Department of Medicine, Division of General Internal Medicine.
Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery.
Workplace Health Saf. 2023 Apr;71(4):173-180. doi: 10.1177/21650799221093775. Epub 2022 Jul 5.
The COVID-19 pandemic has led to increased burnout and staff turnover for health care providers (HCPs). The purpose of this pilot study was to evaluate the safety and acceptability of a Stress Resilience Program (SRP) for reducing perceived stress and improving resilience among HCPs during a pandemic.
Of the 12 HCPs expressing interest in the study, 10 were enrolled in this study. Participants attended three in-person visits (consent/screen, baseline, and end-of-study). The SRP consisted of education related to resilience enhancement and a breathing device () for combined respiratory muscle training (cRMT). Participants completed 4 weeks of cRMT and applied situational breathing strategies as needed. Outcomes measured were changes in stress (PSS-10), resilience (BRS), depression (PRIME-MD), and sleep (PSQI and ).
The majority of participants were male (60%) and White (60%) with an average age of 39.7 years. Changes from baseline to end-of-treatment indicated a positive trend with significant stress reduction (-3.2 ± 3.9, = .028) and nonsignificant depression reduction (-0.5 ± 0.7, = .05). Resilience was high at baseline and continued to stay high during the study with a nonsignificant increase at end-of-study (+0.07 ± 0.7, = .77). No changes in overall sleep scores were noted. All participants agreed the study was worthwhile, 80% indicated they would repeat the experience, while 90% indicated they would recommend the study to others.
CONCLUSION/APPLICATION TO PRACTICE: Because of its size and portability, SRP is an easily applicable and promising option for reducing stress among HCPs during a high-stress period, such as a pandemic. Larger studies are needed.
COVID-19 大流行导致医护人员(HCP) burnout 和员工离职率增加。本初步研究的目的是评估应激弹性计划(SRP)在大流行期间降低 HCP 感知压力和提高韧性的安全性和可接受性。
在表示对该研究感兴趣的 12 名 HCP 中,有 10 名参加了这项研究。参与者参加了三次面对面访问(同意/筛选、基线和研究结束)。SRP 包括与增强弹性相关的教育和一种呼吸设备(),用于联合呼吸肌训练(cRMT)。参与者完成了 4 周的 cRMT,并根据需要应用情境呼吸策略。测量的结果是压力(PSS-10)、弹性(BRS)、抑郁(PRIME-MD)和睡眠(PSQI 和 )的变化。
大多数参与者为男性(60%)和白人(60%),平均年龄为 39.7 岁。从基线到治疗结束的变化表明,压力显著降低(-3.2 ± 3.9, =.028),抑郁无显著降低(-0.5 ± 0.7, =.05),这是一个积极的趋势。弹性在基线时较高,在研究期间继续保持较高水平,在研究结束时略有增加(+0.07 ± 0.7, =.77)。整体睡眠评分没有变化。所有参与者都认为该研究是值得的,80%表示他们会重复该体验,而 90%表示他们会向他人推荐该研究。
结论/对实践的应用:由于其体积小、便携性强,SRP 是一种在高压力时期(如大流行期间)降低 HCP 压力的简单适用且有前途的选择。需要更大的研究。