Shin Hyojung, Oh Heung-Kwon, Song Yungsook, Kim Yang Sun, Hur Bo Yeon, Kim Duck-Woo, Kang Sung-Bum
Department of Education, Ajou University, Suwon, Korea.
Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.
Ann Surg Treat Res. 2023 Apr;104(4):229-236. doi: 10.4174/astr.2023.104.4.229. Epub 2023 Mar 31.
The efficacy of the Mindful Self-Compassion (MSC) for Healthcare Communities program has not been verified. This study aims to evaluate the feasibility and efficacy of the online MSC for Healthcare Communities program on burnout, stress-related health, and resilience among surgical trainees.
A single-arm pilot study was conducted at a tertiary referral academic hospital in Korea. Surgical trainees were recruited through flyer postings; therefore, a volunteer sample was used. Thus, 15 participants participated, among whom 9 were women and 11 were doctor-residents. The Self-Compassion for Healthcare Communities (SCHC) program was conducted from September to October 2021 via weekly online meetings (1 hour) for 6 weeks. The efficacy of the program was evaluated using validated scales for burnout, stress, anxiety, depression, self-compassion, and resilience before and after the intervention and 1 month later.
The results showed significantly reduced burnout, anxiety, and stress scores. After the program, high emotional exhaustion and depersonalization rates decreased, and personal accomplishment increased. Eight participants showed reduced anxiety postintervention, and 9 showed reduced stress. Improvements were observed between pre- and postintervention in resilience, life satisfaction, and common humanity. Changes in self-compassion predicted higher gains in resilience and greater reductions in burnout and stress.
The SCHC is a feasible and effective program to improve resilience, self-compassion, and life satisfaction and reduce stress, anxiety, depression, and burnout in surgical trainees. This study highlights the need to include specific mental health programs in surgical training to improve trainees' well-being.
医疗保健社区正念自我关怀（MSC）项目的疗效尚未得到验证。本研究旨在评估在线医疗保健社区正念自我关怀项目对外科住院医师职业倦怠、压力相关健康状况和心理韧性的可行性和疗效。
在韩国一家三级转诊学术医院进行了一项单臂试点研究。通过张贴传单招募外科住院医师；因此，使用的是志愿者样本。共有15名参与者，其中9名女性，11名医生住院医师。医疗保健社区自我关怀（SCHC）项目于2021年9月至10月通过每周一次的在线会议（1小时）进行，为期6周。在干预前后及1个月后，使用经过验证的量表对项目疗效进行评估，这些量表用于评估职业倦怠、压力、焦虑、抑郁、自我关怀和心理韧性。
结果显示职业倦怠、焦虑和压力得分显著降低。项目结束后，高情绪耗竭率和去个性化率下降，个人成就感增加。8名参与者干预后焦虑减轻，9名参与者压力减轻。干预前后在心理韧性、生活满意度和共通人性方面均有改善。自我关怀的变化预示着心理韧性的更大提升以及职业倦怠和压力的更大减轻。
医疗保健社区自我关怀项目是一个可行且有效的项目，可提高外科住院医师的心理韧性、自我关怀和生活满意度，并减轻压力、焦虑、抑郁和职业倦怠。本研究强调在外科培训中纳入特定心理健康项目以提高住院医师幸福感的必要性。
