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护士共情疲乏干预的最佳证据总结OA

Best evidence summary for compassion fatigue intervention in nurses

中文摘要英文摘要

目的 总结护士共情疲乏干预的最佳证据,为护理管理者制定共情疲乏干预方案提供循证依据.方法 基于"6S"证据模型系统检索相关数据库及网站中关于护士共情疲乏干预的相关指南、专家共识、临床决策、系统评价、Meta分析、证据总结文献.文献收录时间范围为数据库初始收录至2025年5月10日.文献质量评价、证据提取与整合分析工作由双人独立完成(研究者均为护理学硕士研究生),采用标准化工具进行交叉核对以确保一致性.结果 共纳入14篇文献,包括2篇指南和12篇系统评价.最终从识别评估、自身应对、支持系统、教育培训、工作环境5个方面汇总18条最佳证据.结论 在护士共情疲乏干预的制定和实施过程中,护士须对共情疲乏症状进行及时、准确的评估,并通过增强心理弹性、制定个人计划等方式来提高自身应对能力.同时护理管理者可以通过改善工作环境、加强教育培训及支持系统等多种措施来减轻护士共情疲乏水平,以此推动护士队伍建设、优化护理服务.

Objective To summarize the best evidence on compassion fatigue interventions in nurses and provide an evidence-based basis for nursing managers to develop compassion fatigue intervention programs.Methods Based on the"6S"model,guidelines,expert consensuses,clinical decisions,systematic reviews,Meta-analyses,and evidence summary on the intervention of nurses'com-passion fatigue were retrieved from relevant databases and websites.The retrieval period spanned from the inception to May 10,2025.Quality assessment,evidence extraction,and summarization of the included literature were performed independently by two nursing master students.Standardized tools for cross-verification was used to ensure consistency.Results Fourteen articles were included,including two guidelines and twelve systematic reviews,and eighteen pieces of best evidence were summarized across five aspects:identification and evaluation,self-response,support system,education and training,and working environment.Conclusion In the development and implementation of nurse compassion fatigue interventions,it is critical for nurses to have timely and accurate assess-ment of compassion fatigue symptoms and improve coping skills by increasing psychological resilience and developing personal plans.Nursing managers can reduce the level of nurses'compassion fatigue by improving working environment and enhancing education,training and supporting systems,thereby promoting nursing team development and nursing quality.

郭晓丹;卜秀梅;符宁宁;贲绮

辽宁中医药大学,辽宁 沈阳 110847辽宁中医药大学,辽宁 沈阳 110847辽宁中医药大学,辽宁 沈阳 110847辽宁中医药大学,辽宁 沈阳 110847

管理科学

护士共情疲乏干预证据总结循证护理

nursecompassion fatigueinterventionevidence summaryevidence-based nursing

《护理学报》 2026 (1)

51-56,6

10.16460/j.issn2097-6569.2026.01.051

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