Journal of Shandong University (Health Sciences) ›› 2021, Vol. 59 ›› Issue (2): 88-94.doi: 10.6040/j.issn.1671-7554.0.2020.1370

Previous Articles     Next Articles

Effect of resilience on compassion fatigue in 335 nurses treating patients with COVID-19

REN Minmin1, WANG Guangmei2, ZHANG Li3, YANG Yaoyao1, FENG Danjun1   

  1. 1. School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan 250012, Shandong, China;
    2. Department of Rehabilitation Medicine, The Third Affiliated Hospital of Shandong First Medical University, Jinan 250031, Shandong, China;
    3. Department of Respiratory, Affiliated Cancer Hospital of Shandong First Medical University, Jinan 250117, Shandong, China
  • Published:2021-03-05

PDF (PC)

253

Abstract: Objective To explore the chain mediating effect of perceived social support and coping strategies on resilience and compassion fatigue of first-line nurses treating patients with COVID-19. Methods Totally 335 nurses were surveyed with questionnaires of Professional Quality of Life Scale(ProQOL), 10-item Connor-Davidson Resilience Scale(CD-RISC-10), Simplified Coping Style Questionnaire(SCSQ), and Perceived Social Support Scale(PSSS). The data were analyzed with independent sample t-test, One-Way analysis of variance, Pearson correlation and structural equation modeling methods. Results Positive coping strategies were positively correlated with resilience and perceived social support(r=0.54, r=0.57, both P<0.05), but negatively correlated with compassion fatigue(r=-0.38, P<0.05). Moreover, perceived social support was positively related with resilience(r=0.48, P<0.05), but negatively related with compassion fatigue(r=-0.46, P<0.05). Negative coping strategies had no correlation with resilience and perceived social support. Moreover, resilience affected compassion fatigue through the chain mediating effect of perceived social support and positive coping strategies(95%CI: -0.37 - 0.21), and the mediating effect was 50.0%. Conclusion Resilience can reduce compassion fatigue through perceived social support and positive coping strategies.

Key words: COVID-19, Compassion fatigue, Resilience, Perceived social support, Coping strategies

CLC Number: 

