医学学生和最近的医学毕业生中的同情疲劳:一个广泛的审查
Jane Graves1, Caroline Joyce1, Moin Ahmed2
1School of Medicine, Western Sydney University, Sydney, Australia.
Teaching and learning in medicine
|October 17, 2025
概括
慈悲疲劳 (CF) 影响医疗学员,导致疲劳并影响患者的护理. 需要进一步的研究来了解其流行率和医学生和毕业生的有效干预措施.
科学领域:
- 医学教育 医学教育
- 心理学 心理学 心理学
- 医疗保健专业人员 医疗保健专业人员
背景情况:
- 慈悲疲劳 (CF) 的特点是疲,同情心的丧失和自我照顾的减少.
- 医学学生和近期毕业生的CF现有文献是有限的.
- 了解CF的患病率和影响对于医疗培训和患者的治疗结果至关重要.
研究的目的:
- 对医学学生和近期毕业生的同情疲劳的证据进行范围审查.
- 为了确定定义,术语,相关因素和与CF相关的知识差距.
- 综合目前对CF对实习生和患者护理的影响的理解.
主要方法:
- 从1992年到2025年对数据库 (MEDLINE,Embase,PsycINFO,CINAHL,Scopus) 进行系统的搜索.
- 包括医学学生和毕业生 (毕业后2年内) 的倦怠和二次创伤性压力 (STS) 研究.
- 使用微软Excel提取数据,并对发现进行叙事合成.
主要成果:
- 十五篇论文符合纳入标准,表明了医学学员中CF的新兴文献.
- 不一致的术语使CF概念化变得复杂.
- 相关因素包括繁重的工作负载,IT/行政挫折和不支持的环境;与重症监护,创伤和患者死亡相关的STS.
结论:
- 同情疲劳在医疗学员中存在,并对个人和患者护理产生负面影响.
- 需要进一步的研究来量化CF患病率,并评估干预措施的有效性.
- 建议采取组织策略,如减少工作量和简化系统,以减轻CF的风险.
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