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数字辅导对医护人员健康、福祉及职业倦怠的影响:试点研究结果

Digital Coaching to Address Health, Wellness, and Burnout Among Healthcare Workers: Pilot Study Results.

作者信息

L'Engle Kelly, Trejo Evelin, Coutinho Anastasia J

机构信息

University of San Francisco.

Zuckerberg San Francisco General Hospital, University of California, San Francisco.

出版信息

Workplace Health Saf. 2025 Jun;73(6):300-309. doi: 10.1177/21650799241291874. Epub 2024 Nov 28.

Abstract

BACKGROUND

Healthcare worker (HCW) well-being is essential for safe, high-quality patient care, but clinicians and front-line staff continue to experience alarming rates of burnout. This pilot study evaluated a novel 6-week program of remote wellness coaching supported by daily digital messaging to reduce burnout and increase well-being among HCWs.

METHODS

In spring 2023, staff from a large community health center in California were invited to participate in this single-group pretest-posttest study in an academic-practice partnership. Thirty-four participants who were mostly female (91%), Latina (77%), 36 years old on average (range = 20-61), and represented all major job categories provided informed consent and completed the baseline survey. Of these, 17 completed 6 weekly 20-minute coaching sessions; received daily messages about stress management, self-care, workplace well-being, social connections, and lifestyle and health behaviors, and completed follow-up data collection. The Wilcoxon matched pair signed-rank tests assessed changes from baseline to 2-months follow-up.

RESULTS

Self-reported burnout decreased from 59% at baseline to 35% at follow-up. Work exhaustion ( < .05), stress ( < .05) and sleep problems ( < .01) reduced significantly, and wellness practices ( < .05), moderate physical activity ( < .01), and healthy daily eating ( < .05) improved.Conclusions/Applications to Practice:Our pilot study suggests that a brief digital wellness program may address burnout and increase health and well-being among front-line staff and clinicians. Healthcare settings should consider this type of program for their workers, especially given the added burden of COVID-19 on the healthcare system.

摘要

背景

医护人员的福祉对于安全、高质量的患者护理至关重要,但临床医生和一线工作人员的职业倦怠率仍然惊人。这项试点研究评估了一项为期6周的新型远程健康指导计划,该计划通过每日数字信息提供支持,以减少医护人员的职业倦怠并提高其福祉。

方法

2023年春季,来自加利福尼亚州一个大型社区健康中心的工作人员受邀参与这项由学术机构与医疗机构合作开展的单组前后测研究。34名参与者大多为女性(91%),拉丁裔(77%),平均年龄36岁(范围=20-61岁),代表了所有主要工作类别,他们提供了知情同意并完成了基线调查。其中,17人完成了6次每周20分钟的指导课程;收到了关于压力管理、自我护理、工作场所福祉、社交关系以及生活方式和健康行为的每日信息,并完成了随访数据收集。Wilcoxon配对符号秩检验评估了从基线到2个月随访的变化。

结果

自我报告的职业倦怠从基线时的59%降至随访时的35%。工作倦怠(<.05)、压力(<.05)和睡眠问题(<.01)显著减少,健康习惯(<.05)、适度体育活动(<.01)和健康日常饮食(<.05)得到改善。

结论/实践应用:我们的试点研究表明,一个简短的数字健康计划可能有助于解决职业倦怠问题,并提高一线工作人员和临床医生的健康水平和福祉。医疗机构应该为其工作人员考虑这类计划,特别是考虑到新冠疫情给医疗系统带来的额外负担。

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