Impact of COVID-19 (<i>N</i> = 405).

Objective The goal of this study was to identify factors associated with compassion fatigue (CF) and compassion satisfaction (CS) among rural health care workers (HCWs) during the COVID-19 pandemic. The secondary purpose was to assess utilization of wellness resources and preferences for new resources. Methods A survey was distributed (October-December 2020) and completed by faculty, clinicians and staff (n = 406) at a rural university. Measures included a modified version of the Professional Quality of Life Scale (PROQOL-21), the Patient Health Questionnaire-4 and the Brief Resilience Coping Scale. Respondents reported their use of wellness resources and their preferences for new resources. Results The mean CF score was 21.1, the mean CS score was 26.8 and 42.0% screened positive for depression or anxiety. Few of the existing wellness resources were utilized and respondents’ preferences for new wellness resources included time off (70.7%), onsite food trucks (43.0%) and support animals (36.5%). Younger age, depression and anxiety were associated with higher CF. Older age, better mental health and resilience were associated with higher CS. Conclusions Rural HCWs have high CF, yet few utilize wellness resources. Rural health care organizations may foster wellness by providing time off for self-care, expanding mental health services and building resilience.研究目的 本研究旨在明确新冠疫情（COVID-19 pandemic）期间，农村医疗卫生工作者（health care workers, HCWs）的共情疲劳（compassion fatigue, CF）与共情满意（compassion satisfaction, CS）的相关影响因素；次要研究目的为评估其对现有健康资源的使用情况，以及对新增健康资源的偏好。 研究方法 本研究于2020年10月至12月间发放调查问卷，共回收某农村大学的教职工、临床医护人员及行政人员有效问卷406份（n=406）。调查工具包括改良版专业共情效能量表（Professional Quality of Life Scale, PROQOL-21）、患者健康问卷-4（Patient Health Questionnaire-4）以及简易韧性应对量表（Brief Resilience Coping Scale）。受访者需报告其对现有健康资源的使用情况，以及对新增健康资源的偏好。 研究结果 本研究中，受访者的共情疲劳平均得分为21.1，共情满意平均得分为26.8，另有42.0%的受访者抑郁或焦虑筛查结果呈阳性。现有健康资源的使用率普遍偏低，受访者偏好的新增健康资源依次为：带薪休假（70.7%）、现场餐车服务（43.0%）以及支持性动物陪伴（36.5%）。分析显示，年龄较轻、合并抑郁或焦虑与更高的共情疲劳水平显著相关；而年龄较大、心理健康状况更佳及韧性水平更高则与更高的共情满意水平相关。 研究结论 农村医疗卫生工作者普遍存在较高程度的共情疲劳，但现有健康资源的利用率极低。农村医疗卫生机构可通过提供带薪休假以支持从业者自我关怀、拓展心理健康服务体系以及提升从业者韧性水平，推进从业人员健康促进工作。