Nursing and Midwifery, Monash University, Frankston, Australia.
Melbourne City Mission Palliative Care, Melbourne, Australia.
Palliat Support Care. 2024 Jun;22(3):582-587. doi: 10.1017/S1478951522001195.
This pilot project replicated a self-compassion program to support health-care professionals in palliative care settings. We anticipated that undertaking this program would enhance participants' psychological well-being.
Participants were recruited by convenience sampling from palliative care services in an area of Melbourne, Australia. Because of the COVID-19 pandemic, the program was offered online and comprised six once-weekly gatherings. Three survey rounds with identical questions were conducted prior to, immediately after, and 3 months after the training. The surveys consisted of 6 scales: the Self-Compassion Scale, the Santa Clara Brief Compassion Scale, the Cognitive and Affective Mindfulness Scale, the Depression Anxiety Stress Scale, the Professional Quality of Life Scale, and the Interpersonal Reactivity Index Scale. Paired-sample t-test and repeated measures analysis of variance analyses were used to compare participant responses.
Nine participants working in palliative care completed the training and 3 surveys and included qualitative responses. The experience was overwhelmingly positive. Self-compassion ( = 14.44; < 0.05) and mindfulness ( = 18.44; < 0.05) scores significantly increased post-training, were picked up in a short time and endured. The emotional state improved by compassion satisfaction, showing a positive improvement 3 months post-training, along with there being no changes in compassion satisfaction, burnout, and dispositional empathy.
Participants all worked in a supportive environment, which encouraged self-care. Even against the pandemic difficulties, a short online program was effective, assisting participants to cultivate their inner resources in mindfulness and self-compassion. While a small sample size, expansion of the training may benefit the wider palliative care workforce.
本试点项目复制了一个自我同情计划，以支持姑息治疗环境中的医疗保健专业人员。我们预计，开展这项计划将增强参与者的心理健康。
参与者通过澳大利亚墨尔本地区姑息治疗服务的便利抽样招募。由于 COVID-19 大流行，该计划在线提供，每周一次，共六次聚会。在培训之前、之后立即以及 3 个月后进行了三轮具有相同问题的调查。调查包括 6 个量表：自我同情量表、圣克拉拉简短同情量表、认知和情感正念量表、抑郁焦虑应激量表、专业生活质量量表和人际反应性指数量表。采用配对样本 t 检验和重复测量方差分析比较参与者的反应。
9 名在姑息治疗领域工作的参与者完成了培训和 3 次调查，并包括定性回应。经验非常积极。自我同情（= 14.44；<0.05）和正念（= 18.44；<0.05）分数在培训后显著增加，在短时间内得到提高并持续。情绪状态通过同情满足感得到改善，在培训后 3 个月显示出积极的改善，同时同情满足感、倦怠和性格同理心没有变化。
所有参与者都在一个支持性的环境中工作，这鼓励了自我保健。即使面临大流行的困难，一个简短的在线计划也是有效的，帮助参与者培养他们在正念和自我同情方面的内在资源。虽然样本量较小，但扩大培训可能会使更广泛的姑息治疗劳动力受益。
