Effectiveness of a mindfulness-based intervention on oncology nurses' burnout and compassion fatigue symptoms: A non-randomized study
Effectiveness of a mindfulness-based intervention on oncology nurses' burnout and compassion fatigue symptoms: A non-randomized study
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DOI：
10.1016/j.ijnurstu.2016.10.002
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发表时间：
2016-12-01
影响因子：
8.1
通讯作者：
Pinto-Gouveia, Jose
中科院分区：
文献类型：
--
作者：
Duarte, Joana;Pinto-Gouveia, Jose
背景：工作压力和职业倦怠在医护人员中非常常见，护士的患病率可高达40%。基于正念的干预已被证明在广泛的人群和环境中在减轻压力和增加幸福感方面有效。本研究的目的、设计和背景：本研究的目的是使用非随机、等待名单的对照设计，对护士进行现场简明正念干预的有效性探索。通过参与者在干预前后完成的几个有效的自我报告测量来衡量干预的有效性，评估倦怠、同情疲劳、心理症状、正念、自我同情、经验回避、沉思和对生活的满意度。参与者：94名肿瘤科护士同意参与研究，并自选为实验(n=45)和对照(n=48)。在最初的94名参与者中，有48人获得了完整的数据，这主要是因为随访数据较差，而不是辍学率较高。结果：统计分析包括一系列2 x 2的ANOVA和ANCOVA。结果显示，参与干预的护士在同情疲劳、职业倦怠、压力、经验回避方面显著减少，而在生活满意度、正念和自我同情方面有所增加，效果为中到大。对照组护士在这些变量上无明显变化。结论：本研究提供了初步证据，表明正念干预可以有效地减轻肿瘤护士的心理症状，提高其整体幸福感，值得在这一人群中进一步研究。(C)2016爱思唯尔有限公司。保留所有权利。
Background: Job stress and burnout are highly frequent in healthcare professionals, and prevalence in nurses can be as high as 40%. Mindfulness-based interventions have been shown to be effective in reducing stress and increasing well-being in a wide range of populations and contexts. However, controlled studies with healthcare professionals, and especially nurses, are scarce.Objectives, design and setting: The aim of this study was to explore the effectiveness of an on-site, abbreviated mindfulness-based intervention for nurses, using a nonrandomized, wait-list comparison design. The effectiveness of the intervention was measured through several validated self-report measures that participants completed before and after the intervention, assessing burnout, compassion fatigue, psychological symptoms, mindfulness, self-compassion, experiential avoidances, rumination, and satisfaction with life.Participants: A sample of 94 oncology nurses agreed to participate in the study and self-selected into an experimental (n=45) and comparison condition (n=48). Complete data was obtained for 48 of the initial 94 participants, mainly due to poor follow-up data rather than high drop-out rate.Results: Statistical analyses included a series of 2 x 2 ANOVAs and ANCOVAs. Results indicated that nurses in the intervention reported significant decreases in compassion fatigue, burnout, stress, experiential avoidance, and increases in satisfaction with life, mindfulness and self-compassion, with medium to large effect sizes. Nurses in the comparison group didn't present significant changes in these variables. Results also pointed to a high degree of acceptability of the intervention.Conclusions: This study provides preliminary evidence that mindfulness-based interventions may be efficacious in reducing oncology nurses' psychological symptoms and improving their overall well-being, and thus may be worthy of further study in this population. (C) 2016 Elsevier Ltd. All rights reserved.