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正念疗法对健康专业人员的影响。

Mindfulness therapies on health professionals.

机构信息

Department of Nursing, Physiotherapy and Medicine, University of Almería, Almería, Spain.

Department of Nursing, University of Huelva, Huelva, Spain.

出版信息

Int J Ment Health Nurs. 2020 Apr;29(2):127-140. doi: 10.1111/inm.12652. Epub 2019 Sep 9.

Abstract

Health professionals are exposed to situations of emotional vulnerability by being in continuous contact with patients and their suffering, which can cause conditions such as compassion fatigue. To address this issue, therapies such as mindfulness are being used to reduce stress and promote self-compassion. The objective of this research was to carry out a systematic review and meta-analysis to analyse the types of mindfulness interventions that are being used for healthcare professionals and their effectiveness in reducing stress and improving self-compassion and mindfulness. Following the PRISMA guideline, a systematic review of original studies was carried out in the following databases: Medline, Scopus, Cinhal, PsycINFO, Lilacs, and Science Direct, without a limited time frame. Controlled experimental mindfulness interventions on health professionals were selected, in which the following outcome variables were measured: stress, self-compassion, and mindfulness. A meta-analysis was performed with a random effects model. In cases of very high heterogeneity, the data were analysed by subgroup. Mindfulness-Based Stress Reduction Therapy (MBSR) was the most often used in the studies. There is diversity in the implementation of MBSR, and a common finding is a reduction of stress and increased mindfulness in health professionals. However, studies that analyse self-compassion are scarce. The effect of these therapies varies depending on how long the individual has been practising meditation. In conclusion, more studies are needed to describe the clinical usefulness of these programmes, to jointly analyse these three variables (stress, self-compassion, and mindfulness), and to measure compassion fatigue as an outcome variable.

摘要

健康专业人员通过与患者及其痛苦持续接触而面临情绪脆弱的情况,这可能导致同情疲劳等状况。为了解决这个问题,正念等疗法被用于减轻压力和促进自我同情。本研究的目的是进行系统回顾和荟萃分析,以分析用于医疗保健专业人员的正念干预类型及其在减轻压力和提高自我同情和正念方面的有效性。根据 PRISMA 指南,在以下数据库中对原始研究进行了系统回顾:Medline、Scopus、Cinhal、PsycINFO、Lilacs 和 Science Direct,没有时间限制。选择了针对健康专业人员的对照性正念干预研究,其中测量了以下结果变量:压力、自我同情和正念。采用随机效应模型进行荟萃分析。在高度异质性的情况下,通过亚组分析数据。正念减压疗法(MBSR)是研究中最常用的方法。MBSR 的实施方式多种多样,普遍发现可以减轻健康专业人员的压力并提高正念水平。然而,分析自我同情的研究很少。这些疗法的效果取决于个体进行冥想的时间长短。总之,需要更多的研究来描述这些方案的临床实用性,共同分析这三个变量(压力、自我同情和正念),并将同情疲劳作为结果变量进行测量。

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