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通过身心医学减轻军事医疗专业人员的压力和职业倦怠:一项试点项目。

Reducing Stress and Burnout in Military Healthcare Professionals Through Mind-Body Medicine: A Pilot Program.

作者信息

Ram Vasudha, Bhakta Jagruti P, Roesch Scott, Millegan Jeffrey

机构信息

Naval Center for Combat & Operational Stress Control, San Diego, CA 92134, USA.

出版信息

Mil Med. 2023 May 16;188(5-6):e1140-e1149. doi: 10.1093/milmed/usab389.

Abstract

INTRODUCTION

A 6-week mindfulness training course, the Mind-Body Medicine (MBM) pilot program for staff, was implemented at a large military treatment facility to examine the preliminary efficacy of the program in reducing stress and burnout in military healthcare professionals.

MATERIALS AND METHODS

A retrospective analysis was conducted of data collected from a single-arm prospective MBM pilot program. The program was designed to help staff members increase their awareness of burnout and its consequences and to learn how to utilize mindfulness-based self-care practices as a means for reducing stress and preventing burnout at work. Participants attended a 2-hour MBM group each week for a total duration of 6 weeks. Assessments of stress, resilience, anxiety, somatic symptoms, functional impairment, sleep quality, quality of life, and burnout were administered at baseline (T1), upon completion of the 6-week program (T2), and at least 3 months after program completion (T3). Multilevel modeling was used as the primary statistical model to assess changes in outcomes. Fifty-nine staff members completed assessments at T1, 31 (52.5%) at T2, and 17 (28.8%) at T3.

RESULTS

Participants showed improvements on scores of perceived stress, resilience, anxiety, somatic symptoms, quality of life, and burnout variables from T1 to T2 and from T1 to T3 (P < .05). Additionally, they reported improvements in their knowledge, understanding, and utilization of MBM concepts and practices from T1 to T2 and from T1 to T3 (P < .05).

CONCLUSIONS

Results from this pilot suggest that the MBM program has the potential to reduce occupational stress and burnout and improve well-being in military healthcare professionals.

摘要

引言

在一家大型军事治疗机构实施了一项为期6周的正念训练课程——员工身心医学(MBM)试点项目,以检验该项目在减轻军事医疗专业人员压力和职业倦怠方面的初步疗效。

材料与方法

对从一项单组前瞻性MBM试点项目收集的数据进行回顾性分析。该项目旨在帮助员工提高对职业倦怠及其后果的认识,并学习如何运用基于正念的自我护理方法来减轻工作压力和预防职业倦怠。参与者每周参加一次为期2小时的MBM小组课程,共持续6周。在基线期(T1)、6周课程结束时(T2)以及课程结束后至少3个月(T3)进行压力、心理韧性、焦虑、躯体症状、功能损害、睡眠质量、生活质量和职业倦怠的评估。使用多水平模型作为主要统计模型来评估结果的变化。59名员工在T1完成评估,31名(52.5%)在T2完成评估,17名(28.8%)在T3完成评估。

结果

从T1到T2以及从T1到T3,参与者在感知压力、心理韧性、焦虑、躯体症状、生活质量和职业倦怠变量的得分上有所改善(P <.05)。此外,从T1到T2以及从T1到T3,他们报告在MBM概念和实践的知识、理解和运用方面有所改善(P <.05)。

结论

该试点项目的结果表明,MBM项目有可能减轻军事医疗专业人员的职业压力和职业倦怠,并改善其幸福感。

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