临床医生正念与共情疲劳的关系.docxVIP

临床医生正念与共情疲劳的关系 赵静波 马幸会 侯艳飞 尹绍雅 南方医科大学公共卫生学院心理学系 摘要： 目的探讨临床医牛正念与共情疲劳的关系，为临床医牛共情疲劳的干预提供依 据。方法 在广州市6所医院按照科室随机选取有执业医师执照并具有1年以上 从医经验的临床医生430名，采用临床医生共情疲劳量表、五因素正念度量表为 评价工具进行问卷调查。结果临床医生正念均分3. 22±0. 27, 5个维度的均分 分别是 2.43±0?67、3?54±0?59、3?91±0. 66、3?19±0. 55、3. 03±0. 50,共 情满足均分为3. 79±0. 73,职业倦怠均分为2.40±0. 57,二次创伤均分为 2. 09±0. 53;正念总分与共情疲劳3个维度之间的相关性均有统计学意义 (P0.01);回归分析表明，描述、觉知的行动、对内在经验的非反应性是预测共 情疲劳的重要变量，3个维度低分组与高分组被试出现共情疲劳的0R值分别为 2. 238 : k 6. 598 ： 1和2. 909 ： 1。结论临床医生止念水平与共情疲劳显著负相 关，描述、觉知的行动、对内在经验的非反应性得分低的临床医生更容易出现共 情疲劳，针对这3个方面进行正念训练、提升正念水平可以预防和缓解临床医生 的共情疲劳。 关键词： 临床医牛;正念;共情疲劳; 收稿日期：2017-04-12 基金：2014年度教育部人文社会科学研究一般项目(编号:14YJA190013) The correla tion bet ween mindfulness and compassion fatigue in clinicians ZHAO Jing-bo MA Xing-hui HOU Yan-fei YIN Shao-ya School of Public Hea1th, Southern Medical University; Abstract： Objective To investigate the correlation between mindfulness and compassion fatigue in clinicians, so to help alleviate compassion fatigue in cl inicians. Methods 430 qualified cl inicians, who had practiced medicine for more than one year in 6 hospitals in Guangzhou, were selected using random sampling method. The Professional Quality of Life Scale and Five Facet Mindfulness Questionnaire were carried out among them. Results The mindfulness score was3. 22 ± 0. 27, the scores of the five factors were 2. 43 ± 0. 67, 3. 54 ± 0. 59, 3. 91 土 0. 66, 3. 19 ± 0. 55 and 3. 03 土 0. 50, the compassion satisfaction score was 3. 79 土 0. 73, the burnout score was 2. 40 ± 0. 57, and the secondary traumatic stress score was 2. 09 ± 0. 53. The three dimensions of compassion fatigue of clinicians were correlated to their mindfulness ( P 0. 01) . According to logistic regression analysis, describing, acting with awareness and non-reactivity to inner experience were found to influence the compassion fatigue. The OR ratios of the low score groups to the high score groups according to describing, acting with awareness and non-reactivit)^ to inner experience were 2. 238 : 1, 6. 598 : la