Lusilla-Palacios Pilar, Castellano-Tejedor Carmina
Department of Psychiatry, Vall d'Hebron University Hospital, CIBERSAM, Passeig de la Vall d'Hebron 119-129, 08035 Barcelona, Spain; Vall d'Hebron Research Institute, Passeig de la Vall d'Hebron 119-129, 08035 Barcelona, Spain.
Department of Psychiatry, Vall d'Hebron University Hospital, CIBERSAM, Passeig de la Vall d'Hebron 119-129, 08035 Barcelona, Spain; Vall d'Hebron Research Institute, Passeig de la Vall d'Hebron 119-129, 08035 Barcelona, Spain; Autonomous University of Barcelona, Campus UAB, Bellaterra, 08193 Barcelona, Spain.
Rehabil Res Pract. 2015;2015:358151. doi: 10.1155/2015/358151. Epub 2015 Dec 6.
Background. An acute spinal cord injury (ASCI) is a severe condition that requires extensive and very specialized management of both physical and psychological dimensions of injured patients. Objective. The aim of the part of the study reported here was twofold: (1) to describe burnout, empathy, and satisfaction at work of these professionals and (2) to explore whether a tailored program based on motivational interviewing (MI) techniques modifies and improves such features. Methods. This paper presents findings from an intervention study into a tailored training for professionals (N = 45) working in a spinal cord injury (SCI) unit from a general hospital. Rehabilitation professionals' empathy skills were measured with the Jefferson Scale of Physician Empathy (JSPE), burnout was measured with the Maslach Burnout Inventory (MBI), and additional numeric scales were used to assess the perceived job-related stress and perceived satisfaction with job. Results. Findings suggest that professionals are performing quite well and they refer to satisfactory empathy, satisfaction at work, and no signs of burnout or significant stress both before and after the training. Conclusions. No training effect was observed in the variables considered in the study. Some possible explanations for these results and future research directions are discussed in depth in this paper. The full protocol of this study is registered in ClinicalTrials.gov (identifier: NCT01889940).
背景。急性脊髓损伤（ASCI）是一种严重的病症，需要对受伤患者的身体和心理层面进行广泛且非常专业的管理。目的。本文所报告的该部分研究目的有两个：（1）描述这些专业人员的职业倦怠、同理心和工作满意度；（2）探讨基于动机性访谈（MI）技术的定制项目是否能改变并改善这些特征。方法。本文呈现了一项针对一家综合医院脊髓损伤（SCI）科室专业人员（N = 45）的定制培训干预研究的结果。使用杰斐逊医生同理心量表（JSPE）测量康复专业人员的同理心技能，使用马氏职业倦怠量表（MBI）测量职业倦怠，并使用其他数字量表评估感知到的与工作相关的压力和工作满意度。结果。研究结果表明，专业人员表现良好，他们在培训前后均表示具有令人满意的同理心、工作满意度，且没有职业倦怠或显著压力的迹象。结论。在本研究考虑的变量中未观察到培训效果。本文深入讨论了这些结果的一些可能解释以及未来的研究方向。本研究的完整方案已在ClinicalTrials.gov上注册（标识符：NCT01889940）。
