Baker Christine, Huxley Peter, Dennis Michael, Islam Saiful, Russell Ian
Swansea University Medical School, Swansea, UK.
Centre for Mental Health and Society, Bangor University, Bangor, Gwynedd, UK.
BMC Psychiatry. 2015 Dec 21;15:317. doi: 10.1186/s12888-015-0703-7.
There has been continuing change in the nature of care homes in the UK with 80 % of residents now living with some form of dementia or memory problem. Caring in this environment can be complex, challenging and stressful for staff; this can affect the quality of care provided to residents, lead to staff strain and burnout, and increase sickness, absence and turnover rates. It is therefore important to find interventions to increase the wellbeing of staff that will not only benefit staff themselves but also residents and care providers. Mindfulness training is known to be effective in treating a variety of physical and mental health conditions.
The study uses mixed methods centred on a stepped-wedge cluster randomised trial. Thirty care homes in Wales are implementing a brief web-based mindfulness training course, starting in random sequence. Four to ten consenting staff from each facility undertake the course and complete validated questionnaires at baseline and after eight and 20 weeks. We shall also interview a stratified sample of ten trained staff and analyse the transcripts thematically. The primary outcome is stress; secondary outcomes include job satisfaction, attitudes towards residents and sickness absence rates.
With increasing numbers of people living with dementia in care homes and causing stress in their carers, it is important to evaluate support strategies for staff. Mindfulness-based therapies may be of potential benefit and need detailed examination.
ISRCTN registry. ISRCTN80487202. Registered 24 July 2013.
英国养老院的性质一直在持续变化，目前80%的居民患有某种形式的痴呆症或记忆问题。在这种环境下进行护理对工作人员来说可能很复杂、具有挑战性且压力很大；这会影响为居民提供的护理质量，导致工作人员紧张和倦怠，并增加疾病、缺勤和离职率。因此，找到能提高工作人员幸福感的干预措施很重要，这不仅会使工作人员自身受益，也会使居民和护理提供者受益。正念训练已知对治疗各种身心健康状况有效。
该研究采用以阶梯式楔形整群随机试验为中心的混合方法。威尔士的30家养老院正在按随机顺序开展一个简短的基于网络的正念训练课程。每个机构中四到十名同意参加的工作人员参加该课程，并在基线、8周和20周后完成经过验证的问卷调查。我们还将对十名经过培训的工作人员进行分层抽样访谈，并对访谈记录进行主题分析。主要结果是压力；次要结果包括工作满意度、对居民的态度和缺勤率。
随着养老院中患有痴呆症的人数增加并给护理人员带来压力，评估针对工作人员的支持策略很重要。基于正念的疗法可能有潜在益处，需要详细研究。
ISRCTN注册库。ISRCTN80487202。2013年7月24日注册。
