Kemper Kathi J, Rao Nisha, Gascon Gregg, Mahan John D
1 The Ohio State University, Columbus, OH, USA.
2 Nationwide Children's Hospital, Columbus, OH, USA.
J Evid Based Complementary Altern Med. 2017 Oct;22(4):696-702. doi: 10.1177/2156587217701857. Epub 2017 Apr 13.
There is a high rate of burnout among health professionals, driving diverse attempts to promote resilience and well-being to counter this trend. The purpose of this project was to assess the dose-response relationship between the number of hours of online mind-body skills training for health professionals and relevant outcomes a year later.
Among 1438 registrants for online training (including up to 12 hours of training on mind-body practices) between December 2013 and November 2015, we analyzed responses from the first 10% who responded to an anonymous online survey between December 1, 2015 and February 1, 2016. Questions included the type and frequency of mind-body practice in the past 30 days and whether the online training had any impact on personal life or professional practice. Standardized measures were used to assess stress, mindfulness, confidence in providing compassionate care, and burnout.
The 149 respondents represented a variety of ages and health professions; 55% completed one or more mind-body training modules an average of 14 months previously. Most (78%) engaged in one or more mind-body practices in the 30 days before the survey; 79% reported changes in self-care and 71% reported changes in the care of others as a result of participating. Increasing number of hours of training were significantly associated with practicing mind-body skills more frequently; increasing practice frequency was associated with less stress and burnout, which were associated with missing less work. Greater practice frequency was also associated with improvements in stress, mindfulness, and resilience, which were associated with increased confidence in providing compassionate care.
Online training in mind-body therapies is associated with changes in self-reported behavior one year later; increasing doses of training are associated with more frequent practice which is associated with less stress, burnout, and missing work, and higher levels of mindfulness, resilience, and confidence in providing compassionate care. Additional studies are needed to compare mind-body skills training with other interventions designed to improve resilience and compassion while decreasing burnout in health professionals.
医疗专业人员职业倦怠率很高，促使人们采取各种措施来提升恢复力和幸福感，以应对这一趋势。本项目旨在评估医疗专业人员在线身心技能培训时长与一年后的相关结果之间的剂量反应关系。
在2013年12月至2015年11月期间报名参加在线培训（包括长达12小时的身心练习培训）的1438名人员中，我们分析了2015年12月1日至2016年2月1日期间最早回复匿名在线调查的前10%人员的回复。问题包括过去30天内身心练习的类型和频率，以及在线培训是否对个人生活或专业实践产生了任何影响。使用标准化测量方法来评估压力、正念、提供关怀护理的信心和职业倦怠。
149名受访者代表了不同年龄和医疗专业；55%的人平均在14个月前完成了一个或多个身心培训模块。大多数人（78%）在调查前30天内进行了一项或多项身心练习；79%的人报告说由于参与培训，自我护理有了变化，71%的人报告说在照顾他人方面有了变化。培训时长的增加与更频繁地进行身心技能练习显著相关；练习频率的增加与压力和职业倦怠的减轻相关，而压力和职业倦怠的减轻又与缺勤减少相关。更高的练习频率还与压力、正念和恢复力的改善相关，而这些又与提供关怀护理的信心增加相关。
一年后，在线身心疗法培训与自我报告行为的变化有关；培训剂量的增加与更频繁的练习相关，而更频繁的练习又与更少的压力、职业倦怠和缺勤，以及更高水平的正念、恢复力和提供关怀护理的信心相关。需要进一步的研究来比较身心技能培训与其他旨在提高恢复力和同情心、同时减少医疗专业人员职业倦怠的干预措施。
