Merrigan Justin J, Quatman-Yates Catherine, Caputo Jacqueline, Daniel Kayla, Briones Nadia, Sen Ilayda, Bretz Slate, Duchemin Anne-Marie, Steinberg Beth, Hagen Joshua A, Klatt Maryanna
Human Performance Collaborative, Office of Research, The Ohio State University, Columbus, OH, USA.
School of Health and Rehabilitation Sciences, Division of Physical Therapy, The Ohio State University, Columbus, OH, USA.
Glob Adv Integr Med Health. 2023 Jul 6;12:27536130231187636. doi: 10.1177/27536130231187636. eCollection 2023 Jan-Dec.
Mindfulness in Motion (MIM) is a workplace resilience-building intervention that has shown reductions in perceived stress and burnout, as well as increased resilience and work engagement in health care workers.
To evaluate effects of MIM delivered in a synchronous virtual format on self-reported respiratory rates (RR), as well as perceived stress and resiliency of health care workers.
Breath counts were self-reported by 275 participants before and after 8 weekly MIM sessions. MIM was delivered virtually in a group format as a structured, evidence-based workplace intervention including a variety of mindfulness, relaxation, and resilience-building techniques. Participants counted their breaths for 30 seconds, which was then multiplied by 2 to report RR. Additionally, participants completed Perceived Stress Scale and Connor-Davidson Resiliency Scale.
According to mixed effect analyses there were main effects of MIM Session (P < .001) and Weeks (P < .001), but no Session by Week interaction (P = .489) on RR. On average, RR prior to MIM sessions were reduced from 13.24 bpm (95% CI = 12.94, 13.55 bpm) to 9.69 bpm (95% CI = 9.39, 9.99 bpm). When comparing average Pre-MIM and Post-MIM RR throughout the MIM intervention, Week-2 (mean = 12.34; 95% CI = 11.89, 12.79 bpm) was not significantly different than Week-1 (mean = 12.78; 95% CI = 12.34, 13.23 bpm), but Week-3 through Week-8 demonstrated significantly lower average Pre-MIM and Post-MIM RR compared to Week-1 (average weekly difference range: 1.36 to 2.48 bpm, P < .05). Perceived stress was reduced from Week-1 (17.52 ± 6.25) to after Week-8 (13.52 ± 6.04; P < .001), while perceived resiliency was increased from Week-1 (11.30 ± 5.14) to after Week-8 (19.29 ± 2.58); P < .001).
Thus far, completion of MIM sessions has shown acute and long-term effects on self-reported RR, but more research is required to determine the extent of improved parasympathetic (relaxed) states. Collectively, this work has shown value for mind-body stress mitigation and resiliency-building in high stress acute health care environments.
动态正念（MIM）是一种工作场所复原力建设干预措施，已显示出可降低感知压力和职业倦怠，并提高医护人员的复原力和工作投入度。
评估以同步虚拟形式开展的MIM对医护人员自我报告的呼吸频率（RR）、感知压力和复原力的影响。
275名参与者在为期8周的MIM课程前后自我报告呼吸次数。MIM以小组形式通过虚拟方式进行，作为一种结构化的、基于证据的工作场所干预措施，包括各种正念、放松和复原力建设技巧。参与者计数30秒的呼吸次数，然后乘以2以报告RR。此外，参与者完成了感知压力量表和康纳-戴维森复原力量表。
根据混合效应分析，MIM课程（P <.001）和周数（P <.001）对RR有主要影响，但课程与周数之间没有交互作用（P =.489）。平均而言，MIM课程前的RR从13.24次/分钟（95%CI = 12.94，13.55次/分钟）降至9.69次/分钟（95%CI = 9.39，9.99次/分钟）。在整个MIM干预过程中比较MIM课程前和课程后的平均RR时，第2周（平均值 = 12.34；95%CI = 11.89，12.79次/分钟）与第1周（平均值 = 12.78；95%CI = 12.34，13.23次/分钟）没有显著差异，但第3周至第8周的MIM课程前和课程后的平均RR明显低于第1周（平均每周差异范围：1.36至2.48次/分钟，P <.05）。感知压力从第1周（17.52±6.25）降至第8周后（13.52±6.04；P <.001），而感知复原力从第1周（11.30±5.14）增加到第8周后（19.29±2.58）；P <.001）。
到目前为止，完成MIM课程已显示出对自我报告的RR有急性和长期影响，但需要更多研究来确定副交感神经（放松）状态改善的程度。总体而言，这项工作已显示出在高压力急性医疗环境中减轻身心压力和建设复原力的价值。
