在医学生的 "医者之术 "课程中引入正念练习:可行性研究

2023 Pub Date : 2024-03-26 DOI:10.3998/mjm.4815
Kirin Saint, MD † C. Kenzie Corbin, M. M. ‡. Michael F. Barton, M. M. §. Julie Barrett, MD Heather L. Burrows
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摘要

导言:职业倦怠在美国医学生中很常见,而且可能会使人崩溃。正念练习可以降低压力水平和职业倦怠。将正念练习融入已有的医学课程(如 "医者之术"),有可能减轻倦怠感:我们评估了将冥想和瑜伽引入中西部医学院 "医者之术 "课程的影响。一半学生被随机分配到冥想课(人数=11),另一半学生被随机分配到瑜伽课(人数=12)。学生们接受了课前和课后调查,以评估正念、职业倦怠和能量水平,这些指标均改编自经过验证的调查工具。采用配对双样本 t 检验来评估每种干预措施与每种预设结果之间的关系:23名医学生参加了一次性瑜伽或冥想课程。瑜伽干预使能量和呼吸意识结果有显著的统计学增长。冥想干预则显著提高了正念。研究发现,瑜伽和冥想都能减少参与者在事件发生后的倦怠感。96%的参与者(23 人中有 22 人)表示,应将正念练习纳入今后的 "医者之术 "课程,平均推荐分数为 4.5 分(满分 5 分):结论:瑜伽和冥想课程可以减轻医学生的职业倦怠。需要进行随机对照试验,以评估研究结果的持久性和普遍性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Introducing Mindfulness Practices to the Healer’s Art Course for Medical Students: A Feasibility Study
Introduction: Burnout is common among medical students in the United States and can be debilitating. Mindfulness practices can reduce stress levels and burnout. Integrating mindfulness practices into pre-existing medical courses such as the Healer’s Art can potentially reduce burnout. Methods: We evaluated the impact of introducing meditation and yoga into the Healer’s Art course at a midwestern medical school. Half of the students were randomized into a meditation class (n=11) and the other half were randomized into a yoga class (n=12). Students were given pre- and post- session surveys to assess measures of mindfulness, burnout, and energy levels, adapted from validated survey instruments. Paired two-sample t tests were used to assess the relationship between each intervention and each pre-specified outcome. Results: Twenty-three medical students participated in a one-time yoga or meditation session. The yoga intervention resulted in a statistically significant increase in energy and breath awareness outcomes. The meditation intervention resulted in a significant increase in mindfulness. Both yoga and meditation were found to decrease burnout among participants in the immediate aftermath. Ninety-six percent of participants (22 of 23) expressed that mindfulness practices should be incorporated into future the Healer’s Art courses, with a mean recommendation score of 4.5 out of 5. Conclusion: Yoga and meditation classes might reduce medical student burnout. Randomized control trials are needed to assess longevity and generalizability of findings.
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