在重症监护室护士中管理同情疲劳:系统性审查
Dimensions of critical care nursing : DCCN
|March 31, 2025
概括
心身干预措施在减少重症监护病房护士的同情疲劳方面表现有前途. 需要进一步进行严格的研究,以加强证据并提高研究结果的概括性.
科学领域:
- 护理 护理 护理
- 医疗保健管理的管理
- 心理学 心理学 心理学
背景情况:
- 慈悲疲劳,以情感,身体和精神疲劳为特征,显著影响医疗保健专业人员.
- 由于苛刻的工作环境,重症监护室 (ICU) 的护士面临着更高的风险,包括高患者死亡率和医疗不稳定性.
- 在评估有效的干预措施来管理ICU护士的同情疲劳方面存在着显著的差距.
研究的目的:
- 系统地审查和评估旨在预防或管理重症监护室 (ICU) 护士的同情疲劳的干预措施的有效性.
- 在ICU护理环境中综合各种同情疲劳干预措施有效性的证据.
主要方法:
- 按照PRISMA指南进行系统审查,搜索Cochrane图书馆,CINAHL和PsycINFO数据库,查找2005年至2024年间出版的文献.
- 包括标准集中在定量研究,同情疲劳干预,对同情疲劳或其组成部分 (倦怠,二次创伤性压力) 的评估,ICU护士人群和英语文章上.
- 数据被两个独立的审稿人使用Joanna Briggs研究所的批判性评估工具进行了批判性评估.
主要成果:
- 十七项研究符合纳入标准,揭示了针对旨在减少ICU护士同情疲劳的干预措施的中等到高强度证据.
- 心身干预措施显得特别有效,当它们可访问,便携,简短和适应临床环境时,就会显示出好处.
- 有证据表明,精心设计的干预措施可以对这种高风险护理群体的同情疲劳水平产生积极影响.
结论:
- 审查发现了一些局限性,包括小样本大小,单站点研究,研究设计和结果措施的多样性,这些都阻碍了强有力的结论.
- 研究中的异质性使直接比较和综合干预有效性的复杂化.
- 未来的研究应该优先考虑严格的研究设计,更大的样本大小和多样化的设置,以提高对ICU护士同情疲劳干预措施的发现的概括性.
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