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基于正念的干预对本科药学专业学生压力和痛苦的影响:一项混合方法研究的定量结果。

Impact of a mindfulness-based intervention on undergraduate pharmacy students' stress and distress: Quantitative results of a mixed-methods study.

作者信息

O'Driscoll Michelle, Sahm Laura J, Byrne Helen, Lambert Sharon, Byrne Stephen

机构信息

Pharmaceutical Care Research Group, School of Pharmacy, University College Cork, Ireland.

Pharmaceutical Care Research Group, School of Pharmacy, University College Cork, Ireland; Pharmacy Department, Mercy University Hospital, Cork, Ireland.

出版信息

Curr Pharm Teach Learn. 2019 Sep;11(9):876-887. doi: 10.1016/j.cptl.2019.05.014. Epub 2019 May 31.

DOI:10.1016/j.cptl.2019.05.014
PMID:31570124
Abstract

INTRODUCTION

Stress negatively impacts upon physical and mental health. Pharmacy students demonstrate higher stress than the general population. Mindfulness may improve pharmacy students' stress and distress levels. The purpose of this study was to assess the quantitative effects of a mindfulness-based intervention on pharmacy student stress, distress, burnout, and mindfulness levels.

METHODS

A quasi-randomised controlled trial was conducted at an Irish pharmacy school during the 2016 to 2017 academic year. The intervention group completed a four-week mindfulness course. The waitlist control group received only usual education. Participants completed a demographics form, the Perceived Stress Scale, the General Health Questionnaire, the Maslach Burnout Inventory Student Survey, and the Five Facet Mindfulness Questionnaire at baseline and immediately post-intervention.

RESULTS

Full data were gathered and analysed for 99 students (51 intervention, 48 control, 66.7% female). There were no significant differences between the intervention and control groups at baseline. Post-intervention, a large effect on mental distress was found (Partial Eta Squared 0.137) with the intervention group reporting statistically significantly lower distress than the control group (F (1,98) = 15.3, p < 0.005). Stress and distress were significantly improved for females (p = 0.026, p < 0.005), while males improved in the observing facet of mindfulness (p = 0.038). There was a positive association between attendance and these findings (r2 = 0.191, p < 0.005).

CONCLUSION

Female pharmacy students experienced improvements in mental distress and stress after participation in the intervention. Mindfulness may have a future role to play in pharmacy and healthcare education.

摘要

引言

压力会对身心健康产生负面影响。药学专业学生的压力高于普通人群。正念可能会改善药学专业学生的压力和痛苦程度。本研究的目的是评估基于正念的干预措施对药学专业学生压力、痛苦、倦怠和正念水平的量化影响。

方法

在2016至2017学年于一所爱尔兰药学院进行了一项准随机对照试验。干预组完成了为期四周的正念课程。等待名单对照组仅接受常规教育。参与者在基线和干预后立即填写了一份人口统计学表格、感知压力量表、一般健康问卷、马氏倦怠量表学生版以及五因素正念问卷。

结果

收集并分析了99名学生(51名干预组、48名对照组、66.7%为女性)的完整数据。干预组和对照组在基线时无显著差异。干预后,发现对心理痛苦有较大影响(偏 eta 平方 0.137),干预组报告的痛苦程度在统计学上显著低于对照组(F(1,98) = 15.3,p < 0.005)。女性的压力和痛苦得到显著改善(p = 0.026,p < 0.005),而男性在正念的观察方面有所改善(p = 0.038)。出勤率与这些结果之间存在正相关(r2 = 0.191,p < 0.005)。

结论

参与干预后,女性药学专业学生的心理痛苦和压力得到改善。正念可能在药学和医疗保健教育中发挥未来作用。

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