University of Virginia School of Medicine, Charlottesville, USA.
Int J Psychiatry Med. 2012;43(2):119-28. doi: 10.2190/PM.43.2.b.
Healthcare providers are under increasing stress and work-related burnout has become common. Mindfulness-based interventions have a potential role in decreasing stress and burnout. The purpose of this study was to determine if a continuing education course based on mindfulness-based stress reduction could decrease burnout and improve mental well-being among healthcare providers, from different professions.
This was a pre-post observational study conducted in a university medical center. A total of 93 healthcare providers, including physicians from multiple specialties, nurses, psychologists, and social workers who practiced in both university and community settings, participated. The intervention was a continuing education course based on mindfulness-based stress reduction that met 2.5 hours a week for 8 weeks plus a 7-hour retreat. The classes included training in four types of formal mindfulness practices, including the body scan, mindful movement, walking meditation and sitting meditation, as well as discussion focusing on the application of mindfulness at work. The course was offered 11 times over 6 years. The main outcome measures were work-related burnout as measured by the Maslach Burnout Inventory and self-perceived mental and physical well-being as measured by the SF-12v2.
Maslach Burnout Inventory scores improved significantly from before to after the course for both physicians and other healthcare providers for the Emotional Exhaustion (p < 0.03), Depersonalization (p < 0.04), and Personal Accomplishment (p < 0.001) scales. Mental well-being measured by the SF12v2 also improved significantly (p < 0.001). There were no significant changes in the SF12v2 physical health scores.
A continuing education course based on mindfulness-based stress reduction was associated with significant improvements in burnout scores and mental well-being for a broad range of healthcare providers.
医疗保健提供者面临越来越大的压力,工作相关的倦怠已变得普遍。基于正念的干预措施在减轻压力和倦怠方面具有潜在作用。本研究的目的是确定基于正念减压的继续教育课程是否可以降低不同专业的医疗保健提供者的倦怠感并改善他们的心理健康。
这是在大学医学中心进行的前后观察研究。共有 93 名医疗保健提供者参加了这项研究,包括来自多个专业的医生、护士、心理学家和社会工作者,他们在大学和社区环境中都有执业。干预措施是一项基于正念减压的继续教育课程,每周 2.5 小时,共 8 周,外加 7 小时的静修。课程包括四种正式正念练习的培训,包括身体扫描、正念运动、步行冥想和静坐冥想,以及专注于在工作中应用正念的讨论。该课程在 6 年内提供了 11 次。主要结局指标是职业倦怠,用 Maslach 倦怠量表测量;自我感知的心理和身体健康,用 SF-12v2 测量。
在课程前后,医生和其他医疗保健提供者的 Maslach 倦怠量表评分都有显著改善,在情绪衰竭(p < 0.03)、去人性化(p < 0.04)和个人成就感(p < 0.001)方面都有显著改善。SF12v2 测量的心理健康也有显著改善(p < 0.001)。SF12v2 身体健康评分没有显著变化。
基于正念减压的继续教育课程与广泛的医疗保健提供者的倦怠评分和心理健康的显著改善相关。