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降低医生和医疗保健专业人员职业倦怠风险的营养策略。

Nutrition Strategies for Reducing Risk of Burnout Among Physicians and Health Care Professionals.

作者信息

Esquivel Monica Kazlausky

机构信息

Department of Human Nutrition, Food and Animal Sciences, College of Tropical Agriculture and Human Resources, University of Hawaii at Manoa, Honolulu, Hawaii.

出版信息

Am J Lifestyle Med. 2020 Dec 2;15(2):126-129. doi: 10.1177/1559827620976538. eCollection 2021 Mar-Apr.

Abstract

Under typical circumstances, up to half of physicians, 31% of nurses who provide direct patient care, and 37% of nurses working in nursing homes experience burnout, and these rates are likely exacerbated following the Coronavirus disease 2019 pandemic. Diet is a mediating and modifiable factor with regard to burnout risk. Chronic stress, such as the stress experienced by individuals suffering from burnout, has been shown to influence the amounts and types of foods individuals eat, contributing both to excessive eating and undereating and the development of chronic diseases. Dietary strategies to mitigate burnout for physicians and health care professionals should be developed based on existing evidence related to nutrition and mental health, incorporate effective behavior change theory, and include systems-level change to promote healthy eating among health care professionals. Evidence supports the application of the Mediterranean diet, cognitive behavioral theory, and mindful eating interventions. Policy and systems approaches should support the availability of healthy foods at employer-sponsored events and eating outlets, worksite wellness, and nutrition education in medical training curriculum.

摘要

在典型情况下,多达一半的医生、31%提供直接患者护理的护士以及37%在疗养院工作的护士会出现职业倦怠,而在2019年冠状病毒病大流行之后,这些比例可能会加剧。饮食是职业倦怠风险的一个中介且可改变的因素。慢性压力,比如职业倦怠者所经历的压力,已被证明会影响人们所吃食物的数量和种类,导致暴饮暴食和饮食不足,并引发慢性病。应基于与营养和心理健康相关的现有证据,制定减轻医生和医护人员职业倦怠的饮食策略,纳入有效的行为改变理论,并包括系统层面的改变,以促进医护人员的健康饮食。有证据支持地中海饮食、认知行为理论和正念饮食干预措施的应用。政策和系统方法应支持在雇主赞助的活动和饮食场所提供健康食品、工作场所健康促进以及医学培训课程中的营养教育。

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