紧急医疗中的同情疲劳:当前的观点
Donald Jeanmonod1, Jennifer Irick2, Adam R Munday1
1Department of Emergency Medicine, St. Luke's University Health Network, Bethlehem, PA, USA.
Open access emergency medicine : OAEM
|July 24, 2024
概括
慈悲疲劳 (CF) 显著影响紧急医生 (EPs) 由于高压环境. 解决其原因和促进弹性战略对于EP和患者护理质量至关重要.
科学领域:
- 医学科学 医学科学 医学科学
- 心理学 心理学 心理学
- 职业健康 职业健康 职业健康
背景情况:
- 慈悲疲劳 (CF) 是紧急医生 (EP) 越来越关注的问题.
- EP面临着不可预测的条件,高度暴露于创伤和显著的压力,导致倦怠.
- 主要和次要创伤性压力 (STS) 加剧了发展CF的风险.
研究的目的:
- 确定EP中同情疲劳的贡献者.
- 为个人和组织概述减轻CF的策略.
- 强调未经控制的CF对患者护理和医生福祉的影响.
主要方法:
- 该研究回顾了紧急医疗工作的性质及其心理影响.
- 它确定了CF的关键贡献者,包括情绪疲,非个性化和创伤性压力.
- 它提出了医生和组织干预的弹性建设技术.
主要成果:
- 肌痛性肌痛是由工作场所的压力引起的,导致人们感到被压倒和没有支持.
- 导致CF的因素包括情绪疲,非个性化,初级和STS,以及个人成就.
- 未经管理的CF导致护理质量下降,患者满意度下降,医生抑郁,焦虑,物质使用和消耗率增加.
结论:
- 个人EP可以通过认知行为技术,正念,身体健康,工作意义,爱好和边界来增强弹性.
- 组织必须解决诸如工作负载,资源,工作文化和工作与生活融合等倦怠驱动因素.
- 确保设施安全和为STS提供支持是组织的重要职责.
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