  • R395.1
[1] Figley CR. Compassion fatigue: psychotherapists' chronic lack of self care[J]. J Cli Psychol, 2002, 58(11): 1433-1441.
[2] Alharbi J, Jackson D, Usher K. The potential for COVID-19 to contribute to compassion fatigue in critical care nurses[J]. J Cli Nurs, 2020, 29(15-16): 2762-2764.
[3] 庄琳丽,王佳琳,贺惠娟,等. 新型冠状病毒肺炎疫情下护理人员共情疲劳现状及其相关因素[J]. 医学与社会, 2020, 33(5): 115-119. ZHUANG Linli, WANG Jialin, HE Huijuan, et al. The status quo and related factors of empathy fatigue of nursing personnels under the COVID-19 epidemic[J]. Medicine and Society, 2020, 33(5): 115-119.
[4] 田梅梅,范霖,施雁,等. 临床护士共情疲劳的现状及其影响因素分析[J]. 中华护理杂志, 2018, 53(1): 76-82. TIAN Meimei, FAN Lin, SHI Yan, et al. The current status and influencing factors of compassion fatigue in clinical nurses[J]. Chinese Journal of Nursing, 2018, 53(1): 76-82.
[5] 曾君芳,蔡红涛,李伟明. 国外护士共情疲劳的研究进展及启示[J]. 全科护理, 2019, 17(28): 3495-3499.
[6] Bacaksiz FE, Alan H, Eskici GT, et al. A cross-sectional study of the determinants of missed nursing care in the private sector: Hospital/unit/staff characteristics, professional quality of life and work alienation[J]. J Nurs Manag, 2020, 28(8): 1975-1985.
[7] Maiden J, Georges JM, Connelly CD. Moral distress, compassion fatigue, and perceptions about medication errors in certified critical care nurses[J]. Dimens Crit Care Nurs, 2011, 30(6): 339-345.
[8] 杨田田,李小燕,王跃会,等. 武汉市三级甲等医院护士离职意愿现状及影响因素分析[J]. 中国护理管理, 2019, 19(4): 569-574. YANG Tiantian, LI Xiaoyan, WANG Yuehui, et al. Current status and influencing factors of clinical nurses' turnover intention in tertiary grade A hospitals in Wuhan[J]. Chinese Nursing Management, 2019, 19(4): 569-574.
[9] 王冬冬. 同情心疲乏、职业倦怠对护理人员离职意愿的影响研究[D]. 锦州: 锦州医科大学, 2016.
[10] Bonanno GA. Loss, trauma, and human resilience: Have we underestimated the human capacity to thrive after extremely aversive events?[J]. Am Psychol, 2004, 59(1): 20-28.
[11] 刘美,杨纯子,何细飞,等.新型冠状病毒肺炎疫情期方舱医护人员共情疲劳及影响因素分析[J]. 护理学杂志, 2020, 35(14): 75-78. LIU Mei, YANG Chunzi, HE Xifei, et al. Investigation on and influencing factors of compassion fatigue among medical staff working in Fangcang shelter hospitals during the COVID-19 outbreak[J]. Journal of Nursing Science, 2020, 35(14): 75-78.
[12] Coyne JC, Downey G. Social factors and psychopathology: stress, social support, and coping processes[J]. Annu Rev Psychol, 1991, 42: 401-425.
[13] 解文君,张帅,刘毅,等. 领悟社会支持及应对方式在恶性血液病行造血干细胞移植患者心理弹性与创伤后成长间的中介效应[J]. 护理学报,2019,26(3):73-78. XIE Wenjun, ZHANG Shuai, LIU Yi, et al. Perceived social support and coping style as mediators between resilience and post-traumatic growth among patients with hematopoietic stem cell transplant[J]. Journal of Nursing, 2019, 26(3):73-78.
[14] 胡明慧,陈珝,张晓文. 大学生心理弹性与生命意义感的关系: 领悟社会支持的中介作用[J]. 中国健康心理学杂志, 2020, 28(5): 776-779. HU Minghui, CHEN Xu, ZHANG Xiaowen. Relationship between resilience and meaning in life: mediating effect of perceived social support[J]. China Journal of Health Psychology, 2020, 28(5): 776-779.
[15] Liang S, Liu H, Lu Y, et al. The influence of resilience on the coping strategies in patients with primary brain tumors[J]. Asian Nurs Res, 2020, 14(1): 50-55.
[16] Lazarus R, Folkman S. Stress, Appraisal, and Coping [M]. New York, NY: Springer, 1984.
[17] 郑杏,杨敏,高伟,等. 中文版护士专业生活品质量表的信效度检测[J]. 护理学杂志, 2013, 28(5): 13-15. ZHENG Xing, YANG Min, GAO Wei, et al. The Chinese version Professional Quality of Life Scale: testing of reliability and validity in nurses[J]. Journal of Nursing Science, 2013, 28(5): 13-15.
[18] 杜柯萱. 心理咨询师自悯、应对方式与共情疲劳的关系研究[D]. 石家庄: 河北师范大学, 2016.
[19] Wang L, Shi Z, Zhang Y, et al. Psychometric properties of the 10-item Connor-Davidson Resilience Scale in Chinese earthquake victims[J]. Psychiatry Clin Neurosci, 2010, 64(5): 499-504.
[20] 解亚宁. 简易应对方式量表信度和效度的初步研究[J]. 中国临床心理学杂志, 1998(2): 3-5. XIE Yaning. Preliminary study on the reliability and validity of the simple coping style scale[J]. Chinese Journal of Clinical Psychology, 1998(2):3-5.
