Department of Psychology, UQAM, Montreal, Québec, Canada
Department of Psychology, UQAM, Montreal, Québec, Canada.
BMJ Open. 2024 Sep 12;14(9):e082391. doi: 10.1136/bmjopen-2023-082391.
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.
Single-group repeated measures study.
Associations from the four postgraduate medical education programmes in Québec, Canada.
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.
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.
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.
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.
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。
单组重复测量研究。
加拿大魁北克四个住院医师医学教育计划的协会。
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。
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。
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。
