个人层面干预措施的有效性,以减轻医疗保健专业人员中燃烧风险:随机对照试验的系统审查和元分析
George Collett1, Jaya Gupta2, Abubaker Eltayeb1
1Clinical Pharmacology and Precision Medicine, William Harvey Research Institute, Queen Mary University of London, London, United Kingdom (G.C., A.E.).
Annals of internal medicine
|November 17, 2025
概括
专业教练可能会减少医生倦怠,而正念干预可以帮助护士和助产士. 这两种策略在持续超过四周时都显示出有前途.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 职业健康 职业健康 职业健康
- 精神病学是一个精神病学.
背景情况:
- 关于减轻医疗保健专业人员 (HCP) 倦怠的有效策略的证据有限.
- 倦怠对医疗保健工作人员构成重大挑战,影响健康和绩效.
研究的目的:
- 系统地评估旨在缓解医疗保健专业人员倦怠的干预措施的有效性.
- 综合来自随机对照试验 (RCT) 和关于倦怠干预的集群RCT的证据.
主要方法:
- 在PubMed和Scopus进行了全面的文献搜索,截至2025年5月.
- 独立的研究选择和数据提取由两个审稿人进行.
- 随机效应模型被用于数据合成,按HCP角色分层,分析情绪疲劳,非个性化和个人成就.
主要成果:
- 包括99个涉及9330名参与者的RCT.
- 专业指导可能减少了医生的倦怠方面 (低至中等确定性证据).
- 基于正念的干预措施显示,有潜力减少护士,助产士和混合HCP组的倦怠 (低至中等确定性证据).
结论:
- 专业指导对医生来说似乎是有效的,特别是当实施超过四周时.
- 基于正念的干预措施可能会使护士,助产士和混合医疗保健团队受益.
- 需要使用强大的方法进行进一步的研究,以确认发现并解决异质性问题.
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