Secondary Traumatic Stress in Care Workers and Case Managers Working in Welfare Facilities.

在福利机构和中介机构工作的社会工作者、护理工作者和个案经理在履行职责时面临着广泛的压力。具体地说，当他们关心和支持有严重创伤经历的受助者时，护理人员、个案经理和社会工作者本身也有可能面临自己的创伤。受助者的特殊性，或者说与受助者建立同情和关系，越来越意味着将他们置于延伸到倦怠的过程中。两个福利机构的受助者和社会工作者参加了Figley等人编制的关于同情疲劳、倦怠和同情满足感的自评量表上的项目。结果表明，同情疲劳比倦怠标准更早地显示出高的数值，此外，在这些结果的基础上，对…的一些观点进行了探讨对职业倦怠和同情疲劳有更多的预防作用。1.关于试卷强制执行后的通信。(1)关于强制执行试卷的考虑。(2)机构或设施管理人员的问卷使用情况。(3)机构、中介、机构工作人员的自我意识。2.同情疲劳的治疗和措施。(1)对帮助者或工人家庭的创伤应激障碍的支持。“防止第三次创伤应激”。(2)对帮手或工人的“家庭倦怠”的防御。(3)构建工作与生活的关系。(1)同情疲劳，在与用户和客户的关系中可能发生的倦怠。(2)作为压力反应的上瘾行为或帮助者的行为。(3)支援助理员和社工的策略。(4)帮手的伤口处理。改进支护方法或技术的必要性。(5)解离的治疗和措施。把工作和私人生活割裂开来。故意分离。较少

Social workers, care workers and case managers working in welfare facilities and agents have a wide range of stresses in performing their duty. Specifically, when they concern and support the clients who had severe traumatic experiences, there is possibility that care workers and case managers and social workers themselves have to confront their own trauma.The specialty of the helpers, or the building of sympathy and relationship with clients, increasingly means placing them in the process of extending to the situation of burnout.The helpers and social workers in two welfare facilities were attended the projects on the self check lists about the compassion fatigue, burnout and compassion satisfaction created by Figley, C. et al..As a result, compassion fatigue showed high numerical value earlier than the burnout standard, and it was suggested that this check lists were very effective as the prevention of burnout.Furthermore, on the basis of these results, and some points of view for th … More e prevention of burnout and compassion fatigue were shown as follows. 1.About correspondence after the question paper enforcement. ( 1 )Consideration on enforcing a question paper. (2)About the question paper use of institution or facility manager. (3)Self-awareness of staffs in a institution, an agent and a facility. 2. Treatments and Measures for compassion fatigue. (1) Support to traumatic stress of a family of a helper or a worker. "The prevention of Third Traumatic Stress." (2) Defense to "Family Burnout" of a helper or a worker. (3) Construction of relations work with everyday life. (1)Compassion fatigue, burnout which can happen in relationship with a user and a client. (2)An addiction action or behavior of a helper as a stress reaction. (3)Strategies for support to a helper and a social worker. (4) Treatments for wound of a helper. Necessity of improvement of support method or technology. (5) Treatments and Measures to dissociation. Cutting apart of work and the private life. Intentional dissociation. Less