价和荟萃分析

数据源

在系统评价中,检索了Cochrane图书馆,PubMed,EMbase,Web of Science,CINAHL,PsyclNFO,中国知识资源集成数据库(CNKI),万方数据库,维普数据库(VIP)和中国生物医学数据库(CBM)。搜索的时间范围包括2020年1月31日之前的所有文献

审查方法

研究者独立完成研究选择,质量评估,数据提取和所有纳入文献的分析。使用Stata 16.0软件包中的随机效应荟萃分析,汇总了专业生活质量(ProQOL)量表的三个子量表的平均得分和标准差。最后,进行亚组分析以探索研究之间异质性的来源。

结果

系统评价和荟萃分析共纳入79项研究,由来自11个国家/地区的28,509名护士组成。在我们的研究中,同情满意度,倦怠和继发性创伤应激的综合平均分分别为33.12(95%CI:32.22–34.03),26.64(95%CI:26.01–27.27)和25.24(95%CI:24.69–25.79)。此外,亚洲地区的同情满意度最低,但同情疲劳症状最高,而美洲和欧洲的同情疲劳最低,但同情满意度最高。从2010年到2019年,护士的同情疲劳水平逐渐增加,达到2019年的最高水平; 在所有护士中,ICU的护士的同情疲劳症状水平最高。

结论

护士的同情满意度和同情疲劳程度中等。亚洲地区和重症监护病房的护士患有严重的同情疲劳症状,并且随着时间的流逝,同情疲劳的患病率呈上升趋势。这些发现可以为医院管理者提供管理和治疗同情疲劳的理论基础。

Abstract

Background

Compassion fatigue is a consequence of chronic work-related stress exposure among healthcare providers. Nursing is a high-risk, stressful profession which increases nurses’ vulnerability to compassion fatigue symptoms compared to other healthcare workers. Compassion fatigue has serious consequences for nursing staff, patients and healthcare organizations. Though several studies on the prevalence of compassion fatigue among nurses have been published, the reported data vary considerably across studies; and few meta-analysis have examined the prevalence of compassion satisfaction and compassion fatigue among nurses with large sample sizes.

Objectives

To systematically assess the prevalence of compassion satisfaction and compassion fatigue among nurses, and to evaluate the effect of different geographical regions, years and departments on the prevalence of compassion fatigue.

Design

Systematic review and meta-analysis

Data Sources

The Cochrane Library, PubMed, EMbase, Web of Science, CINAHL, PsyclNFO, China Knowledge Resource Integrated Database (CNKI), Wanfang Database, Weipu Database (VIP), and Chinese Biomedical Database (CBM) were searched in the systematic review. The time frame for the searches included all literature before January 31st, 2020.

Review Methods

The reviewers independently completed study selection, quality assessments, data extraction and analysis of all included literature. The mean scores and standard deviations of the three subscales of the Professional Quality of Life (ProQOL) scale were pooled using random effects meta-analysis in Stata 16.0 software package. Finally, subgroup analyses were conducted to explore the sources of between-study heterogeneity.

Results

A total of 79 studies were included in the systematic review and meta-analysis, consisting of 28,509 nurses worldwide from 11 countries. In our studies, the pooled mean scores of compassion satisfaction, burnout and secondary traumatic stress were 33.12 (95% CI: 32.22–34.03), 26.64 (95% CI: 26.01–27.27) and 25.24 (95% CI: 24.69–25.79), respectively. In addition, the Asian region had the lowest levels of compassion satisfaction but the highest levels of compassion fatigue symptoms, while the Americas and Europe had the lowest levels of compassion fatigue but highest compassion satisfaction. Levels of compassionate fatigue in nurses increased gradually from 2010 to 2019, reaching the highest level in 2019; and nurses from ICU had the highest levels of compassion fatigue symptoms among all nurses.

Conclusion

The levels of compassion satisfaction and compassion fatigue among nurses are moderate. Nurses from the Asian region and in ICUs suffer from severe compassion fatigue symptoms, and the prevalence of compassion fatigue has increased over time. These findings may provide hospital administrators with the theoretical basis for the management and treatment of compassion fatigue.

Registration number

PROSPERO [CRD42020164327]






原文链接:

https://doi.org/10.1016/j.ijnurstu.2021.103973


本文由作者自行上传,并且作者对本文图文涉及知识产权负全部责任。如有侵权请及时联系(邮箱:nanxingjun@hmkx.cn
关键词:
患病率,满意度,护士,护理,疲劳

人点赞

收藏

人收藏

打赏

打赏

我有话说

0条评论

0/500

评论字数超出限制

表情
评论

为你推荐

推荐课程


社群

精彩视频

您的申请提交成功

确定 取消
剩余5
×

打赏金额

认可我就打赏我~

1元 5元 10元 20元 50元 其它

打赏

打赏作者

认可我就打赏我~

×

扫描二维码

立即打赏给Ta吧!

温馨提示:仅支持微信支付!