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医护人员和医学教育中的正念。

Mindfulness in healthcare professionals and medical education.

机构信息

Medical University of Białystok, Białystok, Poland (Department of Psychiatry).

Medical University of Białystok, Białystok, Poland (Students' Scientific Section at the Department of Medical Simulations).

出版信息

Int J Occup Med Environ Health. 2021 Jan 7;34(1):1-14. doi: 10.13075/ijomeh.1896.01542. Epub 2020 Nov 12.

Abstract

Healthcare professionals are exposed not only to the ubiquitous stress, but also to the culture of perfectionism. Therefore, they need tools to achieve a balance between work and rest in order to effectively help their patients. The study objective is a review of the literature on the implementation of mindfulness in healthcare professionals and medical students. The authors searched the literature in PubMed and Google Scholar databases for publications about "mindfulness" in "healthcare professionals" and "medical students." The search included manuscripts published to July 31, 2019. Mindfulness is a process of intentional paying attention to experiencing the present moment with curiosity, openness and acceptance of each experience without judgment. Mindfulness training leads to a better mood perception, lower stress perception, and responding to stimuli more effectively. All these features can have a potentially positive effect on healthcare service. The paper describes methods of intervention as well as their effects, which may be useful both in maintaining the well-being of healthcare professionals and in patient care. Mindfulness meditation has a beneficial effect on stress, depression, burnout, well-being and empathy among doctors, nurses and other healthcare workers. However, the method has a number of limitations, including a small number of participants, a high dropout rate in the intervention group and, above all, ceasing to practice mindfulness in the longer term after the course termination. Mindfulness can be widely implemented by healthcare professionals, thus improving their well-being and the quality of care they provide. Further standard scientific research is needed to confirm this impact. Int J Occup Med Environ Health. 2021;34(1):1-14.

摘要

医护人员不仅面临普遍存在的压力,还面临着完美主义文化的影响。因此,他们需要一些工具来实现工作与休息的平衡,以便有效地帮助他们的患者。本研究旨在对医护人员和医学生实施正念的文献进行综述。作者在 PubMed 和 Google Scholar 数据库中搜索了关于“医护人员中的正念”和“医学生中的正念”的文献。搜索包括截至 2019 年 7 月 31 日发表的手稿。正念是一种有意注意的过程,用好奇心、开放性和对每一种体验的接受来体验当下,而不进行评判。正念训练可以提高情绪感知能力、降低压力感知能力,并更有效地对刺激做出反应。所有这些特征都可能对医疗服务产生潜在的积极影响。本文描述了干预方法及其效果,这些方法对于维持医护人员的幸福感和患者护理都可能是有用的。正念冥想对医生、护士和其他医护人员的压力、抑郁、倦怠、幸福感和同理心都有有益的影响。然而,该方法存在一些局限性,包括参与者人数较少、干预组的辍学率较高,尤其是在课程结束后长期停止练习正念。正念可以由医护人员广泛实施,从而提高他们的幸福感和提供的护理质量。需要进一步进行标准的科学研究来证实这一影响。国际职业医学与环境卫生杂志。2021;34(1):1-14.

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