Hevezi Julie A
University of California San Diego Health System
J Holist Nurs. 2016 Dec;34(4):343-350. doi: 10.1177/0898010115615981. Epub 2015 Nov 23.
This pilot study evaluated whether short (less than 10 minutes) structured meditations decrease compassion fatigue and improve compassion satisfaction in oncology nurses.
A nonrandomized, pre-post intervention study.
Participants used specific meditations designed to establish a sense of calm, relaxation, and self-compassion 5 days a week for 4 weeks. Meditations were provided on an audio-CD after brief individual instruction. The Professional Quality of Life Survey, Version 5, was administered pre and post intervention along with supplementary questions.
Fifteen nurses participated in the study over a 6-month period in 2014. Paired t test revealed that the intervention demonstrated a statistically significant increase in Compassion Satisfaction scores (mean difference = -2.66, 95% confidence interval [CI] = [-4.98, -0.36], t[14] = -2.48, p = .027, d = 0.63) and decreases in Burnout (mean difference = 4.13, 95% CI = [1.66, 6.60], t[14] = 3.581, p = .003, d = 0.92) and Secondary Trauma (mean difference = 3.00, 95% CI = [0.40, 5.96], t[14] = 2.174, p = .047, d = 0.56) scores. All participants reported increased feelings of relaxation and well-being on supplemental questions.
Even in this small sample, the practice of short breathing and meditation exercises was effective in improving nurse outcomes. A larger study is warranted including tracking sustained effects relative to maintaining a meditation practice.
本初步研究评估了短时间(少于10分钟)的结构化冥想是否能减轻肿瘤护理护士的同情疲劳并提高同情满意度。
一项非随机的干预前后对照研究。
参与者每周5天、持续4周使用特定的冥想方法,以建立平静、放松和自我同情的感觉。在简短的个人指导后,通过音频CD提供冥想内容。在干预前后进行了第5版《职业生活质量调查》以及补充问题的调查。
2014年,15名护士在6个月的时间里参与了该研究。配对t检验显示,干预后同情满意度得分有统计学意义的显著增加(平均差异=-2.66,95%置信区间[CI]=[-4.98,-0.36],t[14]=-2.48,p=.027,d=0.63),倦怠得分(平均差异=4.13,95%CI=[1.66,6.60],t[14]=3.581,p=.003,d=0.92)和继发性创伤得分(平均差异=3.00,95%CI=[0.40,5.96],t[14]=2.174,p=.047,d=0.56)降低。所有参与者在补充问题中均报告放松感和幸福感增强。
即使在这个小样本中,短时间的呼吸和冥想练习也能有效改善护士的相关结果。有必要进行更大规模的研究,包括追踪与维持冥想练习相关的持续效果。