Rinaldi A, Tecchio R, Perugino S, De Luca A
Sant'Andrea Hospital, Faculty of Medicine and Psychology, Sapienza University of Rome, Italy.
Education and training Operative Unit, Sant'Andrea Hospital - Faculty of Medicine and Psychology, Sapienza University of Rome, Italy.
Ann Ig. 2019 May-Jun;31(3):236-243. doi: 10.7416/ai.2019.2286.
An educational intervention for stress management of healthcare workers based on a mindfulness approach called Focusing in an Italian teaching hospital.
In 2017 a pilot mandatory training on stress management targeted to healthcare workers was organized in the 447 bed teaching hospital Sant'Andrea in Rome. We implemented a mindfulness intervention called Focusing. Training with an adult learning approach was adopted. A mixed model using quantitative and qualitative methods was used to evaluate the course's effects on stress reduction. Quantitative data were collected with the Perceived Stress Scale and data were analyzed at two different time points: pre-intervention and post-intervention. Qualitative data were collected via a focus group interview at the end of the course.
A total of 20 healthcare workers participated in the course and was divided in 2 groups: 7 physicians and 13 nurses. 15 (75%) were women and ages ranged from 31 to 56 (median age 46,5 years). 5 (25%) were men and ages ranged from 39 to 54 (median age 47 years). Perceived stress decreased with significant change (P=,0195) from 21,4 +/- 4,4 at baseline to 17,5 +/- 6.18 at the end of the course. The major changes the participants noted in their focus group were a greater sense of calmness, enhanced emotional self-regulation, improved coping, increased mental clarity and a sense of empowerment in dealing with the fear, anxiety, and other issues related to their work.
Our initial aim was to investigate whether the course, based on improve of self-empathy by Focusing, could help healthcare workers face the negative effects of stress. There was a significant reduction in perceived stress and qualitative results showed an improvement in reactivity to inner experience and a more attentive perception of internal and external experiences.
在意大利一家教学医院，基于一种名为“聚焦”的正念方法对医护人员进行压力管理的教育干预。
2017年，在罗马拥有447张床位的圣安德烈亚教学医院组织了一项针对医护人员的压力管理试点强制性培训。我们实施了一种名为“聚焦”的正念干预。采用成人学习方法进行培训。使用定量和定性方法的混合模型来评估该课程对减轻压力的效果。通过感知压力量表收集定量数据，并在两个不同时间点进行分析：干预前和干预后。定性数据在课程结束时通过焦点小组访谈收集。
共有20名医护人员参加了该课程，分为两组：7名医生和13名护士。15名（75%）为女性，年龄在31至56岁之间（中位年龄46.5岁）。5名（25%）为男性，年龄在39至54岁之间（中位年龄47岁）。感知压力从基线时的21.4±4.4显著下降（P = 0.0195）至课程结束时的17.5±6.18。参与者在焦点小组中提到的主要变化包括更强的平静感、增强的情绪自我调节能力、更好的应对能力、更高的思维清晰度以及在应对恐惧、焦虑和其他与工作相关问题时的掌控感。
我们最初的目标是调查基于通过“聚焦”提高自我同理心的课程是否能帮助医护人员应对压力的负面影响。感知压力显著降低，定性结果显示对内心体验的反应性有所改善，对内部和外部体验的感知更加敏锐。
