Journal List > Asian Oncol Nurs > v.17(2) > 1081895

Kim and Na: A Study of the Relationships between Compassion Fatigue, Compassion Satisfaction, Depression, Anxiety, and Sleep Disorders among Oncology Nurses

초록

Purpose

This study was conducted to identify the relationships between various factors, including compassion fatigue, compassion satisfaction, depression, anxiety, and sleep disorders among oncology nurses.

Methods

A convenience sample of 140 oncology nurses from 3 university hospitals completed questionnaires. The collected data were analyzed using t-tests, ANOVA, Pearson's correlation coefficients, and Kruskal-Wallis tests.

Results

Compassion fatigue is composed of secondary traumatic stress and burnout. The levels of compassion fatigue showed significant positive correlations with depression, anxiety, and sleep disorder. On the other hand, the levels of compassion satisfaction showed significant negative correlations with compassion fatigue, depression, anxiety, and sleep disorders. The subjects in the at-risk and very distressed group of compassion fatigue and compassion satisfaction risk profile had significantly higher levels of depression, anxiety, and sleep disorders.

Conclusion

Such efforts will help reduce the level of depression, anxiety, and sleep disorders in oncology nurses at-risk of developing compassion fatigue. It is also necessary to provide organization support for oncology nurses, and to develop an intervention that is designed to mitigate their compassion fatigue and to promote compassion satisfaction.

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Table 1.
General Characteristics of the Participants (N =140)
Variables Categories n (%) or M ± SD
Gender Female Male 140 (100.0)
  Male  
Age (year)   30.0 ± 6.73
  ≤25 40 (28.6)
  26~30 56 (40.0)
  ≥31 44 (31.4)
Marital status Single 105 (75.0)
  Married 35 (25.0)
Religion No 94 (67.1)
  Yes 46 (32.9)
Education College 38 (27.1)
  Bachelor 89 (63.6)
  ≥ Master degree e 13 (9.3)
Total clinical experience   7.06 ± 6.58
(year) <3 39 (27.9)
  3~6 44 (31.4)
  >6 57 (40.7)
Oncology clinical expe-   3.77 ± 3.32
rience (year) <3 68 (48.6)
  3~6 44 (31.4)
  >6 28 (20.0)
Position Staff nurse 128 (91.4)
  ≥ Charge nurse 12 (8.6)
Monthly income (10,000 won) ≤200 27 (19.3)
201~300 84 (60.0)
≥301 29 (20.7)
Job satisfaction Satisfaction 80 (57.6)
  Dissatisfaction 60 (42.4)
Table 2.
Levels of Compassion Fatigue, Compassion Satisfaction, Depression, Anxiety, and Sleep Disorder (N =140)
Variables Categories Range n (%) or M ± SD
Compassion fatigue Secondary traumatic stress 10~50 31.52 ± 4.00
  High group 56≤ T 39 (27.9)
  Medium group 44≤ T<56 69 (49.2)
  Low group T<44 32 (22.9)
  Burn out 10~50 30.53 ± 4.69
  High group 56≤ T 35 (25.0)
  Medium group 44≤ T<56 73 (52.1)
  Low group T<44 32 (22.9)
Compassion satisfaction High group 10~50 30.27 ± 5.66
  Medium group 58≤ T 36 (25.7)
  Low group 44≤ T<58 75 (53.6)
    T<44 29 (20.7)
Depression   0~27 9.06 ± 5.39
Anxiety   20~80 49.13 ± 9.60
Sleep disorder   0~21 9.66 ± 3.18
Table 3.
Correlations among Compassion Fatigue, Compassion Satisfaction, Depression, Anxiety, and Sleep Disorder (N =140)
Variable Compassion fatigue Compassion satisfaction Depression Anxiety Sleep
STS Burn out
r (p) r (p) r (p) r (p) r (p) r (p)
Compassion fatigue            
Secondary traumatic stress (STS) 1          
Burn out .46 (<.001) 1        
Compassion satisfaction -.23 (.005) -.80 (<.001) 1      
Depression .50 (<.001) .72 (<.001) -.58 (<.001) 1    
Anxiety .49 (<.001) .73 (<.001) -.60 (<.001) .69 (<.001) 1  
Sleep disorder .30 (<.001) .43 (<.001) -.30 (<.001) .52 (<.001) .36 (<.001) 1
Table 4.
Differences of Depression, Anxiety, Sleep disorder by CF, and CS Risk Profile (N =55)
Profile n (%) Depression Anxiety Sleep disorder
M ± SD M ± SD M ± SD
Positive reinforcement from work 23 (16.4) 5.52 ± 3.67 39.96 ± 8.81 8.09 ± 3.02
(High CS and moderate to low BO and STS)        
Overwhelmed 5 (3.6) 5.20 ± 2.95 43.20 ± 7.01 9.00 ± 2.44
(High STS and CS and low BO)        
At-risk 12 (8.6) 12.58 ± 4.87 55.75 ± 9.44 11.50 ± 2.43
(High BO and moderate to Low CS and STS)        
Typically unique to high-risk situations 0 (0.0) - - -
(High STS and Low BO and CS)        
Very distressed 15 (10.7) 16.20 ± 4.73 61.27 ± 6.51 11.80 ± 2.80
(High STS & BO & Low CS)        
x2 (3, 55)   33.66 (.001) 32.93 (.001) 15.27 (.002)

Kruskal Wallis test (Typically unique to high-risk situations profile excluded from analysis); CF= Compassion fatigue; CS= Compassion satisfaction; BO= Burn out; STS= Secondary traumatic stress.

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