摘要
目的研究正念减压疗法(Mindfulness-based stress reduction,MBSR)对精神科医护人员身心健康和工作状态的影响。方法于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,随机将其分为A组和B组,每组各50例。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。结果干预前,两组医护人员的CPSS、IWB、MBI和FAI评分没有明显差异,干预后,两组的CPSS评分均低于干预前(t=8.254,8.758,P<0.05)。且A组的评分显著低于B组(t=7.532,P<0.05);两组的IWB评分显著高于干预前(t=8.942,7.351,P<0.05)。且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),且A组低于B组(t=6.841,7.836,P<0.05),而个人成就感维度得分高于干预前(t=8.753,7.484,P<0.05),且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FAI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)。结论正念减压疗法可以保护精神科医护人员的身心健康并改善职业倦怠和工作压力。
Objective To research the application value of Mindfulness-based stress re-duction(MBSR)in protecting medical staff's mental health in Psychiatric Department and its impact on the working status of medical staff.Method 100 medical staff in Psychiatric Department of our hospital from January,2015 to January 2018 were selected and divided into two groups randomly.The medical staff in the group A(n=50)were treated with MBSR,while medical staff in the group B(n=50)receive activities of regular basic knowledge learning.The Chinese Perceived Stress Scale(CPSS),Index of Well-being(IWB),Maslach Burnout Index(MBI)and Fatigue Assessment Index(FAI)were used to evaluate the mental health and working status of medical staff.Result There was no difference in scores of CPSS,IWB,MBI and FAIbefore he intervention.After intervention,the CPSS scores in both groups were decreased(P<0.05),the score of group A was significantly lower than that of group B(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),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 FAI 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 reduction(MBSR)has an important effect on protecting the mental health of medical staff in psychiatric department,and it also has a significant effect on reducing job burnout and job stress.
作者
李志刚
邵新月
曹楠
张艳华
郭华
LI Zhigang;SHAO Xinyue;CAO Nan(The psychiatric hospital of Zhumadian City,Zhumadian 463000,China)
出处
《国际精神病学杂志》
2019年第6期982-984,987,共4页
Journal Of International Psychiatry
关键词
精神科
医护人员
正念减压疗法
Psychiatric department
Medical staff
Mindfulness-based stress reduction
