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医疗保健专业人员的正念、自我同情与同理心:文献综述

Mindfulness, self-compassion, and empathy among health care professionals: a review of the literature.

作者信息

Raab Kelley

机构信息

a Department of Psychiatry , University of Ottawa, and Royal Ottawa Mental Health Center , Ottawa , Ontario , Canada.

出版信息

J Health Care Chaplain. 2014;20(3):95-108. doi: 10.1080/08854726.2014.913876.

Abstract

The relationship between mindfulness and self-compassion is explored in the health care literature, with a corollary emphasis on reducing stress in health care workers and providing compassionate patient care. Health care professionals are particularly vulnerable to stress overload and compassion fatigue due to an emotionally exhausting environment. Compassion fatigue among caregivers in turn has been associated with less effective delivery of care. Having compassion for others entails self-compassion. In Kristin Neff's research, self-compassion includes self-kindness, a sense of common humanity, and mindfulness. Both mindfulness and self-compassion involve promoting an attitude of curiosity and nonjudgment towards one's experiences. Research suggests that mindfulness interventions, particularly those with an added lovingkindness component, have the potential to increase self-compassion among health care workers. Enhancing focus on developing self-compassion using MBSR and other mindfulness interventions for health care workers holds promise for reducing perceived stress and increasing effectiveness of clinical care.

摘要

医疗保健文献探讨了正念与自我同情之间的关系,同时相应地强调减轻医护人员的压力并提供富有同情心的患者护理。由于工作环境令人情绪疲惫,医护人员特别容易受到压力过载和同情疲劳的影响。护理人员的同情疲劳反过来又与护理效果不佳有关。对他人怀有同情需要自我同情。在克里斯汀·内夫的研究中,自我同情包括自我友善、共通人性意识和正念。正念和自我同情都涉及培养对自身经历的好奇和非评判态度。研究表明,正念干预措施,尤其是那些增加了慈心禅成分的干预措施,有可能增强医护人员的自我同情。利用正念减压疗法(MBSR)和其他针对医护人员的正念干预措施,加强对培养自我同情的关注,有望减轻感知到的压力并提高临床护理效果。

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