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运动与正念对医学生身心健康的比较。

Exercise Compared to Mindfulness for Physical and Mental Wellbeing in Medical Students.

机构信息

School of Medicine, University of Limerick, Limerick, Ireland.

Department of Psychology, National University of Ireland, Galway, Ireland.

出版信息

Ir Med J. 2022 Mar 16;115(3):560.

Abstract

Aim Physical Activity (PA) and Mindfulness-Based Stress Reduction (MBSR) both have positive effects on medical student well-being. The 'MED-WELL' programme is a curricular intervention that combines PA and education on exercise as medicine. This trial evaluates whether there is a mean difference in outcomes of participants of an exercise intervention, the 'MED-WELL' programme, versus a control group which engages in a MBSR programme. Methods All second-year medical students were voluntarily allocated into the intervention or control group. Data on overall health and well-being, sleep quality, loneliness, current level of PA, and confidence in prescribing exercise as medicine was analysed from both groups at baseline and after eight weeks. Results Within groups the intervention and control groups showed statistically significant improvements in overall well-being (p=0.010, p=0.005 respectively) and in sleep quality (p<0.001, p=0.007 respectively). The intervention group had statistically significant improvements in levels of PA (p=0.003) and confidence in prescribing exercise (p<0.001). However, there were no statistically significant differences in changes in outcome measures between groups. Conclusion This study has shown that participants in an exercise intervention, the 'MED-WELL' programme, had similar improvements in overall wellbeing and sleep quality to those in a control group who participated in a MBSR programme of the same duration.

摘要

目的 身体活动(PA)和正念减压(MBSR)都对医学生的健康有积极影响。“MED-WELL”计划是一种课程干预措施,将 PA 与运动作为医学的教育相结合。本试验评估了参加锻炼干预(“MED-WELL”计划)的参与者与参加 MBSR 计划的对照组之间的结果是否存在平均差异。

方法 所有二年级医学生自愿分配到干预组或对照组。在基线和八周后,对两组的整体健康和幸福感、睡眠质量、孤独感、当前 PA 水平以及开具运动处方的信心进行数据分析。

结果 在组内,干预组和对照组在整体幸福感(p=0.010,p=0.005)和睡眠质量(p<0.001,p=0.007)方面均显示出统计学上的显著改善。干预组在 PA 水平(p=0.003)和开具运动处方的信心(p<0.001)方面也有统计学上的显著改善。然而,两组之间的结果测量变化没有统计学上的显著差异。

结论 本研究表明,参加锻炼干预(“MED-WELL”计划)的参与者在整体幸福感和睡眠质量方面的改善与参加相同时长 MBSR 计划的对照组相似。

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