WA Cancer Prevention Research Unit, School of Psychology, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia.
Monash Nursing and Midwifery, Monash University, Melbourne, Victoria, Australia.
J Palliat Med. 2021 Sep;24(9):1364-1374. doi: 10.1089/jpm.2020.0358. Epub 2021 Mar 5.
Health professionals who care for patients and their families at the end of life (EOL) may experience gratitude, and enhanced spirituality and meaning in life, yet they are also at increased risk of psychological distress, compassion fatigue, and occupational burnout given the stressors they encounter in their work. This research evaluated the feasibility and acceptability of a novel six-week mindfulness-based compassion training intervention, which was tailored to health professionals involved in EOL care ("MBCT4HP"), and explored its impact on levels of psychological distress, compassion fatigue, compassion satisfaction, occupational burnout, self-compassion, and mindfulness. We adopted an observational, repeated measures pilot study. Thirty-one health professionals participated. The intervention comprised six, weekly sessions (totaling seven hours) designed to foster compassion for self and others, including formal and informal compassion and mindfulness practices, daily home practice, and a reflective experiential pedagogy. Validated outcome measures for anxiety, depression, and stress; compassion satisfaction, compassion fatigue (burnout, secondary traumatic stress); occupational burnout (emotional exhaustion, personal accomplishment, and depersonalization), self-compassion, and mindfulness were administered at baseline, end of intervention, and eight weeks postintervention. The feasibility and acceptability of the intervention was assessed using attendance records, home practice logs, and self-report satisfaction items. Descriptive statistics and Generalized Linear Mixed Models were used to analyze the data. Participants reported that the sessions were useful, relevant, easy to understand, and that they gave them sufficient knowledge to implement the strategies learned. Levels of anxiety, compassion fatigue (burnout only), and emotional exhaustion decreased over time with some decay in effects at follow up, and levels of compassion satisfaction and self-compassion increased with time. The intervention was feasible and acceptable to health professionals involved in EOL care and had a positive impact on levels of anxiety, compassion fatigue (burnout), emotional exhaustion, compassion satisfaction, and self-compassion.
关爱临终患者及其家属的卫生保健专业人员（EOL）可能会体验到感激之情，并增强精神生活和生活意义，但由于他们在工作中遇到的压力，他们也面临更大的心理困扰、同情疲劳和职业倦怠风险。本研究评估了一种新的基于正念的同情心培训干预措施（MBCT4HP）的可行性和可接受性，该干预措施针对参与临终关怀的卫生保健专业人员进行了量身定制，并探讨了其对心理困扰、同情疲劳、同情满足、职业倦怠、自我同情和正念水平的影响。我们采用了观察性、重复测量的试点研究。有 31 名卫生保健专业人员参与了这项研究。该干预措施包括六次每周课程（共计七小时），旨在培养对自我和他人的同情心，包括正式和非正式的同情心和正念练习、日常家庭练习和反思性体验式教学法。在基线、干预结束时和干预结束后八周时，采用焦虑、抑郁和压力的有效测量方法；同情满足、同情疲劳（倦怠、二次创伤性压力）；职业倦怠（情绪衰竭、个人成就和去人性化）、自我同情和正念。使用出席记录、家庭练习日志和自我报告满意度项目评估干预措施的可行性和可接受性。使用描述性统计和广义线性混合模型分析数据。参与者报告说，这些课程非常有用、相关、易于理解，并且给了他们足够的知识来实施所学策略。随着时间的推移，焦虑水平、同情疲劳（仅倦怠）和情绪衰竭有所下降，随访时效果有所下降，而同情满足和自我同情水平则随时间增加。该干预措施对参与临终关怀的卫生保健专业人员来说是可行和可接受的，并且对焦虑、同情疲劳（倦怠）、情绪衰竭、同情满足和自我同情水平产生了积极影响。
