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简短的基于正念的远程干预:一项多中心随机对照试验。

Brief tele-mindfulness-based intervention: A multicenter randomized controlled trial.

作者信息

AlQarni Amani M, Elfaki Abdulaziz, Abdel Wahab Moataza M, Aljehani Yasser, Alkhunaizi Auday A, Alex Johnson, Othman Sharifa A, Amer Fatma H, Alghamdi Faisal A, Alissa Khalid A

机构信息

Department of Family and Community Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

Department of Psychiatry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

出版信息

J Family Community Med. 2023 Jul-Sep;30(3):180-187. doi: 10.4103/jfcm.jfcm_82_23. Epub 2023 Jul 24.

Abstract

BACKGROUND

Coronavirus disease 2019 (COVID-19) has proven to be detrimental to the psychological well-being of healthcare providers (HCP). This study was a psychological intervention during the COVID-19 pandemic to check extent to which brief mindfulness-based interventions (MBIs) and progressive muscle relaxation (PMR) affect psychological well-being, resilience, and anxiety of HCPs.

MATERIALS AND METHODS

A randomized trial study conducted from July to August 2020. One hundred and forty-seven COVID-19 frontline HCPs were randomized to a 2-week virtual intervention with a brief MBI or a PMR. Pre- and postintervention assessments were done using the State-Trait Anxiety-20-Item Scale, the Connor-Davidson Resilience Scale-10, and WHO-5 Well-Being Index.

RESULTS

The final sample included 125 HCPs (64 in BMI group and 61 in PMR group) who completed pre- and post-intervention assessment. The results showed a significant improvement in the psychological well-being and reduction of the state anxiety of the two groups, but not in the trait anxiety or resiliency. Improvement was more in the group's brief MBI (81.3%) than in the group's PMR (51.8%) ( = 0.0001), concerning psychological well-being.

CONCLUSION

Both the brief MBI and PMR improved the psychological well-being and reduced the anxiety of frontline healthcare providers during the COVID-19 pandemic with a slightly better improvement in the brief MBI.

摘要

背景

事实证明,2019冠状病毒病(COVID-19)对医护人员的心理健康有害。本研究是在COVID-19大流行期间进行的一项心理干预,旨在检验基于正念的简短干预(MBIs)和渐进性肌肉松弛(PMR)对医护人员心理健康、恢复力和焦虑的影响程度。

材料与方法

2020年7月至8月进行了一项随机试验研究。147名COVID-19一线医护人员被随机分配到为期2周的虚拟干预组,接受简短的MBI或PMR干预。干预前后使用状态-特质焦虑20项量表、康纳-戴维森恢复力量表-10和世界卫生组织-5幸福指数进行评估。

结果

最终样本包括125名医护人员(MBI组64名,PMR组61名),他们完成了干预前后的评估。结果显示,两组的心理健康状况有显著改善,状态焦虑有所降低,但特质焦虑或恢复力没有改善。就心理健康而言,MBI组的改善(81.3%)比PMR组(51.8%)更大(P = 0.0001)。

结论

在COVID-19大流行期间,简短的MBI和PMR都改善了一线医护人员的心理健康,减轻了焦虑,其中简短的MBI改善效果略好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9a0/10479025/04850c462d42/JFCM-30-180-g001.jpg

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