Ben-Arye Eran, Gressel Orit, Samuels Noah, Stein Nili, Eden Arieh, Vagedes Jan, Kassem Sameer
Integrative Oncology Program, The Oncology Service, Lin, Carmel, and Zebulun Medical centers, Clalit Health Services, Haifa, Israel
Ruth and Bruch Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
BMJ Support Palliat Care. 2022 Apr 5. doi: 10.1136/bmjspcare-2021-003333.
To assess the impact of a multidisciplinary complementary and integrative medicine (CIM) intervention on physical and emotional concerns among front-line COVID-19 healthcare providers (HCPs).
A multimodality CIM treatment intervention was provided by integrative practitioners to HCPs in three isolated COVID-19 departments. HCPs' two main concerns were scored (from 0 to 6) before and following the CIM intervention using the Measure Yourself Concerns and Wellbeing questionnaire. Postintervention narratives identified reflective narratives specifying emotional and/or spiritual keywords.
Of 181 HCPs undergoing at least one CIM treatment, 119 (65.7%) completed post-treatment questionnaires. While HCPs listing baseline emotional-related concerns benefited from the CIM intervention, those who did not express emotional or spiritual concerns improved even more significantly following the first session, for both leading concerns (p=0.038) and emotional-related concerns (p=0.023). Nevertheless, it was shown that following subsequent treatments HCPs who expressed emotional and spiritual concerns improved more significantly than those who did not for emotional-related concerns (p=0.017).
A CIM intervention for front-line HCPs working in isolated COVID-19 departments can significantly impact emotional-related concerns, more so after the first treatment and among HCPs not using emotional-spiritual keywords in post-treatment narratives. Referral of HCPs to CIM programmes for improved well-being should avoid referral bias to those not expressing emotional/spiritual concerns.
评估多学科补充与整合医学（CIM）干预对一线新冠病毒医护人员（HCPs）身体和情绪问题的影响。
整合医学从业者为三个隔离的新冠病毒科室的医护人员提供了多模式CIM治疗干预。使用“自我评估问题与幸福感”问卷在CIM干预前后对医护人员的两个主要问题进行评分（从0到6）。干预后的叙述中确定了明确情感和/或精神关键词的反思性叙述。
在181名接受至少一次CIM治疗的医护人员中，119名（65.7%）完成了治疗后问卷。列出基线情感相关问题的医护人员从CIM干预中受益，而那些未表达情感或精神问题的医护人员在第一次治疗后，无论是主要问题（p=0.038）还是情感相关问题（p=0.023）都有更显著的改善。然而，研究表明，在后续治疗后，表达情感和精神问题的医护人员在情感相关问题上的改善比未表达的医护人员更显著（p=0.017）。
对在隔离的新冠病毒科室工作的一线医护人员进行CIM干预可显著影响情感相关问题，在首次治疗后以及在治疗后叙述中未使用情感-精神关键词的医护人员中影响更大。为改善幸福感将医护人员转介至CIM项目时，应避免对未表达情感/精神问题的人员产生转介偏差。
