在急诊室和ICU医护人员中使用心率变化生物反 (HRVB) 建立弹性:一项随机对照试验
Geordi Cortez-Neavel1, Ann Marie Warren1, Gregory V Chauvette1
1Baylor Scott & White Research Institute, Baylor University Medical Center, Dallas, TX, USA.
Cognitive behaviour therapy
|February 24, 2026
概括
心率变化生物反 (HRVB) 显著提高了急诊和重症监护病房卫生保健工作者的弹性. 这种简短的干预提供了一种可行的方法来提高提供者的幸福感.
科学领域:
- 医疗保健工作者的福祉
- 心理干预 心理干预
- 恢复能力培训 恢复能力培训
背景情况:
- 紧急诊所 (ED) 和重症监护室 (ICU) 的医疗保健工作者面临着高度的压力和倦怠.
- 现有的弹性计划往往是资源密集型的,缺乏强大的测试.
- 心率变化生物反 (HRVB) 是一个有希望的,简短的干预,随机对照试验数据有限.
研究的目的:
- 评估HRVB在提高ED和ICU医疗保健工作人员的弹性方面的有效性.
- 评估HRVB对该人口的压力,抑郁和倦怠的影响.
- 为了确定 HRVB 福利的可行性和随着时间的推移而维持 HRVB 福利.
主要方法:
- 一项随机对照试验,涉及37名来自ED和ICU的面向患者的医疗保健工作者.
- 参与者被分配到HRVB的4周或等候名单 (WL) 控制组.
- 结果措施包括恢复力 (CD-RISC-10),压力,抑郁和倦怠,在治疗前,治疗后和随访时进行评估.
主要成果:
- 与WL组相比,HRVB组的性从治疗前到治疗后显著增加 (d = 0.79,p = 0.003),随访时的增长保持.
- 压力,抑郁和倦怠的减少在HRVB组没有显著地比WL组更大.
- 可靠变化指数分析表明,21%的HRVB参与者在治疗后表现出可靠的改善,24%在随访时表现出可靠的改善.
结论:
- HRVB是一种可行的,个别交付的干预措施,有效提高ED和ICU医疗保健提供者的弹性.
- 虽然HRVB显示出改善性方面的承诺,但它对减少压力,抑郁和倦怠的影响需要进一步调查.
- 这些发现支持将HRVB作为高压环境中医疗保健专业人员的支持工具的整合.
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