在ICU护士中,倦怠和同情疲劳:对预测因素,保护因素和劳动力保留干预措施的系统审查
Walaa Badawy1, Samah Anwar Shalaby2, Mostafa Shaban3
1Clinical Psychology, College of Education, King Khalid University, Abha, Saudi Arabia.
Nursing in critical care
|February 23, 2026
概括
重症监护病房 (ICU) 的护士因工作量高和道德困扰而面临着燃烧和同情疲劳. 建议进行结构性预防和量身定制的福利计划,以支持重症监护护士.
科学领域:
- 关键护理护理 关键护理护理
- 职业健康心理学 职业健康心理学
- 医疗保健工作人员管理管理
背景情况:
- 燃烧和同情疲劳是重症监护室 (ICU) 护士的重要问题,影响劳动力稳定性和患者安全.
- 为了解决ICU护理中的这些挑战,进行了系统审查.
研究的目的:
- 综合关于预测因素,保护因素和干预措施的证据,用于ICU护士的倦怠和同情疲劳.
- 重点是影响在重症监护机构内留住劳动力的因素.
主要方法:
- 根据PRISMA 2020指南进行了全面的系统审查.
- 搜索包括多个数据库 (MEDLINE,Embase,Web of Science,Scopus,CINAHL,PsycINFO) 和灰色文献,从开始到2025年11月的选研究.
- 由于研究异质性,数据合成具有叙事性,并使用适当的工具评估偏差风险.
主要成果:
- 20项研究显示,职业和组织因素有助于燃烧,包括高工作量,人员问题,道德困扰和领导力支持不足.
- 同情疲劳与遭受痛苦和创伤的暴露有关,同情满意度和支持性环境充当保护因素.
- 弹性和正念训练等干预措施显示出潜力,但在内容,持续时间和结果测量方面存在显著差异.
结论:
- 在ICU工作压力因素和倦怠/同情疲劳之间存在明显的关联,有适度的组织风险因素证据.
- 由于异质性和可变的研究质量,干预的有效性低至中等,需要标准化措施和更强大的设计.
- 对重症监护护士来说,优先考虑结构性预防,足够的人员,工作负载管理和心理安全的环境至关重要.
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