基于正念的压力减轻对ICU护士存在感的影响:一个集群随机对照试验
Xiaoli Liu1, Shu Luo2, Xianxiu Wen3
1Department of critical Medicine, Deyang people's Hospital, Sichuan, China.
PloS one
|October 28, 2025
概括
基于正念的压力减轻 (MBSR) 培训显著减少了重症监护病房 (ICU) 护士的存在主义. 这种干预也增加了正念水平,显示了对护理人员福祉和患者安全的持续积极影响.
科学领域:
- 护理 护理 护理
- 心理学 心理学 心理学
- 医疗保健管理的管理
背景情况:
- 高压环境,繁重的工作负载和班次安排导致重症监护室 (ICU) 护士的存在率显著.
- 在ICU护士的临床现场行为可能会对护理质量,患者安全以及护士的身心健康产生负面影响.
- 有效的干预措施对于促进护理人员福祉和保持医疗保健团队稳定性至关重要.
研究的目的:
- 评估一项为期8周的基于正念的压力减轻 (MBSR) 培训计划在减少ICU护士的出席主义方面的有效性.
- 评估MBSR对ICU护士正念水平的影响.
主要方法:
- 进行了一个集群随机对照试验,80名ICU护士经历了高临床现场.
- 干预组 (40名护士) 接受了为期8周的MBSR计划,而对照组 (40名护士) 接受了标准的心理咨询.
- 现场主义 (斯坦福现场主义量-6) 和正念 (五方面正念问卷) 在基线,干预后和干预后12周被评估.
主要成果:
- 与对照组和基线相比,MBSR干预组在干预后8周和12周显示出明显较低的临床现场学得分.
- 用五方面正念问卷测量的正念水平,与对照组和基线相比,在MBSR组显著增加.
- 在12周的随访期间,MBSR对存在主义和正念的积极影响仍然存在.
结论:
- 一个为期8周的基于正念的压力减轻 (MBSR) 计划是有效的干预措施,以减少ICU护士的出席主义.
- MBSR培训提高了正念水平,有助于持续改善护士福祉和潜在的患者安全.
- 可以将MBSR整合到医院政策中,以支持护理人员并改善医疗保健环境.
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