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医生的正念与职业倦怠之间的关系。

The relationship between mindfulness and burnout in physicians.

作者信息

Huang Fen, Lei Jinfang, Zhang Chenchen, Li Xiaowen

机构信息

Anhui Wenda University of Information Engineering, Hefei, 230601, China.

Institute of Mental Health Education, Anhui Normal University, Wuhu, 241000, China.

出版信息

BMC Med Educ. 2025 Mar 3;25(1):330. doi: 10.1186/s12909-025-06923-3.

DOI:10.1186/s12909-025-06923-3
PMID:40033252
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11877954/
Abstract

BACKGROUND

To investigate the relationship between mindfulness and burnout in physicians and its underlying mechanisms.

METHODS

Study 1 employed a multiverse-style analysis based on a large sample of 8,462 physicians to examine the robust relationship between mindfulness(MAAS) and burnout(MBIES). Study 2 conducted a 21-day intensive longitudinal assessment on 471 physicians to explore the internal mechanisms by which mindfulness affects burnout.

RESULTS

Study 1 found that the negative association between mindfulness and burnout is robust. Study 2 discovered that Perceived Organizational Support(POS) and Psychological Safety(PS) play a sequential mediating role in the effect of mindfulness on burnout.

CONCLUSIONS

These findings provide a theoretical basis for formulating interventions at the organizational level and have important practical and theoretical significance for optimizing physicians' work environments and improving the medical quality.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

背景

探讨医生正念与职业倦怠之间的关系及其潜在机制。

方法

研究1基于8462名医生的大样本进行多变量分析,以检验正念(MAAS)与职业倦怠(MBIES)之间的稳健关系。研究2对471名医生进行了为期21天的密集纵向评估,以探究正念影响职业倦怠的内在机制。

结果

研究1发现正念与职业倦怠之间的负相关关系稳健。研究2发现,感知到的组织支持(POS)和心理安全感(PS)在正念对职业倦怠的影响中起顺序中介作用。

结论

这些发现为制定组织层面的干预措施提供了理论依据,对于优化医生工作环境和提高医疗质量具有重要的实践和理论意义。

临床试验编号

不适用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/570a/11877954/34341cf74601/12909_2025_6923_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/570a/11877954/1a3c8362f450/12909_2025_6923_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/570a/11877954/e4162eeabbae/12909_2025_6923_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/570a/11877954/34341cf74601/12909_2025_6923_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/570a/11877954/1a3c8362f450/12909_2025_6923_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/570a/11877954/e4162eeabbae/12909_2025_6923_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/570a/11877954/34341cf74601/12909_2025_6923_Fig3_HTML.jpg

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本文引用的文献

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Hum Resour Health. 2024 Nov 20;22(1):79. doi: 10.1186/s12960-024-00959-0.
2
A Narrative Review of Burnout Syndrome in Medical Personnel.医务人员职业倦怠综合征的叙述性综述
Diagnostics (Basel). 2024 Sep 6;14(17):1971. doi: 10.3390/diagnostics14171971.
3
Effectiveness of mindfulness-based interventions on the well-being of healthcare workers: a systematic review and meta-analysis.
基于正念的干预措施对医护人员幸福感的有效性:一项系统评价和荟萃分析。
Gen Psychiatr. 2024 May 7;37(3):e101115. doi: 10.1136/gpsych-2023-101115. eCollection 2024.
4
Employee silence, job burnout and job engagement among teachers: the mediational role of psychological safety.教师中的员工沉默、职业倦怠与工作投入:心理安全的中介作用
Health Psychol Behav Med. 2023 May 17;11(1):2213302. doi: 10.1080/21642850.2023.2213302. eCollection 2023.
5
The relationship between psychiatric nurses' perceived organizational support and job burnout: Mediating role of psychological capital.精神科护士的组织支持感与职业倦怠之间的关系:心理资本的中介作用。
Front Psychol. 2023 Feb 21;14:1099687. doi: 10.3389/fpsyg.2023.1099687. eCollection 2023.
6
Mindfulness Initiatives for Students, Teachers, and Parents: a Review of Literature and Implications for Practice During COVID-19 and Beyond.面向学生、教师和家长的正念倡议:文献综述及对COVID-19期间及之后实践的启示
Contemp Sch Psychol. 2023;27(1):152-169. doi: 10.1007/s40688-022-00446-0. Epub 2023 Jan 30.
7
The impact of mindfulness practice on physician burnout: A scoping review.正念练习对医生职业倦怠的影响:一项范围综述。
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Mindfulness (N Y). 2022;13(8):1923-1930. doi: 10.1007/s12671-022-01928-1. Epub 2022 Jul 6.
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Front Psychol. 2021 Dec 15;12:781804. doi: 10.3389/fpsyg.2021.781804. eCollection 2021.
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Healthcare (Basel). 2021 Oct 9;9(10):1342. doi: 10.3390/healthcare9101342.