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正念:评估一项减轻压力和职业倦怠的试点干预措施的可行性。

Mindfulness: Assessing the Feasibility of a Pilot Intervention to Reduce Stress and Burnout.

作者信息

Montanari Kate M, Bowe Cassandra L, Chesak Sherry S, Cutshall Susanne M

机构信息

Mayo Clinic.

出版信息

J Holist Nurs. 2019 Jun;37(2):175-188. doi: 10.1177/0898010118793465. Epub 2018 Aug 28.

Abstract

PURPOSE

To examine the feasibility of a brief mindfulness intervention and to reduce nurse stress and burnout in an inpatient medical unit.

DESIGN

Single-arm, pre/post test study design.

METHOD

Perceived Stress Scale (PSS), Maslach Burnout Inventory (MBI), and pre/post demographic questionnaires given at pre-intervention (baseline) and 6 weeks post-intervention. Intervention effectiveness was compared between the pre-survey ( N = 52) and post-survey ( N = 33). Five choices were offered to inpatient staff: a guided mindfulness CD, soothing sounds machine with a breathing technique instructional, mindfulness prompts, a journal, and water/snacks during six consecutive weekends.

FINDINGS

The mean PSS score did not improve and demonstrated a slight increase during the six-weekend intervention. However, mean MBI scores for the subscales of emotional exhaustion and depersonalization did demonstrate improvement as evident by decreased scores. Additionally, the mean MBI score for the subscale of personal accomplishment also improved with increased scores. Qualitative themes were positive and included relaxation, nourishment, and refocus. Majority of participants (75%) perceived the intervention as being effective or very effective in reducing stress at work. Respondents were "interested" or "very interested" in continuing a similar intervention in the future (84.9%).

CONCLUSION

The improvement in scores for the MBI measures were a positive finding. The intervention was low cost, individualized, and accessible. The feasibility and perceptions of the intervention's effectiveness has positive implications for the well-being of nurses.

摘要

目的

探讨简短正念干预的可行性,并减轻住院内科病房护士的压力和职业倦怠。

设计

单臂前后测试研究设计。

方法

在干预前(基线)和干预后6周发放感知压力量表(PSS)、马氏职业倦怠量表(MBI)以及前后人口统计学调查问卷。比较预调查(N = 52)和后调查(N = 33)之间的干预效果。为住院部工作人员提供了五种选择:一张引导式正念CD、一台带有呼吸技巧指导的舒缓音效机、正念提示、一本日记以及在连续六个周末期间提供水/零食。

结果

在为期六周的周末干预期间,PSS平均得分没有提高,反而略有上升。然而,情感耗竭和去个性化子量表的MBI平均得分确实有所改善,得分下降即为明证。此外,个人成就感子量表的MBI平均得分也随着分数的增加而提高。定性主题是积极的,包括放松、滋养和重新聚焦。大多数参与者(75%)认为该干预在减轻工作压力方面有效或非常有效。受访者对未来继续进行类似干预“感兴趣”或“非常感兴趣”(84.9%)。

结论

MBI测量得分的提高是一个积极的发现。该干预成本低、个性化且易于实施。干预的可行性及其有效性认知对护士的幸福感具有积极意义。

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