基于正念的干预对外科医生的心理结果的影响:系统审查和元分析
Shahab Hajibandeh1, Christopher R Bowman2, Shahin Hajibandeh3
1Department of General Surgery, Morriston Hospital, Swansea, UK.
World journal of surgery
|May 1, 2025
概括
基于正念的干预措施 (MBI) 显著降低了压力和倦怠,同时改善了外科住院人员的正念. 需要进一步的研究来确定这些心理益处是否转化为改善手术表现和患者结果.
科学领域:
- 医学心理学 医学心理学
- 外科教育的外科教育
- 基于证据的医学基于证据的医学.
背景情况:
- 外科医生面临严重的心理压力,倦怠和焦虑,影响健康和潜在的患者护理.
- 基于正念的干预 (MBI) 越来越多地被探索为减轻医疗保健专业人员心理痛苦的策略.
- 关于MBI在外科患者群体中的有效性的现有证据需要进行系统的评估.
研究的目的:
- 系统地审查和元分析MBI对外科医生的心理结果的影响.
- 量化MBI对外科住院医生的压力,正念,倦怠,抑郁和焦虑的影响.
主要方法:
- 进行了符合PRISMA的系统审查和随机效应元分析.
- 搜索了评估外科医生的MBI的比较研究.
- 主要结局包括压力 (感知压力量表,PSS-10) 和正念 (认知和情感正念量表修订,CAMS-R);次要结局包括倦怠和焦虑.
主要成果:
- 包括5项研究 (4项RCT,1个队列),涉及179名外科住院医生.
- 经验测试显著降低了感知到的压力 (MD: -3.24,p=0.030),改善了正念 (MD: 3.97,p<0.00001) 和减少了倦怠 (MD: -1.98,p=0.020).
- 没有观察到对抑郁或焦虑水平的显著影响.
结论:
- MBIs显示了改善外科医生的心理健康的潜力,特别是增强正念,减少压力和倦怠.
- 改善正念的证据的确定性很高,减少压力和倦怠的证据是中等的.
- 未来的研究应该调查MBI对手术表现和患者结果的长期影响.
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