作者：万彬，雷丽梅，赵霞，付莉，冯静，陈雪宇，罗东霞

单位：

610066 四川省成都市公共卫生临床医疗中心护理部；通信作者：罗东霞，E-mail：635440100@qq.com

Units：

Department of Nursing，the Public Health Clinical Center of Chengdu，Chengdu 610066，China；Corresponding author：LUO Dongxia，E-mail：635440100@qq.com

关键词：

新型冠状病毒肺炎；严重急性呼吸综合征冠状病毒 2；医务人员；应激（压力）反应；同情心疲乏

Keywords：

Corona virus disease 2019；Severe acute respiratory syndrome coronavirus 2；Medical staff；Stressresponse；Compassion fatigue

CLC：

R 563.19

DOI：

DOI：10.3969/j.issn.1008-5971.2020.02.003

Funds：

2019 年四川省卫生健康委员会科研课题（普及应用项目）（19PJ023）；2020 年成都市科技局科研课题——荧光标记在新型冠状病毒感染的肺炎院感防控中的应用

摘要：

背景　当前，新型冠状病毒肺炎疫情防控工作正处于关键时期，临床一线医务人员作为此次疫情攻坚的主要力量，其心理应激能力及同情心感知能力在疫情的防控中显得尤为重要，因此关注临床一线医务人员的心理健康对疫情的防控具有重要的现实意义。目的　调查抗击新型冠状病毒肺炎的临床一线医务人员应激（压力）反应与同情心疲乏状况，并了解两者的相关性。方法　采用集体施测的方法，于 2020-01-30 至 2020-02-02 选择四川省成都市收治新型冠状病毒肺炎患者的定点医院的 98 例临床一线医务人员为调查对象。采用一般资料问卷、应激（压力）反应问卷（SRQ）、中文版同情心疲乏简短量表对医务人员进行问卷调查，并采用 Pearson 相关分析分析临床一线医务人员应激（压力）反应与同情心疲乏的相关性。结果　共发放问卷 98 份，回收有效问卷 90 份，有效回收率为 91.8%。90 名临床一线医务人员 SRQ 得分为（61.1±27.3）分，同情心疲乏得分为（43.2±24.6）分。不同性别、年龄、职业、学历、婚姻状况、工作年限、职称、月均收入者 SRQ 得分、同情心疲乏得分比较，差异均无统计学意义（P>0.05）。Pearson相关分析结果显示，临床一线医务人员应激（压力）反应与同情心疲乏在总分及各维度上均呈正相关（P<0.05）。结论　抗击新型冠状病毒肺炎的临床一线医务人员应激（压力）反应与同情心疲乏为中低等水平，应激（压力）反应与同情心疲乏呈正相关，应激（压力）反应越低，同情心疲乏越低，医疗管理人员应继续关注并鼓励临床一线医务人员，使其保持良好的心理应激能力以及对患者的同情心感知能力。

Abstract：

Background　At present，the prevention and control of the COVID-19 epidemic is at a critical stage.The psychological stress and perceived compassion of frontline medical workers，the main force for combating the epidemic，are particularly important in the prevention and control of the epidemic.Therefore，it is of great practical significance to payattention to their mental health.Objective　To investigate the association of stress response and compassion fatigue in frontlinemedical workers combating the COVID-19 epidemic.Methods　An online group survey was conducted from January 30 toFebruary 2，2020 in the frontline medical workers（n=98） combating the COVID-19 epidemic in designated hospitals forCOVID-19 treatment in Chengdu，Sichuan Province using an electronic questionnaire consisting of three parts〔the GeneralDemographic Questionnaire developed by our research group，Stress Response Questionnaire（SRQ），and the Chineseversion of Compassion Fatigue-Short Scale（C-CF-SS）〕.The Pearson correlation coefficient was used to measure the strengthof the association between stress response and compassion fatigue.Results　A total of 90 cases（91.8%） returned responsivequestionnaires.In accordance with the survey，the calculated mean scores of SRQ and C-CF-SS of the medical workers were（61.1±27.3） and（43.2±24.6），respectively.The SRQ score was not associated with sex，age，occupation，educationlevel，marital status，working years，professional title and average monthly income（P>0.05），and so was the C-CF-SSscore（P>0.05）.Pearson correlation analysis showed that the SRQ and C-CF-SS were positively correlated in the total score andin all dimensions（P<0.05）.Conclusion　In the frontline medical workers combating the COVID-19 epidemic，the levels ofboth stress response and compassion fatigue are medium-low.Lower stress response is associated with lower compassion fatigue，indicating that there may be a positive correlation between them.Hence，medical managers should continue to pay attention tothe stress response and compassion fatigue of these medical workers，and encourage them to maintain good psychological stressresponse and compassion.

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