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调查改良正念减压(MBSR)方案对医院非医务人员职业倦怠和其他心理健康状况的影响:一项随机对照试验。

Investigating the impact of modified mindfulness-based stress reduction (MBSR) program on occupational burnout and other mental health status among nonmedical staff in a hospital: a randomized controlled trial.

机构信息

Department of Family Medicine, Hematology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Department of Family Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Int Arch Occup Environ Health. 2022 Dec;95(10):2005-2016. doi: 10.1007/s00420-022-01902-3. Epub 2022 Jul 7.

Abstract

OBJECTIVE

Burnout is a prolonged psychological response to a longstanding interpersonal stressor at work. It can progress to other mental illnesses, such as anxiety and depression. In today's society, burnout has become widespread, and it is currently a serious challenge in health systems. This study intended to investigate the impact of mindfulness training on burnout and depression, anxiety, and stress of nonmedical staff in a hospital in Shiraz-Iran.

METHOD

Fifty nonmedical staff in a Shiraz-Iran hospital were enrolled in this two groups' randomized controlled trial. The intervention group was trained by a modified mindfulness-based stress reduction (MBSR) program, and the control group received no intervention. The outcome was assessed by the Copenhagen burnout inventory (CBI) and DASS-21 questionnaire on three occasions including before T0, immediately after T1, and 3 months after the intervention T2.

RESULTS

Comparing the score changes between intervention and control groups showed that the reduction of work‑distaste‑related burnout, client‑related burnout, anxiety, and stress scores in the intervention group was significantly more than in the control group in the time interval from T0 to T1. The scores in the intervention group in three subscales of CBI, including work‑characteristic‑related burnout, work‑distaste‑related burnout, and client‑related burnout, decreased significantly immediately after the training (T1) compared to before (T0). Also, the scores did not change significantly after 3 months following training.

CONCLUSIONS

Mindfulness training can be used as an effective way to improve occupational burnout, anxiety, and stress in occupations other than health professionals. Its effect is stable for at least a few months. It is recommended that future studies focus on investigating the feasible way to integrate this training into the working environment. Forthcoming studies should also determine whether the impact of this intervention will last longer and find possible ways to extend its influence.

摘要

目的

倦怠是对工作中长期存在的人际应激源的一种长期心理反应。它可能会发展为其他精神疾病,如焦虑和抑郁。在当今社会,倦怠已经变得普遍,它是当前卫生系统面临的一个严重挑战。本研究旨在调查正念训练对伊朗设拉子一家医院非医务人员倦怠、抑郁、焦虑和压力的影响。

方法

这项两组随机对照试验纳入了伊朗设拉子一家医院的 50 名非医务人员。干预组接受了改良的基于正念的压力减轻(MBSR)方案的培训,而对照组则没有接受干预。结果采用哥本哈根倦怠量表(CBI)和 DASS-21 问卷进行评估,共评估了 3 个时间点,包括 T0 时、T1 时即刻和干预后 3 个月 T2 时。

结果

干预组与对照组的评分变化比较显示,在 T0 至 T1 时间间隔内,干预组工作相关倦怠、与患者相关的倦怠、焦虑和压力评分的降低明显多于对照组。干预组在 CBI 的三个子量表中,即工作特征相关倦怠、工作厌恶相关倦怠和与患者相关的倦怠的评分,在培训后(T1)立即显著降低,与培训前(T0)相比。而且,培训后 3 个月评分没有显著变化。

结论

正念训练可以作为改善非卫生专业人员职业倦怠、焦虑和压力的有效方法。其效果至少在几个月内是稳定的。建议未来的研究重点调查将这种培训融入工作环境的可行方法。未来的研究还应确定这种干预的影响是否会持续更长时间,并寻找可能延长其影响的方法。

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