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首页> 外文期刊>Supportive care in cancer: official journal of the Multinational Association of Supportive Care in Cancer >Compassion fatigue among oncologists: the role of grief, sense of failure, and exposure to suffering and death
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Compassion fatigue among oncologists: the role of grief, sense of failure, and exposure to suffering and death

机译：肿瘤学家之间的同情心疲劳：悲伤，失败感和暴露于痛苦和死亡的作用

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Purpose Oncologists cope with unique work characteristics that increase their risk of developing compassion fatigue-that is, burnout and secondary traumatic stress-and can result in reduced capacity and interest in being empathetic to the suffering of others (Stamm B. The concise ProQOL manual, 2010). At the same time, oncologists can experience compassion satisfaction-that is, the positive aspects of caring. This study explored the associations of compassion fatigue and compassion satisfaction with oncologists' grief and sense of failure beyond their reported exposure to suffering and death. Methods Seventy-four oncologists completed self-administered questionnaires examining compassion fatigue, compassion satisfaction, grief, exposure to suffering and death, and sense of failure. Results The oncologists reported that they face the loss of approximately 50% of their patients, and that their patients suffer from profound emotional and physical pain. High levels of compassion fatigue and grief, and moderate levels of sense of failure, were reported. Findings showed a lack of association between exposure to suffering and death and compassion fatigue and satisfaction. However, grief and sense of failure were found to predict both aspects of compassion fatigue: secondary traumatic stress (p < 0.001, p < 0.003, respectively) and burnout (p < 0.002, p < 0.025, respectively). Conclusions These results highlight the importance of the oncologists' subjective experiences of grief and sense of failure, beyond their reports of exposure to suffering and death, in terms of their levels of compassion fatigue. Implications of these findings include the need to develop interventions for oncologists that will allow them to acknowledge, process, and overcome negative experiences of failure and grief.
机译：目的肿瘤学家应对独特的工作特征，从而提高他们发展慈悲疲劳的风险 - 即倦怠和次要创伤的压力 - 可以降低容量和兴趣对他人的痛苦（SNAM B.简洁的Proqol手册， 2010）。与此同时，肿瘤科医生可以体验慈悲满意 - 即关心的积极方面。本研究探讨了同情疲劳和同情心与肿瘤学家的悲伤和失败感的协会，超出了他们报告的痛苦和死亡。方法七十四位肿瘤学家完成了自我管理的问卷检查同情疲劳，同情心，悲伤，接触痛苦和死亡，以及失败的感觉。结果肿瘤科医生报告说，他们面临大约50％的患者的损失，并且他们的患者患有深刻的情绪和身体疼痛。据报道，高水平的同情疲劳和悲伤，和中度的失败感。调查结果表明，暴露于痛苦和死亡和同情疲劳和满足之间缺乏关联。然而，发现悲伤和失败的感觉是预测同情疲劳的两个方面：次级创伤应力（分别为p <0.001，p <0.003）和倦怠（分别为p <0.002，p <0.025）。结论这些结果突出了肿瘤学家对悲伤和失败感的主观经验的重要性，超出了他们对痛苦和死亡的报道，就其同情疲劳的水平而言。这些调查结果的含义包括需要开发肿瘤学家的干预措施，以允许他们承认，过程和克服失败和悲伤的负面经历。

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