摘要目的:了解急诊科护士工作场所暴力和共情疲劳现状，并探讨两者间的关系。方法:于2019年1月，采用便利抽样法对28所二级及以上医院的急诊科护士1 024人进行调查，其中有效问卷957份，有效回收率为93.46%。调查一般人口学资料，用《专业生活质量量表》调查护士的共情疲劳情况，用《工作场所暴力量表》调查工作场所暴力情况。不同人口学特征护士共情疲劳情况用两独立样本 t检验、单因素方差分析、秩和检验分析，相关性分析采用Spearman等级相关进行分析，多因素分析采用多元线性回归分析。 结果:急诊科护士《专业生活质量量表》各维度得分为：共情满意得分（29.91±7.82）分，职业倦怠得分（26.63±5.66）分，二次创伤得分（23.17±5.94）分，共情疲劳总分（49.80±10.42）分。工作场所暴力发生率为77.6%，工作场所暴力与共情满意呈负相关（ r=-0.250， P<0.01），与职业倦怠、二次创伤、共情疲劳总分均呈正相关（ r=0.349、0.340、0.384， P<0.01）。是否仅遭受非躯体暴力在共情满意、职业倦怠、二次创伤、共情疲劳总分上差异无统计学意义。 结论:急诊科护士共情疲劳较严重，工作场所暴力发生率较高，工作场所暴力对共情疲劳有正向影响。护理管理者应积极预防工作场所暴力的发生，改善工作环境，从而减轻共情疲劳。

abstractsObjective:To investigate the workplace violence and compassion fatigue of nurses in emergency department and to explore the relationship between the two.Methods:The general information questionnaire, workplace violence scale and professional quality of life scale were used to investigate 957 emergency department nurses of 28 Level II hospitals and above.Results:The scores of each dimension of the professional quality of life scale for nurses in the emergency department were: compassion satisfaction score was 29.91±7.82, the burnout score was 26.63±5.66, and the second trauma score was 23.17±5.94. The total score of compassion fatigue is 49.80±10.42. The incidence of workplace violence was 77.6%. Workplace violence was negatively correlated with compassion satisfaction ( r=-0.250, P<0.01) , and positively correlated with burnout, secondary trauma, and total compassion fatigue ( r=0.349、0.340、0.384, P<0.01) . Whether there is only non-physical violence in the compassion satisfaction, burnout, secondary trauma, compassion fatigue total score is not statistically significant. Conclusion:Compassion fatigue is more serious in emergency department nurses, and the incidence of workplace violence is higher. Workplace violence has a positive effect on compassion fatigue. Nursing managers should actively prevent workplace violence and improve the working environment, thus reducing empathy fatigue.