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正念慈悲生活训练对姑息治疗住院患者非正式照护者的 burnout 和照护负担的影响:一项随机对照试验。

The effect of mindfulness-based compassionate living training for informal caregivers of palliative inpatients on burnout and caregiving burden: a randomized controlled trial.

机构信息

Department of Public Health Nursing, Ataturk University Faculty of Nursing, Erzurum, Turkey.

Faculty of Medicine, Department of Internal Medicine, Atatürk University, Erzurum, Turkey.

出版信息

Health Educ Res. 2024 Jul 18;39(4):313-322. doi: 10.1093/her/cyae005.

Abstract

This study was conducted to determine the effect of Mindfulness-Based Compassionate Living (MBCL) training given to the informal caregivers of palliative patients on burnout and caregiving burden. A single-blind, randomized, controlled, experimental study was conducted with 54 caregivers of patients admitted to a hospital palliative care unit. The participants were randomly allocated to the experimental group (n = 26) and control group (n = 28). The experimental group received MBCL training twice a week for 4 weeks. Data were collected before and after the intervention using the Maslach Burnout Inventory, Caregiver Burden Scale and Self-Compassion Scale-Short Form. The data were analyzed using kurtosis and skewness coefficients, number, percentage, mean, standard deviation, chi-square test, independent samples t test, Wilcoxon signed ranks test and Mann-Whitney U test in SPSS version 22.0. The informal caregivers in the experimental group demonstrated a significant decrease in emotional exhaustion and depersonalization scores and an increase in personal accomplishment and self-compassion scores in posttest assessments after the MBCL intervention (P < 0.05). All of these parameters differed significantly between the experimental and control groups after the intervention (P < 0.05). MBCL training seems to be effective in reducing emotional exhaustion and depersonalization and increasing personal accomplishment and self-compassion among informal caregivers of palliative inpatients. The results of this study can be generalized to the caretakers of patients receiving palliative care in university hospitals.

摘要

本研究旨在探讨正念慈悲生活(MBCL)训练对姑息治疗患者的非正式照护者的倦怠和照护负担的影响。采用单盲、随机、对照、实验研究方法,纳入 54 名在医院姑息治疗病房住院患者的照护者。参与者被随机分配到实验组(n=26)和对照组(n=28)。实验组每周接受 MBCL 训练 2 次,共 4 周。在干预前后使用马斯拉赫倦怠量表、照护者负担量表和自我同情量表-短式收集数据。使用偏度和峰度系数、数量、百分比、平均值、标准差、卡方检验、独立样本 t 检验、Wilcoxon 符号秩检验和 Mann-Whitney U 检验对 SPSS 22.0 版中的数据进行分析。实验组非正式照护者在 MBCL 干预后,在测试后评估中表现出情绪衰竭和去人格化得分显著降低,个人成就感和自我同情得分显著增加(P<0.05)。所有这些参数在干预后实验组和对照组之间差异均有统计学意义(P<0.05)。MBCL 训练似乎能有效减少姑息治疗住院患者的非正式照护者的情绪衰竭和去人格化,增加个人成就感和自我同情。本研究结果可推广至大学附属医院接受姑息治疗患者的照护者。

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