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感知轻盈:新冠疫情部门医疗保健提供者的综合医学项目的叙事分析。

Sensing the lightness: a narrative analysis of an integrative medicine program for healthcare providers in the COVID-19 department.

机构信息

Integrative Oncology Program, The Oncology Service, Lin, Carmel, and Zebulun Medical Centers, Clalit Health Services, 35 Rothschild St., Haifa, Israel.

Ruth and Bruch Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.

出版信息

Support Care Cancer. 2022 Feb;30(2):1419-1426. doi: 10.1007/s00520-021-06546-6. Epub 2021 Sep 15.

Abstract

OBJECTIVES

The research addressing physical and emotional exhaustion among healthcare providers (HCPs) in COVID-19 departments is limited. We examined the impact of integrative medicine (IM) intervention for HCPs working in isolated COVID-19 in-patient departments, addressing concerns and well-being.

METHODS

HCPs working in 3 isolated COVID-19 in-patient departments underwent 40-min IM treatment sessions (including acupuncture, manual movement, and/or mind-body modalities) provided by integrative oncology practitioners. The MYCAW (Measure Yourself Concerns and Well-being) questionnaire examined HCP concerns and free-text narratives following IM treatments. Data were qualitatively analyzed using ATLAS.Ti software for systematic coding.

RESULTS

A total of 181 HCPs underwent 305 IM treatments. Narrative themes focused on physical symptoms (primarily pain and fatigue) and emotional concerns, including perceived communication barriers with patients, and reflections on well-being and insights following IM treatments. HCPs reported feeling a sense of "relief" which was likely related to the 3 main effects of the IM intervention: a sense of "being cared for" and treated; experiencing emotional, sometimes spiritual effects of the treatment; and the feeling of relaxation, combined with the relief of pain. Qualitative analysis identified clusters of emotional and spiritual-related keywords such as "calming," "release," "relaxation," and "disengagement" following the first IM session (119 of 181 narratives, 65.7%).

CONCLUSIONS

HCPs working in isolated COVID-19 departments reported improved well-being and the addressing of their concerns following IM treatment sessions provided during their work shift. Further research is needed to explore the impact of IM on HCP burnout and resilience in palliative care settings.

摘要

目的

针对 COVID-19 病房医护人员(HCP)身心疲惫的研究有限。我们研究了综合医学(IM)干预对隔离 COVID-19 住院病房 HCP 的影响,以解决他们的关切和幸福感问题。

方法

3 个隔离 COVID-19 住院病房的 HCP 接受了由综合肿瘤医生提供的 40 分钟 IM 治疗(包括针灸、手动运动和/或身心模式)。使用 MYCAW(自我关注和幸福感量表)问卷在 IM 治疗后评估 HCP 的关注点和自由文本叙述。使用 ATLAS.Ti 软件对数据进行定性分析,进行系统编码。

结果

共有 181 名 HCP 接受了 305 次 IM 治疗。叙述主题集中在身体症状(主要是疼痛和疲劳)和情绪问题上,包括与患者沟通的障碍,以及对 IM 治疗后幸福感和洞察力的反思。HCP 报告感到一种“解脱”的感觉,这可能与 IM 干预的 3 个主要效果有关:一种被“关心和治疗”的感觉;体验到治疗的情绪,有时是精神上的影响;以及放松的感觉,同时缓解疼痛。定性分析确定了情绪和精神相关关键词的聚类,如“平静”、“释放”、“放松”和“解脱”,这是首次 IM 治疗后(181 个叙述中的 119 个,65.7%)。

结论

在隔离 COVID-19 病房工作的 HCP 在工作轮班期间接受 IM 治疗后,报告幸福感提高,并且解决了他们的关切。需要进一步研究来探索 IM 对姑息治疗环境中 HCP 倦怠和韧性的影响。

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