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为期两天的接纳与承诺疗法(ACT)工作坊提高了医护人员的专注度和工作效能。

A Two-Day Acceptance and Commitment Therapy (ACT) Workshop Increases Presence and Work Functioning in Healthcare Workers.

作者信息

Gaupp Rainer, Walter Marc, Bader Klaus, Benoy Charles, Lang Undine E

机构信息

University Psychiatric Clinics (UPK) Basel, Basel, Switzerland.

University of Basel, Basel, Switzerland.

出版信息

Front Psychiatry. 2020 Oct 5;11:861. doi: 10.3389/fpsyt.2020.00861. eCollection 2020.

Abstract

BACKGROUND

In this controlled naturalistic study performed in healthcare workers we examined the effect of a two-day acceptance commitment therapy (ACT) workshop on work presence and productivity, i.e. the influence the workshop had on treatment efficacy in a routine hospital care setting.

AIM

To examine the influence of ACT on productivity and presence in healthcare workers.

METHOD

Study participants were all healthcare workers (nurses, medical doctors, physiotherapists, social workers, and art therapists) of four inpatient wards for depression. Half of the healthcare workers attended the workshop. Measures were evaluated 3 months after the intervention in the study participants and the patients treated by them in the same time period.

RESULTS

A significantly higher treatment efficacy [as measured with HoNOS (Health of the nation outcome scales) change in the patients treated by the participants] has been observed in the healthcare workers who attended the ACT workshop when compared to the control group who did not attend the workshop. Moreover, the work presence of the participants of the ACT workshop was increased when compared with the time period before the intervention and with the presence of the control group. A cost analysis showed that ACT workshops lead to a significant return of investment for the employer as the costs for the workshop were ten times compensated by the increase of work presence in participants of the workshop.

CONCLUSION

These findings provide support that ACT interventions motivate healthcare workers to work and increase their patients' treatment quality. To our knowledge this is the first study showing an ACT workshop in healthcare workers can influence HoNOS outcome in the treated patients.

摘要

背景

在这项针对医护人员开展的对照自然主义研究中,我们考察了为期两天的接受与承诺疗法(ACT)工作坊对工作投入和生产力的影响,即该工作坊对常规医院护理环境中治疗效果的影响。

目的

考察接受与承诺疗法对医护人员生产力和工作投入的影响。

方法

研究参与者为四个抑郁症住院病房的所有医护人员(护士、医生、物理治疗师、社会工作者和艺术治疗师)。一半的医护人员参加了工作坊。在干预3个月后,对研究参与者及其同期治疗的患者进行测量评估。

结果

与未参加工作坊的对照组相比,参加接受与承诺疗法工作坊的医护人员所治疗患者的治疗效果显著更高[以国民健康结果量表(HoNOS)变化衡量]。此外,与干预前相比以及与对照组的工作投入相比,接受与承诺疗法工作坊参与者的工作投入有所增加。成本分析表明,接受与承诺疗法工作坊为雇主带来了显著的投资回报,因为工作坊的成本通过工作坊参与者工作投入的增加得到了十倍的补偿。

结论

这些发现支持了接受与承诺疗法干预能激励医护人员工作并提高其患者治疗质量的观点。据我们所知,这是第一项表明针对医护人员的接受与承诺疗法工作坊可影响所治疗患者的国民健康结果量表结果的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9edd/7571517/28f67afb6b54/fpsyt-11-00861-g001.jpg

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