摘要目的:探讨基于职业认知的共情能力训练在中重度职业倦怠护士中的应用效果。方法:采用干预前后对比的类实验性研究方法，于2018年8月—2019年1月以自愿报名的方式，招募河南省肿瘤医院58名中重度职业倦怠护士为研究对象，将58名护士分为4组，每组12～15名，分别进行6周共6次面对面的以职业认知为主的共情能力训练。训练前后采用职业倦怠量表、护士职业认同量表以及总体幸福感量表进行评估，比较培训效果。结果:训练前后护士的职业倦怠评分从（11.50±1.13）分降低至（7.87±1.87）分，总体幸福感总分从（65.52±10.84）分提高至（77.00±9.49）分，职业认同得分从（30.22±7.90）分提高至（38.03±8.59）分，差异均有统计学意义（ t值分别为12.864、-6.351、7.972； P<0.01）。 结论:基于职业认知的共情能力训练能够缓解中重度职业倦怠护士的倦怠程度，提升护士职业认同感，提高幸福指数。

abstractsObjective:To explore the effects of career cognition evaluation-based empathy ability training in nurses with moderate and severe level of job burnout.Methods:This study belonged to quasi-experimental study with comparison before and after intervention. From August 2018 to January 2019, a total of 58 nurses with moderate and severe level of job burnout volunteered as subjects in Henan Cancer Hospital.All of the 58 nurses were divided into four groups, 12 to 15 cases in each group. The face to face career cognition-based empathy ability training was carried out for 6 times within 6 weeks. The training effects were compared with the Maslach Burnout Inventory-general Survey (MBI-GS) , General Well-being Schedule (GWB) and Professional Identity Scale before and after training.Results:The score of job burnout of nurses decreased from (11.50±1.13) before training to (7.87±1.87) after training; the total score of general well-being increased from (65.52±10.84) to (77.00±9.49) ; the score of professional identity raised from (30.22±7.90) to (38.03±8.59) with statistical differences ( t=12.864, -6.351, 7.972; P<0.01) . Conclusions:Careercognition-based empathy ability training can alleviate the burnout of nurses with moderate and severe level of job burnout, improve nurses' professional identity and happiness index.