正念减压疗法在保护精神科医护人员身心健康中的应用价值及对医护人员工作状态的影响研究

Study on the Application Value of Mindfulness Decompression Therapy in Protecting Psychiatric Medical Staffs Physical and Mental Health and Its Impact on the Working Status of Medical Staff

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2019, 46(6)
作者
作者单位

驻马店市精神病医院 ;

摘要
目的:研究正念减压疗法(Mindfulness-based stress re-duction,MBSR)在保护精神科医护人员身心健康中的应用价值及对医护人员工作状态的影响。方法:本试验研究于2015年1月~2018年1月选取了在我院精神科工作的100例医护人员作为研究对象,采用电脑随机分配的方式,随机将其分为A组和B组,每组各50例医护人员。对A组给予正念减压疗法,对B组给予常规基础知识学习活动,采用知觉压力量表(CPSS)、幸福感指数量表(IWB)对医护人员的身心健康进行评价,并采用职业倦怠量表(MBI)、疲劳评定量表(FAI)对医护人员的工作状态进行评价。结果:两组干预后的CPSS评分均低于干预前(t=8.254,8.758,P<0.05)。同时,A组的评分显著低于B组(t=7.532,P<0.05)。在比较干预前后两组医护人员的IWB评分时,研究显示,A组和B组干预前不存在统计学差异(t=1.211,P>0.05)。两组干预后的IWB评分显著高于干预前(t=8.942,7.351,P<0.05)。同时,A组评分高于B组(t=7.867,P<0.05)。干预后,A组和B组MBI评分中的情感耗竭、去人格化维度得分均低于干预前(t=8.651、8.443,7.362、7.442,P<0.05)。A组低于B组(t=6.841,7.836,P<0.05);个人成就感维度得分高于干预前(t=8.753,7.484,P<0.05)。A组干预后的个人成就感维度得分高于B组(t=7.211,P<0.05)。干预后两组医护人员的评分均低于干预前(t=,8.165,7.752,P<0.05)。A组干预后的评分低于B组(t=7.323,P<0.05)。结论:正念减压疗法对于保护精神科医护人员的身心健康有重要的影响,且对于改善职业倦怠和工作压力有显著的效果,因而值得应用和推广。
Abstract
Objective To research the application value of Mindfulness-based stress re-duction (MBSR) in protecting medical staffs physical and mental health in Psychiatric Department and its impact on the working status of medical staff. Method First of all, select 100 medical staff served in Psychiatric Department of our hospital between January, 2015 and January, 2018 as the object of study, and divide them into two groups randomly by computer: group A and group B with 50 medical staff in each group. Secondly, medical staff in the group A are treated with Mindfulness-based stress re-duction (MBSR), while medical staff in the group B receive activities of regular basic knowledge learning. Finally, Chinese Perceived Stress Scale (CPSS) and Index of Well-being (IWB) are used to evaluate the physical and mental health of medical staff, and Maslach Burnout Index (MBI) and Fatigue Assessment Index (FAI) are used to evaluate the working status of medical staff. Result CPSS scores after intervention in both groups were lower than those before intervention (t=8.254, 8.758, P < 0.05). Meanwhile, the score of group A was significantly lower than that of group B (t=7.532, P < 0.05). The IWB scores of the two groups before and after the intervention were compared, and the study showed that there was no statistical difference between group A and group B before the intervention (t=1.211, P > 0.05). IWB score of the two groups after intervention was significantly higher than that before intervention (t=8.942, 7.351, P < 0.05). Meanwhile, the score of group A was higher than that of group B (t=7.867, P < 0.05). After intervention, the scores of emotional exhaustion and depersonalized dimensions in MBI scores of group A and group B were lower than those before intervention (t=8.651, 8.443, 7.362, 7.442, P < 0.05). Group A was lower than group B (t=6.841, 7.836, P < 0.05). The score of personal achievement dimension was higher than that before intervention (t=8.753, 7.484, P < 0.05). The individual achievement dimension score of group A after intervention was higher than that of group B (t=7.211, P < 0.05). The scores of medical staff in the two groups after intervention were lower than those before intervention (t=, 8.165, 7.752, P < 0.05). The post-intervention score of group A was lower than that of group B (t=7.323, P < 0.05). Conclusion Mindfulness-based stress re-duction (MBSR) has an important effect on protecting the mental and physical health of medical staff in Psychiatric Department, and it also has a significant effect on improving job burnout and job stress, so it is worth applying and promoting.
关键词
精神科;医护人员;正念减压疗法;工作状态
KeyWord
Psychiatric Department; medical staff; Mindfulness-based stress re-duction; working status
基金项目
页码 982-984
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李志刚*. 正念减压疗法在保护精神科医护人员身心健康中的应用价值及对医护人员工作状态的影响研究 [J]. 国际精神病学杂志. 2019; 46; (6). 982 - 984.

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