手术培训中的正念 (MiST):为外科住院医生修改的正念课程
Elizabeth Miazga1, Brenna E Swift2, Madalina Maxim3
1Department of Obstetrics and Gynecology, Trillium Health Partners, Mississauga, ON, Canada; Department of Obstetrics and Gynaecology, University of Toronto, Temerty Faculty of Medicine, Toronto, ON, Canada.
Journal of surgical education
|December 1, 2024
概括
对外科住院医生进行修改的正念计划是可行的和可取的,显著减少了焦虑和提高了信心. 参与的最大障碍是时间,突出了对计划支持的需求.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 正念干预措施正念干预措施
背景情况:
- 外科住院医生面临着严重的压力因素,影响着注意力,学习和表现.
- 众所周知,基于正念的认知疗法可以减少焦虑并增强认知功能.
- 量身定制的正念课程可以在外科培训中解决这些挑战.
研究的目的:
- 开发和评估一个可行和可取的修改的正念课程,为外科住院医生.
- 评估正念训练对焦虑,自信,倦怠和手术表现的影响.
- 探索居民在手术室使用正念技术.
主要方法:
- 具有12周修改的正念课程的前性队列研究 (每周的小组课程,每天的家庭练习).
- 通过招生,完成率和重点小组评估可行性和可取性.
- 二次结果测量了干预前和后,使用经过验证的焦虑,自信,倦怠和手术表现等级.
主要成果:
- 该计划证明了可行性和可取性,67%的注册居民完成了课程.
- 观察到对焦虑的统计显著减少 (p < 0.001) 和对外科手术的信心增加 (p = 0.007).
- 在倦怠或手术绩效评估中没有发现显著变化;焦点小组显示在OR中持续使用正念工具.
结论:
- 修改的正念课程是一个可行的和可取的干预手术学员.
- 正念训练有效地减少了焦虑,并增强了住院医生对手术的信心.
- 解决时间限制和促进计划支持对于成功实施和文化转变至关重要.
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