第三波认知行为治疗对医疗保健专业人员倦怠的影响:系统性审查和元分析
Jin-Hui Han1, Miran Lee1, Chiyoung Cha2
1College of Nursing, Ewha Womans University, Seoul 03760, Republic of Korea.
Healthcare (Basel, Switzerland)
|December 30, 2025
概括
第三波认知行为疗法有效地减少了医疗保健专业人员的情绪疲劳和非个性化. 未来的研究应该专注于提高个人成就,并探索超越正念的新治疗方法.
科学领域:
- 心理学 心理学 心理学
- 医学 医学 医学 医学 医学
- 医疗保健管理的管理
背景情况:
- 倦怠,其特点是情绪疲,非个性化和个人成就低,影响超过50%的医疗保健专业人员.
- 慢性工作场所压力是燃烧的主要驱动因素,导致员工流动增加.
- 第三波认知行为疗法 (CBT) 已在管理倦怠方面表现出有效性.
研究的目的:
- 系统地审查和综合第三波CBT干预倦怠的证据.
- 评估第三波CBT在减少医疗保健专业人员倦怠方面的有效性.
主要方法:
- 在8个数据库中进行了系统的文献搜索,截至2024年5月.
- 包括的研究包括随机对照试验和准实验设计.
- 在11项符合条件的研究中,使用固定和随机效应模型进行了元分析.
主要成果:
- 第三波CBT显著减少了情绪疲劳 (SMD = -0.686) 和非个性化 (SMD = -0.529).
- 对低个人成就的影响在统计学上并不显著 (SMD = 0.311).
- 基于正念的技术是最常见的干预措施 (n=26),通过现场,在线或混合格式提供.
结论:
- 推第三波CBT干预措施,以减少医疗机构的情绪疲劳和非个性化.
- 未来的研究应该调查提高个人成就的策略,并探索超越正念的治疗方法.
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