Johansson Maude, Marcusson-Clavertz David, Gunnarsson Cecilia, Olsson Ida, Kaldo Viktor, Bratt Anna
Department of Psychology, Faculty of Health and Life Sciences, Linnaeus University, Växjö, Sweden.
Previa, Växjö, Sweden.
Internet Interv. 2022 Sep 21;30:100574. doi: 10.1016/j.invent.2022.100574. eCollection 2022 Dec.
Health care professionals (HCPs) are exposed to excessive demands in their work environment. In Sweden, work-related stress is one of the most common reasons for sick leaves. Finding cost-effective and easily accessible interventions for HCPs is crucial to counteract stress-related problems and reduce the number of sick leaves. The study aimed to evaluate the feasibility of two internet-based stress management courses and their preliminary effectiveness to reduce HCPs' stress of conscience and work-related stress, and act as a pilot for a larger randomized controlled trial (RCT). Thirty-two HCPs registered for the courses and were randomized to either an internet-based compassion course, ICOP ( = 18), or an internet-based cognitive-behavioral course, ICB ( = 14). Participants completed measures pre- (i.e., baseline, = 32), post-intervention (at five weeks, = 21), and at follow-up at 10 weeks ( = 17), 15 weeks ( = 13), and six months ( = 12). The study used the following scales: Stress of Conscience Questionnaires, Copenhagen Psychosocial Questionnaire, Self-Compassion Scale, and Professional Quality of Life Scale. Adherence of HCPs ( = 21) was measured using the number of logins, messages between course leaders and HCPs, and completed modules. Twelve interviews were conducted to explore participants' perceptions of the accessibility of the courses. Participants reported overall satisfaction with both the ICOP and ICB courses, stating that the courses contributed to new knowledge, individual insight, and behavior change. Both courses showed similar patterns of adherence. Quantitative analyses on pre-and post-intervention data ( = 21) showed that stress of conscience and secondary traumatic stress decreased, and self-compassion increased following ICOP. Following ICB, HCPs reported decreased burnout symptoms (according to one of two questionnaires) and increased compassion satisfaction. Both courses seemed feasible, showed promising results, and could be further evaluated in a larger study with a similar design.
医疗保健专业人员（HCPs）在其工作环境中面临着过高的要求。在瑞典，与工作相关的压力是病假最常见的原因之一。为医疗保健专业人员找到具有成本效益且易于获得的干预措施对于应对与压力相关的问题以及减少病假数量至关重要。该研究旨在评估两门基于互联网的压力管理课程的可行性及其减轻医疗保健专业人员良心压力和与工作相关压力的初步效果，并作为一项更大规模随机对照试验（RCT）的试点。32名医疗保健专业人员报名参加了这些课程，并被随机分为基于互联网的同情课程ICOP（n = 18）或基于互联网的认知行为课程ICB（n = 14）。参与者在干预前（即基线，n = 32）、干预后（五周时，n = 21）以及10周（n = 17）、15周（n = 13）和六个月（n = 12）的随访时完成测量。该研究使用了以下量表：良心压力问卷、哥本哈根心理社会问卷、自我同情量表和职业生活质量量表。通过登录次数、课程负责人与医疗保健专业人员之间的信息以及完成的模块数量来衡量医疗保健专业人员（n = 21）的依从性。进行了12次访谈以探讨参与者对课程可及性的看法。参与者对ICOP和ICB课程总体表示满意，称这些课程有助于新知识、个人洞察力和行为改变。两门课程都显示出相似的依从模式。对干预前后数据（n = 21）的定量分析表明，ICOP课程后良心压力和继发性创伤压力降低，自我同情增加。ICB课程后，医疗保健专业人员报告倦怠症状减轻（根据两份问卷之一）且同情满意度增加。两门课程似乎都可行，显示出有希望的结果，并且可以在一项具有类似设计的更大规模研究中进一步评估。
