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魁北克住院医师在线瑜伽项目:对可行性及心理健康影响的评估。

Online yoga programme for resident physicians in Québec: an evaluation of feasibility and impact on mental health.

机构信息

Department of Psychology, UQAM, Montreal, Québec, Canada

Department of Psychology, UQAM, Montreal, Québec, Canada.

出版信息

BMJ Open. 2024 Sep 12;14(9):e082391. doi: 10.1136/bmjopen-2023-082391.

Abstract

OBJECTIVES

To evaluate the feasibility of the Bali Yoga Programme for Residents (PYB-R), an 8-week virtual yoga-based intervention and determine its impact on the mental health of resident physicians.

DESIGN

Single-group repeated measures study.

SETTING

Associations from the four postgraduate medical education programmes in Québec, Canada.

PARTICIPANTS

Overall, 55 resident physicians were recruited to participate of which 53 (96.4%) completed the assessment pre-PYB-R. The postintervention assessment was completed by 43 residents (78.2%) and 39 (70.9%) completed all phases (including 3-month follow-up). Most were in their first year (43.4%) or second year (32.1%) of residency. The majority were female (81.1%) with a mean age of 28±3.6 years.

PRIMARY AND SECONDARY OUTCOME MEASURES

The primary outcome measure was feasibility as measured by participation in the PYB-R. Secondary outcome measures were psychological variables (anxiety, depression, burn-out, emotional exhaustion, compassion fatigue and compassion satisfaction) and satisfaction with the PYB-R. Residents were further subgrouped based on the quality of work life and a number of PYB-R sessions attended.

RESULTS

The attrition rate for programme completion was 19%. Of the 43 residents who completed the PYB-R, 90.6% attended between 6 and 8 sessions. Repeated-measures analysis of variances (ANOVAs) at three time points (baseline, PYB-R completion and 3-month follow-up) confirmed a decrease in scores for depression and anxiety, and an increase in scores for compassion satisfaction. No changes were observed in the other psychological variables evaluated. ANOVAs also confirmed that a better quality of life at work helps develop compassion satisfaction, a protective factor to compassion fatigue. Most participants (92.9%) indicated they were satisfied or very satisfied with the quality of the programme.

CONCLUSIONS

A virtual yoga-based programme is feasible and has lasting positive effects for up to 3 months on the mental health of resident physicians. Further research is warranted to validate these findings using a larger sample of residents with a control group.

摘要

目的

评估巴厘瑜伽计划(PYB-R)的可行性,这是一项为期 8 周的虚拟瑜伽干预措施,并确定其对住院医师心理健康的影响。

设计

单组重复测量研究。

地点

加拿大魁北克四个住院医师医学教育计划的协会。

参与者

总共招募了 55 名住院医师参加,其中 53 名(96.4%)在 PYB-R 前完成了评估。43 名居民(78.2%)完成了干预后评估,39 名居民(70.9%)完成了所有阶段(包括 3 个月随访)。大多数人处于住院医师的第一年(43.4%)或第二年(32.1%)。大多数是女性(81.1%),平均年龄为 28±3.6 岁。

主要和次要结果测量

主要结果测量是通过参与 PYB-R 来衡量的可行性。次要结果测量是心理变量(焦虑、抑郁、倦怠、情绪疲惫、同情疲劳和同情满足)和对 PYB-R 的满意度。根据工作生活质量和参加 PYB-R 课程的次数,居民进一步分组。

结果

方案完成的辍学率为 19%。在完成 PYB-R 的 43 名居民中,90.6%参加了 6 到 8 次课程。在三个时间点(基线、PYB-R 完成和 3 个月随访)的重复测量方差分析(ANOVA)证实,抑郁和焦虑评分下降,同情满足评分上升。评估的其他心理变量没有变化。ANOVAs 还证实,更好的工作生活质量有助于培养同情满足感,这是同情疲劳的保护因素。大多数参与者(92.9%)表示对该计划的质量满意或非常满意。

结论

基于虚拟瑜伽的计划是可行的,并且对住院医师的心理健康具有长达 3 个月的持久积极影响。需要进一步的研究,使用更大的住院医师样本和对照组来验证这些发现。

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