临床医生疲劳和指南推的心理治疗的有效性
Nina A Sayer1,2,3, Adam Kaplan1,2, David B Nelson1,2
1Center for Care Delivery and Outcomes Research, Minneapolis VA Health Care System, Minneapolis, Minnesota.
JAMA network open
|April 17, 2024
概括
临床人员的倦怠会对创伤后应激障碍 (PTSD) 的创伤重点治疗中患者的结果产生负面影响. 燃烧的治疗师与较低的患者改善率有关,这突显了对干预的需要.
科学领域:
- 心理健康 心理健康
- 心理治疗研究 心理治疗研究
- 医疗保健 专业人员 幸福 幸福
背景情况:
- 临床医生的倦怠对患者结果的影响尚未得到充分证实.
- 在创伤后应激障碍 (PTSD) 中,建议以创伤为重点的心理治疗.
研究的目的:
- 调查临床医生倦怠和指导方针建议的创伤为重点的创伤后应激障碍心理治疗中的患者结果之间的关联.
主要方法:
- 在美国退伍军人事务医疗保健系统进行了前性队列研究.
- 165名治疗师通过验证的措施报告了倦怠状态.
- 接受创伤重点治疗的1268名患者的结果 (PTSD症状改善,学) 被评估.
主要成果:
- 35.2%的治疗师报告说,他们感到倦怠.
- 被烧毁治疗师治疗的患者在临床上有意义的PTSD症状改善率较低 (28.3%与36.8%相比).
- 治疗师倦怠与患者改善的几率降低显著相关 (调整后OR,0.63).
结论:
- 治疗师倦怠与创伤为重点的创伤后应激障碍心理治疗效率下降有关.
- 研究结果表明,解决临床医师倦怠问题可能会改善患者的治疗结果.
- 进一步研究将倦怠与患者结果联系在一起的机制是有必要的.
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