Iranian South Medical Journal
مجله طب جنوب
Iran South Med J
Medical Sciences
http://ismj.bpums.ac.ir
57
journal57
1735-4374
1735-6954
10.61882/ismj
fa
jalali
1405
7
1
gregorian
2026
10
1
29
5
online
1
fulltext
other
خستگی از شفقت در پرستاران همودیالیز: مرور نظام‌مند بر سطح، عوامل خطر و عوامل محافظت‌کننده
Compassion Fatigue in Hemodialysis Nurs-es: A Systematic Review of Level, Risk Factors, and Protective Factors
پرستاری
Nursing
مرور سیستماتیک و فراتحلیل
Review Systematic and Meta Analysis
<div style="text-align: justify;"><span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:10.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#1f4e79">زمینه:</span></span></span></b> <span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">خستگی از شفقت یکی از چالش‌های روان‌شناختی مهم در پرستاران شاغل در بخش‌های مراقبت از بیماران مزمن است. این مرور سیستماتیک با هدف تحلیل و تجمیع شواهد علمی مرتبط با سطح، عوامل خطر و عوامل محافظت‌کننده خستگی از شفقت در پرستاران شاغل در بخش همودیالیز انجام شد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:10.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#1f4e79">مواد و روش‌ها:</span></span></span></b> <span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#0d0d0d">جستجوی نظام‌مند در پایگاه‌های </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#0d0d0d">PubMed</span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#0d0d0d">، </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#0d0d0d">Scopus</span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#0d0d0d">، </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#0d0d0d">Web of Science</span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#0d0d0d">، </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#0d0d0d">Embase</span></span></span><span style="font-size:10.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#0d0d0d"> و </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#0d0d0d">Google Scholar</span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#0d0d0d"> تا دسامبر </span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#0d0d0d">۲۰۲۵</span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#0d0d0d"> انجام شد. مطالعات مقطعی انگلیسی‌زبان که به بررسی خستگی از شفقت در پرستاران همودیالیز پرداخته بودند، وارد مرور شدند. کیفیت مطالعات با چک‌لیست </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#0d0d0d">JBI</span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#0d0d0d"> ارزیابی گردید. داده‌ها توسط دو پژوهشگر مستقل استخراج شد.</span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:10.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#1f4e79">یافته‌ها:</span></span></span></b> <span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">از </span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">۳۵۱</span></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt"> رکورد اولیه، </span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">۶</span></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt"> مطالعه با حجم نمونه کلی </span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">۲۹۵۷</span></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt"> پرستار همودیالیز وارد مرور شدند. مطالعات در کشورهای چین، ترکیه، یونان و کره جنوبی انجام شده بودند. سطح خستگی از شفقت در سطوح متوسط تا بالا گزارش شد. مهم‌ترین عوامل خطر عبارت بودند از: کار در بخش دیالیز، حمایت اجتماعی ناکافی، رضایت شغلی پایین، تاب‌آوری کم، حجم کاری بالا و سن پایین. عوامل محافظت‌کننده شامل خودشفقتی، تاب‌آوری بالا، حمایت اجتماعی کافی، رضایت شغلی و درگیری شغلی بودند. کیفیت مطالعات در محدوده متوسط تا بالا (</span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">۵</span></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt"> تا </span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">۸</span></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt"> از </span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">۸) </span></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">با میانگین ۷</span></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">/۴۲ ارزیابی شد.</span></span></span></span></span></span></span></span><br>
<b><span dir="RTL" lang="FA" style="font-size:10.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#1f4e79"><span style="letter-spacing:-.1pt">نتیجه‌گیری:</span></span></span></span></b> <span dir="RTL" lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">خستگی از شفقت در پرستاران همودیالیز میزان قابل توجهی دارد و تحت تأثیر عوامل فردی، بین‌فردی و سازمانی قرار می‌گیرد. طراحی مداخلات جامع با هدف ارتقای تاب‌آوری، خودشفقتی و حمایت اجتماعی برای کاهش این پدیده ضروری است</span></span></span></span></div>
<div style="text-align: justify;"><span style="font-size:12pt"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#002060"><span style="letter-spacing:.1pt">Background:</span></span></span></span></b> <span style="font-size:8.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#404040"><span style="letter-spacing:-.1pt">Compassion fatigue represents a significant psychological challenge among nurses providing care to patients with chronic conditions. This systematic review aimed to analyze and synthesize evidence on the prevalence, risk factors, and protective factors associated with compassion fatigue among nurses working in hemodialysis units.</span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#002060">Materials and Methods:</span></span></span></b> <span style="font-size:8.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#404040">A systematic search was conducted in PubMed, Scopus, Web of Science, Embase, and Google Scholar up to December 2025. English-language cross sectional studies that examined compassion fatigue in hemodialysis nurses were included. Study quality was assessed using the JBI critical appraisal checklist. Data were independently extracted by two reviewers.</span></span></span></span></span><br>
<span style="font-size:12pt"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#002060"><span style="letter-spacing:-.1pt">Results:</span></span></span></span></b> <span style="font-size:8.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#404040">Of the 351 initial records, six studies with a total sample of 2,957 hemodialysis nurses were included. These studies were conducted in China, Turkey, Greece, and South Korea. The level of compassion fatigue ranged from moderate to high across the included studies. Major risk factors included working in dialysis units, inadequate social support, low job satisfaction, diminished resilience, high workload, and younger age. Protective factors included self‑compassion, high resilience, adequate social support, job satisfaction, and work engagement. Study quality ranged from moderate to high (5 to 8 out of 8), with a mean score of 7.42.</span></span></span></span></span><br>
<span style="font-size:12pt"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#002060">Conclusion:</span></span></span></b> <span style="font-size:8.0pt"><span style="font-family:"IRANSans",sans-serif"><span style="color:#404040">Compassion fatigue is a significant concern among hemodialysis nurses and is influenced by individual, interpersonal, and organizational factors. The development of comprehensive interventions designed to enhance resilience, self compassion, and social support is essential to mitigate this phenomenon.</span></span></span></span></span></div>
خستگی از شفقت, پرستاران همودیالیز, عوامل خطر, عوامل محافظت‌کننده, مرور سیستماتیک
Compassion Fatigue, Nurses, Renal Dialysis, Risk Factors, Systematic Review
319
336
http://ismj.bpums.ac.ir/browse.php?a_code=A-10-1115-107&slc_lang=other&sid=1
Yeganeh
Salehi
یگانه
صالحی
5700319475328460021488
5700319475328460021488
No
Department of Emergency Nursing, School of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sab-zevar, Iran
گروه پرستاری اورژانس، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران
Fatemeh
Sameh
فاطمه
سمعه
5700319475328460021489
5700319475328460021489
No
Student research committee, Sabzevar University of Medical Sciences, Sabzevar, Iran
کمیته تحقیقات دانشجویی، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران
Mahnaz
Bahrami
مهناز
بهرامی
bahramim@bums.ac.ir
5700319475328460021490
5700319475328460021490
Yes
School of Nursing and Midwifery, Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran
گروه پرستاری اورژانس، مرکز تحقیقات بیماری‌های قلب و عروق، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی بیرجند، بیرجند، ایران