基于正念和同情的在线干预对医生倦怠的有效性:一项随机对照试验与调解和临床结果分析
Francisco Villalón1, Alejandro Hirmas2, Adrian P Mundt3
1Programa de Postgrado en Psiquiatría y Salud Mental, Complejo Asistencial Sótero del Río, Facultad de Medicina, Universidad Diego Portales, Santiago, Chile; Centro de Educación Médica y Simulación Clinica (CEMSIC), Facultad de Medicina de la Universidad Diego Portales, Santiago, Chile.
一个正念和同情计划 (IBAP) 显著减少了长期的医生倦怠. 这种干预措施还通过减轻倦怠来降低医疗错误的感知,证明了临床相关性.
科学领域:
- 医学教育 医学教育
- 精神病学是一个精神病学.
- 职业健康 职业健康 职业健康
背景情况:
- 医生倦怠是一个全球性的健康挑战.
- 现有的干预措施通常在样本大小,随访持续时间和伦理整合方面存在局限性.
- 本研究通过评估一种新的程序来解决这些局限性.
研究的目的:
- 评估一种文化适应,道德基础的基于正念和同情心的程序 (IBAP) 的有效性.
- 确定IBAP对医生倦怠和相关因素的影响.
- 评估干预的长期影响.
主要方法:
- 这是一项随机对照试验,涉及474名智利医生.
- 参与者被分配到为期八周的在线IBAP计划或等候名单控制中.
- 结果包括倦怠,正念,自我同情,幸福感和感知到的医疗错误,在基线,干预后和6个月后期进行评估.
主要成果:
- IBAP在干预后和6个月后的随访中显示了整体倦怠的显著和持续的减少 (Cohen的d分别为-0.91和-1.08).
- 在情绪疲,非个性化和个人成就方面注意到了改善.
- 正念和自我同情调解了大约30%的倦怠减少,而减少的倦怠与更少的医疗错误相关.
结论:
- 通过IBAP计划,医生倦怠率大幅而持久地减少.
- 在各种敏感性分析中,干预措施的积极影响是强大的.
- IBAP通过减轻倦怠感受到的医疗错误来减少临床相关性,突出其可扩展性.
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