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生活心管理技能方案对精神科医护人员职业倦怠的干预作用:一项实用随机对照试验

Pragmatic randomized controlled trial of the Mind Management Skills for Life Programme as an intervention for occupational burnout in mental healthcare professionals.

机构信息

Grounded Research, Rotherham Doncaster and South Humber NHS Foundation Trust, Doncaster, UK.

Clinical and Applied Psychology Unit, Department of Psychology, University of Sheffield, Sheffield, UK.

出版信息

J Ment Health. 2023 Aug;32(4):752-760. doi: 10.1080/09638237.2023.2182423. Epub 2023 Mar 16.

Abstract

BACKGROUND

Occupational burnout is highly prevalent in the mental healthcare workforce and associated with poorer job satisfaction, performance and outcomes.

AIMS

To evaluate the effects of the Mind Management Skills for Life Programme on burnout and wellbeing.

METHODS

= 173 mental health nurses were recruited from the English National Health Service during the acute phase of the COVID-19 crisis. Participants were allocated to an immediate intervention or a delayed intervention control group, using a stepped wedge randomized controlled trial design. Measures of burnout (OLBI) and wellbeing (WEMWBS) were completed at four time-points: [1] baseline; [2] after the first group finished the intervention; [3] after the second group finished the intervention; and [4] six-months follow-up.

RESULTS

Between-group differences were compared at each time-point using ANCOVA adjusting for baseline severity. Statistically significant effects on burnout ( = 0.60) and wellbeing ( = -0.62) were found at time-point 2, favouring the intervention relative to waitlist control. No significant differences were found at subsequent time-points, indicating that both groups improved and maintained their gains after the intervention.

CONCLUSIONS

This intervention led to moderate improvements in burnout and wellbeing, despite the adverse circumstances of the COVID-19 pandemic at the time of the study.

摘要

背景

职业倦怠在精神卫生保健工作者中非常普遍,与较差的工作满意度、绩效和结果相关。

目的

评估生活心理管理技能方案对倦怠和幸福感的影响。

方法

在 COVID-19 危机的急性期,从英国国家卫生服务系统招募了 173 名精神科护士。参与者采用阶梯式楔形随机对照试验设计,被分配到即时干预组或延迟干预对照组。采用职业倦怠量表(OLBI)和幸福感量表(WEMWBS)在四个时间点进行测量:[1]基线;[2]第一组完成干预后;[3]第二组完成干预后;[4]六个月随访。

结果

使用 ANCOVA 对基线严重程度进行调整,在每个时间点比较组间差异。在时间点 2 时,干预组相对于等待名单对照组在职业倦怠( = 0.60)和幸福感( = -0.62)方面有显著差异,这表明干预有利于改善。在随后的时间点未发现显著差异,表明两组在干预后都有所改善并保持了收益。

结论

尽管研究时 COVID-19 大流行的情况不利,但该干预措施导致职业倦怠和幸福感适度改善。

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