在初级保健环境中解决倦怠:基于证据的正念工具包的影响
Andrew J Christensen1, Jonathan P Virnig1, Nicole L Case1
1The Daniel K. Inouye Graduate School of Nursing, Uniformed Services University of Health Sciences, Bethesda, MD 20841, USA.
基于正念的压力减轻工具包 (MBSR TK) 有效地减少了医疗保健工作者 (HCW) 的倦怠和压力. 即使是一次15分钟的会议也显著降低了自我报告的压力和倦怠水平.
科学领域:
- 职业健康 职业健康 职业健康
- 心理学 心理学 心理学
- 正念干预措施正念干预措施
背景情况:
- 由于长期的职业压力,医疗保健工作者 (HCW) 面临着日益严重的倦怠危机.
- 鉴定和解决倦怠是具有挑战性的,因为HCWs感知到的各种压力因素.
研究的目的:
- 评估一个基于证据的多式联络式基于正念的压力减轻工具包 (MBSR TK).
- 评估MBSR技术课程对HCW自我报告的压力水平 (SRSL) 和初级保健中倦怠率的影响.
主要方法:
- 使用Mini-Z燃烧调查 (MZBS) 进行计划前后评估.
- 该MBSR TK包括一个45分钟的介绍和四个15分钟的每两周一次的会议 (针,冥想,感恩日记,自我同情).
- 在德克萨斯州南部的两个军事初级保健诊所进行的评估.
主要成果:
- 70%的HCW参加了介绍; 41%完成了前后调查.
- 参观了介绍和一次会议的HCW显示,自我报告的压力 (P=0.018) 和倦怠 (P=0.045) 的统计学显著下降.
- 电子健康记录熟练程度的显著增加也被观察到 (P=0.033).
结论:
- 多模态正念工具包是实用的,可访问的,并且很容易实现HCWs.
- MBSR TK有效地降低了自我报告的压力和倦怠,即使参与度最小 (一个15分钟的会议).
- 这种干预是适应性和有益的HCW面临着不同的全球挑战.
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