Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, U.S.A.
Department of Anesthesiology, Icahn School of Medicine at Mount Sinai, New York, New York, U.S.A.
Laryngoscope. 2021 Sep;131(9):1972-1976. doi: 10.1002/lary.29529. Epub 2021 Mar 25.
Burnout is defined as work-related emotional exhaustion, depersonalization, and decreased sense of accomplishment. Virtual reality (VR) has emerged as an effective treatment modality for various conditions related to anxiety, however, few studies have assessed its role for stress management in residents. We hypothesize that VR-based mindfulness meditation can reduce resident burnout in real-world settings.
Prospective randomized crossover trial.
Resident participants completed the validated Maslach Burnout Inventory (MBI). One group used a VR-based meditation app; the second group received no intervention. After a 2-month rotation, all subjects completed an MBI and crossed over to the other arm. Wilcoxon rank-sum tests were used to compare MBI scores before and after intervention, and to compare results by gender and postgraduate year. Mann-Whitney U tests were used to assess qualitative differences between participants.
Eighteen residents completed the study. Five participants were female and 13 were male. Weekly use of VR-guided meditation and paced breathing was associated with a significant decrease in emotional exhaustion (P = .009), and on subgroup analysis, male gender specifically was associated with a decrease in emotional exhaustion (P = .027). In the post-intervention survey, 42.9% subjects reported that VR encouraged them to employ paced breathing techniques, 71.4% reported that they would use the technology if regularly available, and 21.4% reported they would use paced breathing in the future.
VR-based therapy may serve as a successful tool in stress management and reduce the rate of burnout among otolaryngology residents.
NA Laryngoscope, 131:1972-1976, 2021.
倦怠被定义为与工作相关的情绪耗竭、去人性化和成就感降低。虚拟现实 (VR) 已成为治疗与焦虑相关的各种疾病的有效治疗方式，然而，很少有研究评估其在居民压力管理中的作用。我们假设基于 VR 的正念冥想可以减少现实环境中居民的倦怠感。
前瞻性随机交叉试验。
居民参与者完成了经过验证的 Maslach 倦怠量表 (MBI)。一组使用基于 VR 的冥想应用程序；第二组不接受干预。经过 2 个月的轮换，所有受试者都完成了 MBI 并交叉到另一组。使用 Wilcoxon 秩和检验比较干预前后的 MBI 评分，并按性别和研究生年级进行比较。使用 Mann-Whitney U 检验评估参与者之间的定性差异。
18 名居民完成了这项研究。其中 5 名参与者为女性，13 名参与者为男性。每周使用 VR 引导的冥想和有节奏的呼吸与情绪耗竭的显著降低相关（P=0.009），并且在亚组分析中，男性特定性别与情绪耗竭的降低相关（P=0.027）。在干预后的调查中，42.9%的受试者报告 VR 鼓励他们使用有节奏的呼吸技术，71.4%的受试者表示如果经常提供，他们会使用该技术，21.4%的受试者表示他们将来会使用有节奏的呼吸。
基于 VR 的治疗可能是一种成功的压力管理工具，可以降低耳鼻喉科居民的倦怠率。
无喉镜，131:1972-1976,2021.
