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心灵冥想对医护人员职业倦怠、情绪健康和端粒长度的影响。

Effect of heartfulness meditation on burnout, emotional wellness, and telomere length in health care professionals.

作者信息

Thimmapuram Jayaram, Pargament Robert, Sibliss Kedesha, Grim Rodney, Risques Rosana, Toorens Erik

机构信息

Internal Medicine Department, Wellspan York Hospital, York, PA, USA.

Research Scientist, Wellspan York Hospital, York, PA, USA.

出版信息

J Community Hosp Intern Med Perspect. 2017 Mar 31;7(1):21-27. doi: 10.1080/20009666.2016.1270806. eCollection 2017 Jan.

Abstract

: Burnout poses significant challenges during training years in residency and later in the career. Meditation is a tool to treat stress-related conditions and promote wellness. Telomere length may be affected by burnout and stress. However, the benefits of meditation have not been fully demonstrated in health care professionals. : We assessed the effects of a 12-week 'Heartfulness Meditation' program on burnout, emotional wellness, and telomere length in residents, faculty members, and nurses at a large community teaching hospital during the 2015-16 academic year. : All subjects completed a baseline Maslach Burnout Inventory (MBI) and Emotional Wellness Assessment (EWA) at the beginning of the study. Meditators received instructions in Heartfulness Meditation. At week 12, subjects completed a follow up MBI and EWA scores. Salivary telomere length was measured at baseline and week 12. : Twenty-seven out of a total 155 residents (17.4%) along with eight faculty physicians and 12 nurses participated in the study. Thirty-five enrolled as meditators and 12 as controls. At 12 weeks, the meditators had statistically significant improvement in all measures of burnout and in nearly all attributes of EWA. Controls showed no statistically significant changes in either burnout or emotional wellness scores. Relative telomere length increased with statistical significance in a younger subset of meditators. : Our results indicate that meditation offers an accessible and efficient method by which physician and nurse burnout can be ameliorated and wellness can be enhanced. The increased telomere length is an interesting finding but needs to be confirmed with further research. : EWA: Emotional wellness assessment; MBI: Maslach burnout inventory; EE: Emotional exhaustion; DP: Depersonalization; PA: Personal accomplishment; PI: Prinicipal investigator; JT: Jayaram Thimmapuram.

摘要

职业倦怠在住院医师培训期间以及职业生涯后期带来了重大挑战。冥想是一种治疗与压力相关病症并促进健康的工具。端粒长度可能会受到职业倦怠和压力的影响。然而,冥想对医疗保健专业人员的益处尚未得到充分证实。

我们评估了一项为期12周的“心灵冥想”计划对一所大型社区教学医院的住院医师、教职员工和护士的职业倦怠、情绪健康和端粒长度的影响,研究时间为2015 - 16学年。

所有受试者在研究开始时完成了一份基线马氏职业倦怠量表(MBI)和情绪健康评估(EWA)。冥想者接受了心灵冥想的指导。在第12周时,受试者完成了MBI和EWA的后续评分。在基线和第12周时测量唾液端粒长度。

在总共155名住院医师中有27名(17.4%)以及8名内科医生和12名护士参与了该研究。35人登记为冥想者,12人作为对照组。在第12周时,冥想者在所有职业倦怠指标以及几乎所有EWA属性方面都有统计学上的显著改善。对照组在职业倦怠或情绪健康评分方面均未显示出统计学上的显著变化。在较年轻的冥想者子集中,相对端粒长度有统计学意义的增加。

我们的结果表明,冥想提供了一种可及且有效的方法,通过这种方法可以改善医生和护士的职业倦怠并增强健康。端粒长度增加是一个有趣的发现,但需要进一步研究加以证实。

EWA

情绪健康评估;MBI:马氏职业倦怠量表;EE:情感耗竭;DP:去个性化;PA:个人成就感;PI:首席研究员;JT:贾亚拉姆·蒂马普拉姆

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcdb/5463663/d9299dcac834/zjch_a_1270806_f0001_b.jpg

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