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2019年冠状病毒病疫情期间针对家庭医生情绪困扰、心理韧性和同情心的简短正念干预:一项试点研究

Brief Mindfulness Intervention for Emotional Distress, Resilience, and Compassion in Family Physicians During COVID-19: A Pilot Study.

作者信息

Nutting Ruth, Ofei-Dodoo Samuel, Rose-Borcherding Katherine, Strella Grace

机构信息

University of Kansas School of Medicine-Wichita, Department of Family and Community Medicine, Wichita, KS.

Department of Family and Community Medicine, University of Kansas School of Medicine-Wichita, Wichita, KS.

出版信息

PRiMER. 2022 Feb 14;6:3. doi: 10.22454/PRiMER.2022.746202. eCollection 2022.

Abstract

BACKGROUND AND OBJECTIVE

There are high rates of professional burnout among family physicians and trainees. We undertook this study to investigate whether a brief mindfulness intervention could help manage burnout and improve well-being among family physicians in a residency program.

METHODS

A total of 21 family physicians participated in a brief, 8-week mindfulness program. We used a single-sample, pre/post design at a Midwestern family medicine residency program. At two points in time (baseline and postintervention), participants completed an online survey measuring burnout, depression, anxiety, stress, perceived resilience, and compassion. We used linear mixed models to estimate the effect of the intervention on the outcome measures.

RESULTS

Participants had improvements after the 8-week intervention. At postintervention, they had significantly better scores on anxiety (.004), stress (.001), perceived resilience (.001), and compassion (.001). There were no significant changes on the personal accomplishment, emotional exhaustion, and depersonalization subscales of either the abbreviated Maslach Burnout Inventory or the depression subscale of the Depression Anxiety Stress Scales-21.

CONCLUSION

This brief mindfulness program was associated with significant reduction in the scores of anxiety and stress as well as significant improvement in perceived resilience and compassion scores. Brief mindfulness interventions may be a convenient and effective approach to support and improve health and well-being among family physicians.

摘要

背景与目的

家庭医生及其学员职业倦怠率较高。我们开展这项研究以调查简短的正念干预是否有助于管理职业倦怠并改善住院医师培训项目中家庭医生的幸福感。

方法

共有21名家庭医生参与了一个为期8周的简短正念项目。我们在中西部一个家庭医学住院医师培训项目中采用单样本前后测设计。在两个时间点(基线和干预后),参与者完成了一项在线调查,测量职业倦怠、抑郁、焦虑、压力、感知到的复原力和同情心。我们使用线性混合模型来估计干预对结果指标的影响。

结果

在为期8周的干预后,参与者有了改善。干预后,他们在焦虑(.004)、压力(.001)、感知到的复原力(.001)和同情心(.001)方面的得分显著更好。简明版马氏职业倦怠量表的个人成就感、情感耗竭和去个性化子量表以及抑郁焦虑压力量表-21的抑郁子量表均无显著变化。

结论

这个简短的正念项目与焦虑和压力得分的显著降低以及感知到的复原力和同情心得分的显著提高相关。简短的正念干预可能是支持和改善家庭医生健康与幸福感的一种便捷有效的方法。

相似文献

本文引用的文献

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An Organizational Intervention to Reduce Physician Burnout.组织干预以减少医生倦怠。
J Healthc Manag. 2018 Sep-Oct;63(5):338-352. doi: 10.1097/JHM-D-16-00037.

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