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正念训练对改善血液净化中心医护人员职业倦怠干预效果研究 被引量:5

Study on Mindfulness Training in the Intervention of Job Burnout for Medical Workers in Blood Purification Center
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摘要 目的探讨正念训练(mindfulness training,MT)对血液净化中心医护人员职业倦怠感的有效性。方法2016-03月纳入作者医院血液净化中心医护人员52名,按随机数字表法分为实验组和对照组,各26名,实验组进行为期半年的MT,对照组进行常规心理辅导。在训练前及训练结束后采用焦虑自评量表(self-rating anxiety scale,SAS)和职业倦怠量表(maslach burnout inventory,MBI)进行评估;并对焦虑及职业倦怠感之间进行相关性分析。结果研究前两组的焦虑和职业倦怠感情况比较差异无统计学意义(P>0.05)。研究后实验组中重度焦虑人员比例显著低于对照组,但组间比较差异无统计学意义(P>0.05);实验组在情绪倦怠感、去人格化、个人成就感这三个维度方面职业倦怠的严重程度均显著低于对照组,组间比较差异具有统计学意义(P<0.05);情绪倦怠感、去人格化与患者焦虑程度呈正相关,而个人成就感与患者焦虑程度呈负相关。结论 MT可有效降低血液净化中心医护人员的职业倦怠感,缓解焦虑。 Objective To investigate the effectiveness of mindfulness training (MT) in the intervention of burnout for medical workers in blood purification center. Methods A total of 52 medical workers in the blood purification center in author's hospital were collected in March 2016 and divided into experimental group and control group (n= 26) by random number table. The experimental group accepted MT for half a year, and the control group received routine psychological guidance. Self-rating anxiety scale (SAN) and maslach burnout inventory (MBI) were used to assess before and after training. The relationship be- tween anxiety and job burnout were conducted to correlation analysis. Results Before the study, no significant differences were found in anxiety and job burnout between the experimental and control group (P〉0. 05). Six months later, the proportion of se- vere anxiety in experimental group was significantly lower than that of control group (P〉0. 05). The severity of emotional ex- haustion, depersonalization, personal accomplishment in the experimental group were all less than those of control group (P〈0. 05). The emotional exhaustion and depersonalization were positively correlated with the degree of anxiety, but personal accom- plishment was the opposite. Conclusion MT can effectively lower the job burnout and anxiety for medical workers in blood puri- fication center.
出处 《华南国防医学杂志》 CAS 2017年第7期488-491,共4页 Military Medical Journal of South China
关键词 正念训练 血液净化中心 医护人员 职业倦怠 Mindfulness training Blood purification center Medical workers Job burnout
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