Research, The George Institute for Global Health India, New Delhi, India
Clinical Psychology, National Institute of Mental Health and Neuro Sciences Department of Clinical Psychology, Bangalore, Karnataka, India.
BMJ Support Palliat Care. 2024 Jan 8;13(e3):e1048-e1055. doi: 10.1136/bmjspcare-2021-003318.
Being a palliative cancer care professional is challenging and stressful. In recent decades, there has been more interest in mindfulness to improve overall well-being of healthcare professionals. Mindfulness integrated cognitive behavioural interventions (MICBI) are more practical, flexible and understandable than traditional psychological therapies alone. There is a dearth of studies in India with no psychological intervention in palliative cancer care professionals to date. The aim was to examine the effects of MICBI for professional care workers at palliative cancer care centres in Bengaluru city of Southern India.
A single group study design was adopted with pre, post and 3-month follow-up assessment with a sample of 25 participants working full-time at a hospice. The MICBI programme was for six sessions, once a week for 2-2.5 hours. Outcome variables were professional quality of life measures (burnout, secondary traumatic stress and compassion satisfaction), psychological well-being score and mindfulness skills score (assessed using Professional Quality of Life Scale-V.5, Psychological Well-Being Scale and Five Facet Mindfulness Questionnaire). Wilcoxon signed rank test and Friedman test analysed differences between pre, post and follow-up data.
The MICBI could significantly reduce burnout and secondary traumatic stress; it improved compassion satisfaction, psychological well-being and mindfulness skills; treatment gains were maintained at 3 months follow-up.
MICBI was feasible and effective for palliative cancer care professionals with implications for training, practice and future research.
The study was registered under the Clinical Trials Registry- India (CTRI) (number: CTRI/2018/03/019170).
作为一名姑息治疗癌症护理专业人员具有挑战性且压力大。近几十年来，人们越来越关注正念，以提高医疗保健专业人员的整体幸福感。正念整合认知行为干预（MICBI）比单独的传统心理疗法更实用、更灵活、更易于理解。印度目前缺乏针对姑息治疗癌症护理专业人员的心理干预研究。本研究旨在检验 MICBI 对班加罗尔市姑息治疗癌症护理中心专业护理人员的影响。
采用单组研究设计，对 25 名全职在临终关怀中心工作的参与者进行了前测、后测和 3 个月随访评估。MICBI 方案共 6 次，每周一次，每次 2-2.5 小时。结局变量为专业生活质量指标（职业倦怠、二次创伤应激和同情满足）、心理幸福感评分和正念技能评分（使用职业生活质量量表第 5 版、心理幸福感量表和五因素正念量表评估）。采用 Wilcoxon 符号秩检验和 Friedman 检验分析了前测、后测和随访数据之间的差异。
MICBI 可显著降低职业倦怠和二次创伤应激；它提高了同情满足、心理幸福感和正念技能；治疗效果在 3 个月随访时仍能维持。
MICBI 对姑息治疗癌症护理专业人员是可行且有效的，对培训、实践和未来研究具有重要意义。
PROSPERO 注册号：该研究在印度临床试验注册中心（CTRI）（注册号：CTRI/2018/03/019170）注册。
