标准化正念计划对倦怠的影响:从随机对照试验的系统审查和原始分析
Dyna Shoker1,2, Laura Desmet1, Nelly Ledoux1
1Unité de Recherche Clinique ARC EN CIEL UF657-Centre Hospitalier Victor Jousselin-GHT HOPE Les Hôpitaux Publics Euréliens, Dreux, France.
在医疗保健专业人员中,正念计划显著减少了倦怠症状,特别是情绪疲劳. 需要进一步的研究,以有效地解决所有燃烧组件.
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
- 基于证据的实践.
背景情况:
- 倦怠,是由于无法管理的职业压力的综合征,其特点是情绪疲和愤世嫉俗.
- 世界卫生组织 (WHO) 建议正念可能会使专业人士受益,但对标准化计划的研究有限.
- 关于受研究的人群,计划特征和燃烧指标有效性的关键问题仍然存在.
研究的目的:
- 系统地审查随机对照试验 (RCT) 关于标准化正念计划对倦怠的影响.
- 确定所研究的专业人群,计划特征和测量结果.
- 评估正念干预措施对倦怠的整体有效性.
主要方法:
- 根据PRISMA指南进行了系统的文献审查.
- 在Embase,PubMed/MEDLINE,EBSCOhost和HAL数据库的搜索中使用了关键词:"正念"",倦怠"和"随机化".
- 来自49个选定的RCT的数据使用Excel的枢纽表,图表和地图进行了分析.
主要成果:
- 大多数49个RCT的质量很好,来自美国,专注于医疗保健专业人员 (64%) 和女性 (76%).
- 评估了31个不同的正念计划,在78%的研究中使用了Maslach Burnout Inventory.
- 三分之二 (67%) 的RCT在燃烧指标上表现出显著的积极影响,最显著的是情绪疲劳.
结论:
- 基于正念的干预措施显示出作为预防倦怠相关情绪困扰的首要方法的承诺.
- 需要进一步的研究,以确定最佳的方案类型,以解决所有方面的倦怠.
- 标准化的正念计划似乎有效,特别是在医疗保健工作人员的情绪疲方面.
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