[21] 黄丽,姜乾金,任蔚红. 应对方式、社会支持与癌症病人心身症状的相关性研究[J]. 中国心理卫生杂志, 1996, 10(4): 160-161. HUANG Li, JIANG Qianjin, REN Weihong. The relationship between psychosomatic symptoms and coping style, social support in cancer patients[J]. Chinese Mental Health Journal, 1996, 10(4):160-161.
[22] Jo M, Na H, Jung Y. Mediation effects of compassion satisfaction and compassion fatigue in the relationships between resilience and anxiety or depression among hospice volunteers[J]. J Hosp Palliat Nurs, 2020, 22(3): 246-253.
[23] 缪欢兰,党爱林,王小梅. 手术室护士共情疲劳现状及影响因素研究[J]. 当代护士(下旬刊), 2019, 26(10): 22-26.
[24] 蔡颖,梁宝勇,周亚娟. 中学生的升学考试压力、心理弹性与压力困扰的关系[J]. 中国临床心理学杂志, 2010, 18(2): 180-182. CAI Ying, LIANG Baoyong, ZHOU Yajuan. Relationship among stress of entrance examination, resilience and stress distress of middle school students[J]. Chinese Journal of Clinical Psychology, 2010, 18(2): 180-182.
[25] Ong HL, Vaingankar JA, Abdin E, et al. Resilience and burden in caregivers of older adults: moderating and mediating effects of perceived social support[J]. BMC Psychiatry, 2018, 18(1): 27.
[26] 王安妮,张静平. 高三学生心理弹性影响因素: 社会支持与学业自我效能感[J]. 中国健康心理学杂志, 2015, 23(12): 1840-1843. WANG Anni, ZHANG Jingping. Influential factors on psychological resilience of senior students in high school: social support and academic self- efficacy[J]. China Journal of Health Psychology, 2015, 23(12): 1840-1843.
[27] Radey M, Figley CR. The social psychology of compassion[J]. Clinical Social Work Journal, 2007, 35(3): 207-214.
[28] 周林霖,王卫红,张照莉,等. 重庆市护士共情疲劳现状及其影响因素探析[J]. 保健医学研究与实践, 2019, 16(4): 25-31. ZHOU Linlin, WANG Weihong, ZHANG Zhaoli, et al. Compassion Fatigue among nurses in Chongqing: an investigation of the status quo and influencing factors[J]. Health Medicine Research and Practice, 2019, 16(4): 25-31.
[29] Wu Y, Yu W, Wu X, et al. Psychological resilience and positive coping styles among Chinese undergraduate students: a cross-sectional study[J]. BMC Psychol, 2020, 8(1): 79.
[30] Fredrickson BL. The role of positive emotions in positive psychology. The broaden-and-build theory of positive emotions [J]. Am Psychol, 2001, 56(3): 218-226.
[31] Ye Z, Yang X, Zeng C, et al. Resilience, social support, and coping as mediators between COVID-19-related stressful experiences and acute stress disorder among college students in China [J]. App Psychol Health and Well Being, 2020, 12(4): 1074-1094.
[32] 陈晓云,赵昱,梁好,等. 在校护理硕士研究生心理弹性水平及其相关因素[J]. 解放军护理杂志, 2019, 36(12): 21-24. CHEN Xiaoyun, ZHAO Yu, LIANG Hao, et al. Psychological elasticity level of graduate nursing students and its influencing factors [J]. Nursing Journal of Chinese Peoples Liberation Army, 2019, 36(12): 21-24.
[33] 苏皓园,化振,王宝安, 等. 抑郁症患者心理弹性及相关因素的研究[J]. 国际精神病学杂志, 2019, 46(1): 75-77. SU Haoyuan, HUA Zhen, WANG Baoan, et al. The research of resilience and related factors in depression patients [J]. Journal of International Psychiatry, 2019, 46(1): 75-77.
[1] Yihai CAO. Targeting angiogenesis for disease therapy [J]. Journal of Shandong University (Health Sciences), 2021, 59(9): 9-14.
[2] YANG Xuan, LI Yanzhi, MA Wei, JIA Chongqi. Causal influence of lung function on risk of fatality of COVID-19: a two-sample Mendelian randomization study [J]. Journal of Shandong University (Health Sciences), 2021, 59(7): 104-111.
[3] WANG Xu, CHEN Jing, LEI Wei, ZHAGN Rong, LIU Boya, LIU Kezhi, LIANG Xuemei, ZHANG Tao. Relationship between social support and negative emotions in adolescent girls: the mediating role of psychological resilience [J]. Journal of Shandong University (Health Sciences), 2020, 58(6): 110-114.
[4] ZHAO Huailong, LÜ Yan, ZHAO Hong, ZHAO Baotian, HAN Ying, YANG Guoliang, WANG Chunrong, GUAN Hengyun, LIU Hui, LIU Lanzheng. Effect of sampling positions in nucleic acid test on the test result: a report from 47 confirmed COVID-19 cases in Jinan City [J]. Journal of Shandong University (Health Sciences), 2020, 58(4): 28-31.
