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针对儿科医务社会工作者开展的基于工作场所提供的压缩式正念减压法的初步调查。

Preliminary Investigation of Workplace-Provided Compressed Mindfulness-Based Stress Reduction with Pediatric Medical Social Workers.

作者信息

Trowbridge Kelly, Mische Lawson Lisa, Andrews Stephanie, Pecora Jodi, Boyd Sabra

机构信息

Center for Professionalism and Well-Being, Children's Mercy Kansas City, Kansas City, MO, and Department of Occupational Therapy Education, University of Kansas Medical Center, Kansas City, KS. Department of Occupational Therapy Education, University of Kansas Medical Center, Kansas City, KS. Center for Professionalism and Well-Being, Children's Mercy Kansas City, Kansas City, MO. Children's Mercy Kansas City, Kansas City, MO.

出版信息

Health Soc Work. 2017 Nov 1;42(4):207-214. doi: 10.1093/hsw/hlx038.

Abstract

Mindfulness practices, including mindfulness meditation, show promise for decreasing stress among health care providers. This exploratory study investigates the feasibility of a two-day compressed mindfulness-based stress reduction (cMBSR) course provided in the hospital workplace with pediatric health care social workers. The standard course of Jon Kabat-Zinn's MBSR requires a participant commitment to eight weeks of instruction consisting of one 2.5-hour-per-week class, a single day retreat, and 45 minutes of practice for six of seven days each week. Commitments to family, work, caregiving, education, and so on, as well as limitations such as distance, may prevent health care providers from participating in a standard MBSR course. Using t tests, researchers measured the effect of cMBSR on (a) positive and negative experiences in pediatric social work, (b) perceived stress, (c) mindfulness, and (d) caring self-efficacy (as a component of patient- and family-centered care). Results included significant differences between the pre- and post-intervention outcome variables on the Professional Quality of Life Secondary Traumatic Stress subscale, the Mindful Attention and Awareness Scale, and the Caring Efficacy Scale. Findings found adequate evidence for the feasibility of cMBSR design and for a need of a more rigorous study of the effects of the cMBSR intervention.

摘要

正念练习,包括正念冥想,有望减轻医护人员的压力。这项探索性研究调查了在医院工作场所为儿科医疗保健社会工作者提供为期两天的压缩式基于正念的减压(cMBSR)课程的可行性。乔恩·卡巴金的正念减压疗法(MBSR)标准课程要求参与者参加为期八周的培训,包括每周一次2.5小时的课程、一次单日静修,以及每周七天中有六天每天进行45分钟的练习。对家庭、工作、护理、教育等的责任,以及距离等限制因素,可能会阻碍医护人员参加标准的MBSR课程。研究人员使用t检验,测量了cMBSR对以下方面的影响:(a)儿科社会工作中的积极和消极体验;(b)感知压力;(c)正念;(d)关爱自我效能感(作为以患者和家庭为中心护理的一个组成部分)。结果显示,在干预前后,专业生活质量二次创伤压力子量表、正念注意力和意识量表以及关爱效能量表的结果变量存在显著差异。研究结果发现,有充分证据表明cMBSR设计具有可行性,并且需要对cMBSR干预的效果进行更严格的研究。

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