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在重症监护病房的医护人员中应用正念训练项目:对职业倦怠、同理心和自我同情的影响。

Application of a mindfulness program among healthcare professionals in an intensive care unit: Effect on burnout, empathy and self-compassion.

作者信息

Gracia Gozalo R M, Ferrer Tarrés J M, Ayora Ayora A, Alonso Herrero M, Amutio Kareaga A, Ferrer Roca R

机构信息

Servicio de Medicina Intensiva, Hospital Universitari Vall d'Hebron, Barcelona, España; Grupo de Investigación de Shock, Disfunción Orgánica y Resucitación (SODIR-VHIR), Hospital Universitari Vall d'Hebron, Barcelona, España.

Dirección de Calidad, Docencia e Investigación, Fundació Sanitària de Mollet, Mollet del Vallès, Barcelona, España.

出版信息

Med Intensiva (Engl Ed). 2019 May;43(4):207-216. doi: 10.1016/j.medin.2018.02.005. Epub 2018 Mar 12.

Abstract

OBJECTIVE

To evaluate the effect of a mindfulness training program on the levels of burnout, mindfulness, empathy and self-compassion among healthcare professionals in an Intensive Care Unit of a tertiary hospital.

DESIGN

A longitudinal study with an intrasubject pre-post intervention design was carried out.

SETTING

Intensive Care Unit of a tertiary hospital.

PARTICIPANTS

A total of 32 subjects (physicians, nurses and nursing assistants) participated in the study.

INTERVENTION

A clinical session/workshop was held on the practice of mindfulness and its usefulness. The possibility of following an 8-week training program with specifically designed short guided practices supported by a virtual community based on a WhatsApp group was offered. A weekly proposal in audio and text format and daily reminders with stimulating messages of practice were sent.

MAIN MEASUREMENTS

Various psychometric measures were self-reported: burnout (MBI), mindfulness (FFMQ), empathy (Jefferson) and self-compassion (SCS), before and after the training program. Demographic and workplace variables were also compiled.

RESULTS

Among the factors affecting burnout, the level of emotional exhaustion decreased (-3.78 points; P=.012), mindfulness levels measured by the FFMQ were not globally modified, though "observation" and "non-reacting" factors increased. Empathy was not modified, and self-compassion levels increased (3.7 points; P=.001). Satisfaction and program adherence levels were very high.

CONCLUSIONS

In the population described, this program showed a decrease in emotional exhaustion and an increase in self-compassion -these being factors that can produce well-being and exert a positive impact upon burnout in this vulnerable group.

摘要

目的

评估正念训练计划对一家三级医院重症监护病房医护人员职业倦怠、正念、同理心和自我同情水平的影响。

设计

采用受试者内干预前后设计的纵向研究。

地点

一家三级医院的重症监护病房。

参与者

共有32名受试者(医生、护士和护理助理)参与了该研究。

干预措施

举办了一次关于正念练习及其效用的临床课程/研讨会。提供了参加一个为期8周训练计划的机会,该计划有专门设计的简短引导练习,并由一个基于WhatsApp群组的虚拟社区提供支持。每周以音频和文本形式发送建议,并每天发送带有激励练习信息的提醒。

主要测量指标

在训练计划前后,通过自我报告各种心理测量指标:职业倦怠(MBI)、正念(FFMQ)、同理心(杰斐逊量表)和自我同情(SCS)。还收集了人口统计学和工作场所变量。

结果

在影响职业倦怠的因素中,情感耗竭水平下降(-3.78分;P=0.012),FFMQ测量的正念水平总体上没有改变,不过“观察”和 “不反应” 因素有所增加。同理心没有改变,自我同情水平有所提高(3.7分;P=0.001)。满意度和计划依从性水平非常高。

结论

在所描述的人群中,该计划显示情感耗竭减少,自我同情增加 —— 这些因素可以带来幸福感,并对这个弱势群体的职业倦怠产生积极影响。

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