The Mediating Effect of Emotional Regulation between Stress and Compassion Fatigue of Oncology Nurses.

IF 2.1 3区医学 Q2 NURSING

Asian Nursing Research Pub Date : 2025-02-25 DOI:10.1016/j.anr.2025.01.009

Youhui Gu, Yuhan Lu, Wenhua Yu, Hong Yang

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引用次数: 0

Abstract

Purpose: This study aimed to investigate oncology nurses' compassion fatigue (CF) and whether emotional regulation mediates between stress load and CF.

Methods: Using convenience sampling, data of this cross-sectional study were collected from 471 oncology nurses from a cancer hospital. Self-administered questionnaires included socio-demographic factors, the Stress Overload Scale, the Nurse Emotional Management Scale, and the Chinese version of the Professional Quality of Life scale. Statistical analyses were performed using IBM SPSS Statistics for Windows (version 22.0). The hypothesized model was tested by the structural equation model using IBM SPSS AMOS (version 21.0).

Results: Burnout and secondary traumatic stress (STS) of CF in oncology nurses were 21.10±5.48 and 22.22±5.24 respectively. Stress load was positively correlated with burnout (r = .64, p < .01) and STS (r = .52, p < .01). Emotional regulation was negatively correlated with stress load (r = -.47, p < .01), burnout (r = -.57, p < .01) and STS (r = -.45, p < .01). The impact of stress load on CF is mediated by emotional regulation [β = .27, 95% CI of (.21∼.35)], with the mediation effect accounting for 34.62% of the total effect. This mediation model explains 80% of the variation in CF.

Conclusions: The stress load of oncology nurses directly positively impacted their CF, emotional regulation directly negatively impacted CF, while emotional regulation mediated between stress load and CF. This study suggests that nursing managers can prevent and alleviate oncology nurses' CF not only by relieving their stress load but also by promoting their ability of emotional regulation.

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情绪调节在肿瘤护士压力与同情疲劳之间的中介作用。

目的：本研究旨在探讨肿瘤护士的同情疲劳，以及情绪调节是否在压力负荷与同情疲劳之间起中介作用。方法：采用方便抽样的方法，对某肿瘤医院471名肿瘤护士进行横断面调查。自我管理问卷包括社会人口因素、压力超载量表、护士情绪管理量表和中文版职业生活质量量表。采用IBM SPSS Statistics for Windows （version 22.0）进行统计分析。采用IBM SPSS AMOS （version 21.0）结构方程模型对假设模型进行检验。结果：肿瘤科护士CF的倦怠和继发性创伤应激（STS）分别为21.10±5.48和22.22±5.24。应激负荷与倦怠（r = 0.64, p < 0.01）、STS （r = 0.52, p < 0.01）呈正相关。情绪调节与应激负荷呈负相关（r = -）。47, p < 0.01)，倦怠(r = -。57, p < 0.01)和STS (r = -。45, p < 0.01)。应激负荷对CF的影响是由情绪调节介导的[β =。27, 95% CI为（0.21 ~ 0.35）]，中介效应占总效应的34.62%。结论：肿瘤护士的压力负荷直接正向影响其CF，情绪调节直接负向影响其CF，而情绪调节在压力负荷与CF之间起中介作用。本研究提示护理管理者不仅可以通过减轻肿瘤护士的压力负荷，还可以通过提高肿瘤护士的情绪调节能力来预防和缓解肿瘤护士的CF。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Asian Nursing Research NURSING-

CiteScore

4.20

自引率

4.50%

发文量

审稿时长

45 days

期刊介绍： Asian Nursing Research is the official peer-reviewed research journal of the Korean Society of Nursing Science, and is devoted to publication of a wide range of research that will contribute to the body of nursing science and inform the practice of nursing, nursing education, administration, and history, on health issues relevant to nursing, and on the testing of research findings in practice.