目的 探讨重症监护室（intensive care unit,ICU）护士共情疲劳的潜在类别及其与医学叙事能力的关系。方法 2022年11月至2023年1月，采用便利抽样法选取安徽省16所二级及以上医院的445名ICU护士为研究对象，采用一般资料调查表、中文版共情疲劳简短量表（the chinese version of compassion fatigue short scale,C-CFS）、医学叙事能力量表（narrative competence scale,NCS）对其进行调查。采用Mplus 8.3进行潜在剖面分析，并通过混合回归模型分析不同共情疲劳潜在类别对ICU护士医学叙事能力的影响。结果 ICU护士共情疲劳可分为低共情疲劳组[149（33.48%）]、中共情疲劳组[184（41.35%）]、高共情疲劳组[112（25.17%）]3个潜在类别，其学历、医院等级方面的差异均有统计学意义（均P＜0.05）。3个潜在类别医学叙事能力比较，差异有统计学意义（χ²=124.385，P＜0.001）。结论 ICU护士共情疲劳可分为3个类别，不同共情疲劳类别ICU护士医学叙事能力存在差异。建议护理管理者基于ICU护士共情疲劳的分类特点，制订个性化的干预策略，以提高其医学叙事能力。

Objective To investigate the potential categories of empathy fatigue and their relationship with narrative competence in intensive care unit (ICU).Methods A total of 445 ICU nurses from 16 secondary level and above hospitals in Anhui Province were selected and surveyed using a general information questionnaire,the Chinese version of Compassion Fatigue Short Scale (C-CFS) andthe Narrative Competence Scale(NCS).Mplus 8.3 was used to conduct potential profile analysis and mixed regression models were used to analyse the effects of different potential categories of empathy fatigue on the medical narrative competence of ICU nurses.Results The empathy fatigue of ICU nurses could be divided into 3 potential categories:low empathy fatigue group (33.48%),empathy fatigue group (41.35%),and high empathy fatigue group (25.17%),and the differences between them in terms of literacy level and hospital grade were statistically significant (all P＜0.05).The comparison of narrative competence among the 3 potential categories was statistically significant (χ²=124.385,P＜0.001).Conclusions ICU nurses’ empathy fatigue can be classified into 3 categories,and there are differences in ICU nurses’ medical narrative competence in different empathy fatigue categories.It is recommended to develop individualised intervention strategies based on the categorical characteristics of empathy fatigue in ICU nurses to improve ICU nurses’ narrative competence.

R47

安徽省教育厅科学研究项目资助（2022AH051265）