针对医生倦怠的个人专注干预:对正念,辅导和同行支持的元分析
Akram Khan1, Debbie Kim2, Riannon Atwater3
1Department of Medicine, Division of Pulmonary, Allergy and Critical Care Medicine, Oregon Health & Science University, Portland, OR 97239, USA.
Medicina (Kaunas, Lithuania)
|January 28, 2026
概括
结构化,以个人为重点的计划在医生倦怠得分方面显示出小但显著的改善,特别是减少情绪疲劳和非个人化,同时增加个人成就. 然而,证据质量限制了概括性.
科学领域:
- 医学研究 医学研究
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 医生倦怠,其特点是情绪疲,非个性化和个人成就减少,仍然是医疗保健中的一个重要问题.
- 以个人为中心的干预措施旨在通过解决医生特定需求和经验来缓解倦怠.
研究的目的:
- 评估结构化,以个人为重点的计划在改善医生Maslach Burnout Inventory (MBI) 分量级分数中的有效性.
- 综合从评估医生专注的倦怠干预措施的定量研究中得到的证据.
主要方法:
- 通过PubMed (MEDLINE) 识别的2009年1月至2023年12月发表的研究进行了元分析.
- 符合条件的研究包括随机试验,交叉试验,前性队列研究或单组前后研究报告MBI结果.
- 六项研究 (n=585名医生) 使用固定效应逆变量元分析进行了聚合,以确定MBI分量级分数的平均差异.
主要成果:
- 干预与情绪疲劳 (MD -5.56) 和非个性化 (MD -2.11) 的统计学显著减少以及个人成就 (MD 2.01) 的显著增加有关.
- 聚合效应大小小,异质性中等 (EE的I2=42%).
- 偏差风险经常很高或不清楚,证据基础受到少数试验和可变干预格式的限制.
结论:
- 结构化,以个人为重点的计划显示了对医生倦怠MBI分量得分的小但统计学上显著的积极影响.
- 由于研究质量和证据基础较小,对这些发现的大小和概括性的信心有限.
- 这些计划可以作为更广泛的组织策略的宝贵补充,以解决医生倦怠问题.
更多相关视频
相关概念视频
01:23Influence of Parents and Peers on Identity
507
Adolescence is a pivotal period of identity formation, during which individuals begin to answer questions central to their sense of self, such as "Who am I?" and "Who do I hope to become?" Both parents and peers play critical roles in guiding adolescents through this complex developmental phase.
Parental Influence on Identity Development
Parents serve as primary guides and managers in an adolescent's life, offering support instrumental in decision-making and personal growth....
Parental Influence on Identity Development
Parents serve as primary guides and managers in an adolescent's life, offering support instrumental in decision-making and personal growth....
507
01:03Nursing Interventions I: Taxonomy of Nursing Interventions
3.7K
Nursing interventions are chosen as part of the planning process to achieve patient outcomes. Once nursing diagnoses are determined, the goals and outcomes are specified, then the nursing interventions are selected and individualized according to the patient's situation.
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
3.7K
01:29Nursing Interventions II: Selecting and Classifying the Nursing Interventions
3.2K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
3.2K
01:28Self-Help Support Groups
336
Self-help support groups are voluntary, community-based organizations that provide a platform for individuals with shared concerns to exchange support, insights, and practical strategies for coping with life challenges. Typically led by group members or paraprofessionals, these groups form a cornerstone of mental health care, especially in reaching populations that are underserved by traditional healthcare systems.
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
336
01:30Impact of Individuals on Individuals
373
Human behavior is intricately shaped by social influences that arise from interactions with others in diverse contexts. These influences not only mold beliefs and attitudes but also drive the regulation of behaviors through both direct communication and observational learning. The study of these processes falls within the domain of social psychology, which seeks to understand how individuals are affected by and affect those around them.Mechanisms of Social InfluenceDirect social influence...
373
01:09Directing Effect of Substituents: meta-Directing Groups
5.9K
Substituents on the benzene ring that direct an incoming electrophile to undergo substitution at the meta position are called meta directors. All meta directors either have a positive charge on the atom directly bonded to the ring or a partial positive charge. These groups function by withdrawing electrons from the ring through inductive and resonance effects. Consider the carbocation intermediates formed upon the addition of an electrophile on nitrobenzene at the...
5.9K