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心率变异性与正念对医护人员日常工作生活中幸福感指标的交互作用。

The interactive effects of heart rate variability and mindfulness on indicators of well-being in healthcare professionals' daily working life.

作者信息

Schmid Regina Franziska, Thomas Joachim

机构信息

Department of Psychological Assessment and Intervention, Catholic University of Eichstätt-Ingolstadt, Eichstätt, Germany.

出版信息

Int J Psychophysiol. 2021 Jun;164:130-138. doi: 10.1016/j.ijpsycho.2021.01.012. Epub 2021 Feb 3.

Abstract

OBJECTIVE

Heart rate variability (HRV) and mindfulness have been described as correlates of self-regulation and well-being. The goal of the present study was to investigate their interactions from a within-person perspective in the context of work.

METHODS

Applying an ambulatory assessment approach, we studied 89 healthcare professionals across two to four work shifts. Self-reports of momentary job demands, mindfulness, and well-being (as indicated by emotional exhaustion, relaxation, and contentment) were provided three to four times a day via smartphone questionnaires. Electrocardiogram and activity sensors continuously recorded data from the beginning to the end of the shifts. Multilevel models based on 937 measurements were built for emotional exhaustion, relaxation, and contentment.

RESULTS

After controlling for covariates, including bodily movement, shift, and job demands, short-term HRV was marginally significantly related to decreased emotional exhaustion and significantly related to increased relaxation. State mindfulness was significantly related to decreased emotional exhaustion, and increased relaxation and contentment. Furthermore, HRV and mindfulness significantly interacted such that emotional exhaustion was lowest and relaxation was highest when both HRV and mindfulness were high.

CONCLUSIONS

Together, the findings provide insights into the use of HRV and mindfulness as indexes of psychophysiological regulatory resources that seemingly intensify their respective beneficial effects on the daily well-being of employees.

摘要

目的

心率变异性(HRV)和正念被认为是自我调节和幸福感的相关因素。本研究的目的是在工作背景下从个体内部视角探究它们之间的相互作用。

方法

采用动态评估方法,我们对89名医疗保健专业人员进行了为期两到四个轮班的研究。通过智能手机问卷,每天提供三到四次关于瞬间工作需求、正念和幸福感(以情绪耗竭、放松和满足感表示)的自我报告。心电图和活动传感器从轮班开始到结束持续记录数据。基于937次测量结果构建了关于情绪耗竭、放松和满足感的多层次模型。

结果

在控制了包括身体活动、轮班和工作需求等协变量后,短期HRV与情绪耗竭的降低呈边缘显著相关,与放松程度的增加呈显著相关。状态正念与情绪耗竭的降低、放松和满足感的增加显著相关。此外,HRV和正念之间存在显著的相互作用,即当HRV和正念都较高时,情绪耗竭最低,放松程度最高。

结论

这些研究结果共同为将HRV和正念作为心理生理调节资源指标的应用提供了见解,这些指标似乎会增强它们对员工日常幸福感的各自有益影响。

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