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Compassion Fatigue among Healthcare Emergency and Community Service Workers: A Systematic Review

机译:医护人员急诊人员和社区服务人员的同情疲劳:系统评价

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摘要

Compassion fatigue (CF) is stress resulting from exposure to a traumatized individual. CF has been described as the convergence of secondary traumatic stress (STS) and cumulative burnout (BO), a state of physical and mental exhaustion caused by a depleted ability to cope with one’s everyday environment. Professionals regularly exposed to the traumatic experiences of the people they service, such as healthcare, emergency and community service workers, are particularly susceptible to developing CF. This can impact standards of patient care, relationships with colleagues, or lead to more serious mental health conditions such as posttraumatic stress disorder (PTSD), anxiety or depression. A systematic review of the effectiveness of interventions to reduce CF in healthcare, emergency and community service workers was conducted. Thirteen relevant studies were identified, the majority of which were conducted on nurses (n = 10). Three included studies focused on community service workers (social workers, disability sector workers), while no studies targeting emergency service workers were identified. Seven studies reported a significant difference post-intervention in BO (n = 4) or STS (n = 3). This review revealed that evidence of the effectiveness of CF interventions in at-risk health and social care professions is relatively recent. Therefore, we recommend more research to determine how best to protect vulnerable workers at work to prevent not only CF, but also the health and economic consequences related to the ensuing, and more disabling, physical and mental health outcomes.
机译:同情疲劳(CF)是因接触受过创伤的个人而产生的压力。 CF被描述为继发性创伤压力(STS)和累积倦怠(BO)的融合,这是一种由于疲于应付日常环境而导致的身心疲惫的状态。经常暴露于他们所服务的人们的痛苦经历的专业人员,例如医疗保健,急诊和社区服务工作者,特别容易患CF。这可能会影响患者护理标准,与同事的关系,或导致更严重的心理健康状况,例如创伤后应激障碍(PTSD),焦虑或抑郁。对减少医疗保健,紧急情况和社区服务工作者中CF的干预措施的有效性进行了系统的回顾。确定了十三项相关研究,其中大多数是对护士进行的(n = 10)。其中三项包括针对社区服务工作者(社会工作者,残疾部门工作者)的研究,而没有发现针对紧急服务工作者的研究。七项研究报告了BO(n = 4)或STS(n = 3)干预后的显着差异。这项审查表明,CF干预在高风险卫生和社会护理行业中有效的证据是相对较新的。因此,我们建议进行更多的研究,以确定如何最好地保护工作中的弱势工人,以不仅预防CF,而且还预防与随之而来的,更严重的身心健康后果相关的健康和经济后果。

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