[5] JING Rui, LIU Tiecheng, WANG Chunrong, HU Yanxia, WU Jingjing, ZHANG Wenqian, GENG Xingyi, RUAN Shiman. Investigation and analysis of a cluster of COVID-19 associated with exposure to a shopping mall in Jinan City [J]. Journal of Shandong University (Health Sciences), 2020, 58(4): 40-43.
[6] LI Huanjie, OU Lanxiang, CHEN Hong, CHEN Jian, GENG Jun, GAO Zhipeng, WANG Yan, DING Xinglong, CHEN Zhen, ZHU Zhiwei, LIU Lunqin, Wang Yunshan. Development and clinical value evaluation of IgM-IgG antibody detection kit for SARS-CoV-2 infection in 15 cases [J]. Journal of Shandong University (Health Sciences), 2020, 58(10): 120-126.
[7] HUANG Jiaqi, XIAO Shuang, ZHANG Jun, ZHANG Zhijie. Preliminary discussion on hospital service areas distribution and the setting of isolation points under the COVID-19 epidemic [J]. Journal of Shandong University (Health Sciences), 2020, 58(10): 105-111.
[8] WANG Xinqi, LI Qiuhuan, ZHANG Hongjing. Mental health status and its relationship with gratitude and perceived social support in inpatients with hematologic malignancies [J]. Journal of Shandong University (Health Sciences), 2018, 56(9): 65-70.
[9] JIANG Hong, XU Jingjing, WANG Rui, YI Xiangren, ZHOU Yaru, PAN Fang. A study of happiness, stress and mental resilience of elderly of different ages [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(9): 11-16.
[10] LI Changjin, HONG Wei, ZHAO Jia, GAN Wei. Relationship between quality of life and perceived social support and the mediating effect of resilience in old people [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(9): 6-10.
[11] LIU Chunqin, LI Huafang, TIAN Xiaohong, ZOU Guiyuan, LI Ping. Relationship between personality and psychological distress in nurses of psychiatric department: mediating effect of resilience [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2015, 53(9): 90-94.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] ZHENG Min,HAO Yue-wei,LIU Xue-ping,ZHAO Ting-ting. Relationship between the HPA-2 and Kozak sequence polymorphism of platelet membrane glycoprotein and cerebral infarction[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2008, 46(3): 292 -295 .
[2] WANG Shu-qin,QI Feng,WU Jian-bo,SUN Bao-zhu. Effect of calcium in ropivacaine-induced smooth muscle contraction of the aorta in rats in vitro[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2008, 46(8): 773 -776 .
[3] TENG Xue-ren,ZHAO Yong-sheng,HU Guang-liang,ZHOU Lun,LI Jian-min. Characteristics of microcosmic changes following tendon allograft transplantation preserved by two methods under light microscopy and transmission electron microscopy[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2008, 46(10): 945 -950 .
[4] ZHANG Jie,LI Zhen-hua,SUN Jin-hao,BAO Li-hua,LIU Yue-peng. Protective effects of the invariable magnetic field on oxidative injured Schwann cells[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2007, 45(3): 229 -232 .
[5] . [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2007, 45(10): 995 .
[6] JIANG Hong-ju,LI Run-zhi, WANG Ying,XU Dong-mei,ZHANG Mei,ZHANG Yun,LI Ji-fu. Relationship between the plasma level of matrix metalloproteinase-9 and structural characteristics of plaques and percutaneous coronary intervention [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2008, 46(10): 966 -970 .
[7] WU Min,ZHAO Zhi-lun,WANG Jie-zhen. [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2006, 44(11): 1146 -1149 .
[8] . [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2008, 46(8): 828 -830 .
[9] . [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2009, 47(9): 5 -6 .
[10] NIU Rui,LIU Bo,SHAO Ming-ju,WANG Wei. mRNA expression of lunx in regional lymph nodes of non-small cell lung cancer and its correlation with prognosis[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2007, 45(9): 884 -885 .
Copyright 2018 © Editorial office of Journal of Shandong University (Health Sciences)
Supported by Beijing Magtech Co.Ltd