Bigman-Peer Noa, Drozdinsky Genady, Heruti Irit, Rotman Eran, Ayalon-Dangur Irit, Dagan Anat, Eliakim-Raz Noa
Department of Internal Medicine E, Rabin Medical Center (Beilinson Campus), Petah Tikva, Israel, Faculty of Medical and Health Sciences, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Psychology Unit, Rabin Medical Center (Beilinson Campus), Petah Tikva, Israel.
Isr Med Assoc J. 2025 Feb;27(2):82-86.
Burnout is prevalent among healthcare providers and characterized by emotional exhaustion, depersonalization, and reduced personal accomplishment. The coronavirus disease 2019 (COVID-19) pandemic exacerbated burnout due to increased workloads, emotional strain, and heightened risk. Complementary medicine (CAM) interventions like shiatsu massage and reflexology have been explored as potential to mitigate burnout, particularly pandemic-related stress.
To assess the efficacy of CAM interventions for alleviating burnout in healthcare providers treating COVID-19 patients during 2022, when the Delta variant was prevalent.
This prospective observational study included 86 healthcare providers at Rabin Medical Center, Beilinson Campus. Workers were divided into two groups: an intervention group participating in CAM activities and a control group. Participant burnout and post-traumatic stress disorder (PTSD) symptoms were evaluated using the Maslach Burnout Inventory and General Anxiety Disorder 7 at baseline and at one day and one week post-intervention.
The CAM group demonstrated significant reduction in burnout scores, primarily due to an enhanced sense of accomplishment (P = 0.023), with enduring effects observed after one week, although not reaching statistical significance (P = 0.078). There was no observed difference in PTSD scores between the groups (P = 0.28).
The study reveals potential benefits of CAM interventions in reducing burnout symptoms among healthcare providers during the COVID-19 pandemic. The findings underscore the importance of integrating such interventions to address the mental well-being of healthcare providers, especially in high-stress environments. Further randomized controlled trials with diverse samples and extended follow-up are recommended to validate and explore these initial findings.
职业倦怠在医疗服务提供者中很普遍，其特征是情感耗竭、去人格化和个人成就感降低。2019年冠状病毒病（COVID-19）大流行因工作量增加、情感压力和风险升高而加剧了职业倦怠。诸如指压按摩和反射疗法等补充医学（CAM）干预措施已被探索具有减轻职业倦怠的潜力，尤其是与大流行相关的压力。
评估2022年德尔塔变种流行期间，CAM干预措施对治疗COVID-19患者的医疗服务提供者减轻职业倦怠的疗效。
这项前瞻性观察性研究纳入了位于贝林森校区的拉宾医疗中心的86名医疗服务提供者。工作人员被分为两组：一组参与CAM活动的干预组和一组对照组。在基线、干预后一天和一周时，使用马氏职业倦怠量表和广泛性焦虑障碍7项量表评估参与者的职业倦怠和创伤后应激障碍（PTSD）症状。
CAM组的职业倦怠得分显著降低，主要是由于成就感增强（P = 0.023），尽管一周后未达到统计学显著性（P = 0.078），但仍观察到持续效果。两组之间的PTSD得分没有差异（P = 0.28）。
该研究揭示了CAM干预措施在COVID-19大流行期间减轻医疗服务提供者职业倦怠症状方面的潜在益处。这些发现强调了整合此类干预措施以解决医疗服务提供者心理健康问题的重要性，尤其是在高压力环境中。建议进行进一步的随机对照试验，采用多样化样本并延长随访时间，以验证和探索这些初步发现。
