A MINDFULNESS COURSE DECREASES BURNOUT AND IMPROVES WELL-BEING AMONG HEALTHCARE PROVIDERS
A MINDFULNESS COURSE DECREASES BURNOUT AND IMPROVES WELL-BEING AMONG HEALTHCARE PROVIDERS
复制标题
DOI：
10.2190/pm.43.2.b
复制
发表时间：
2012-01-01
影响因子：
2
通讯作者：
Schorling, John B.
中科院分区：
文献类型：
--
作者：
Goodman, Matthew J.;Schorling, John B.
目的：医护人员的工作压力越来越大，工作倦怠已成为一种普遍现象。基于正念的干预在减少压力和倦怠方面具有潜在的作用。本研究的目的是确定基于正念减压的继续教育课程是否可以减少职业倦怠并改善来自不同职业的医疗保健提供者的心理健康。设计：这是一项在大学医学中心进行的前后观察研究。共有93名医疗保健提供者，包括来自多个专业的医生，护士，心理学家和在大学和社区环境中实践的社会工作者参加了研究。干预是一个基于正念减压的继续教育课程，每周2.5小时，持续8周，外加7小时的静修。这些课程包括四种正式的正念练习，包括身体扫描，正念运动，步行冥想和静坐冥想，以及专注于正念在工作中的应用的讨论。该课程在6年中开设了11次。主要的结果措施是工作相关的倦怠测量Maslach倦怠量表和自我感知的精神和身体健康SF-12 v2测量。结果如下：从课程开始到结束，医生和其他医疗服务提供者的Maslach倦怠量表得分在情绪耗竭（p < 0.03），人格解体（p < 0.04）和个人成就（p < 0.001）量表上均有显著改善。通过SF 12 v2测量的心理健康也显著改善（p < 0.001）。SF 12 v2身体健康评分无显著变化。结论：基于正念减压的继续教育课程与广泛的医疗保健提供者的倦怠评分和心理健康的显着改善相关。（Intl.医学精神病学杂志2012;43：119-128）
Objective: Healthcare providers are under increasing stress and work-related burnout has become common. Mindfulness-based interventions have a potential role in decreasing stress and burnout. The purpose of this study was to determine if a continuing education course based on mindfulness-based stress reduction could decrease burnout and improve mental well-being among healthcare providers, from different professions. Design: This was a pre-post observational study conducted in a university medical center. A total of 93 healthcare providers, including physicians from multiple specialties, nurses, psychologists, and social workers who practiced in both university and community settings, participated. The intervention was a continuing education course based on mindfulness-based stress reduction that met 2.5 hours a week for 8 weeks plus a 7-hour retreat. The classes included training in four types of formal mindfulness practices, including the body scan, mindful movement, walking meditation and sitting meditation, as well as discussion focusing on the application of mindfulness at work. The course was offered 11 times over 6 years. The main outcome measures were work-related burnout as measured by the Maslach Burnout Inventory and self-perceived mental and physical well-being as measured by the SF-12v2. Results: Maslach Burnout Inventory scores improved significantly from before to after the course for both physicians and other healthcare providers for the Emotional Exhaustion (p < 0.03), Depersonalization (p < 0.04), and Personal Accomplishment (p < 0.001) scales. Mental wellbeing measured by the SF12v2 also improved significantly (p < 0.001). There were no significant changes in the SF12v2 physical health scores. Conclusion: A continuing education course based on mindfulness-based stress reduction was associated with significant improvements in burnout scores and mental well-being for a broad range of healthcare providers. (Intl. J. Psychiatty in Medicine 2012;43:119-128)