COVID-19大流行期间一线医护人员情绪衰竭和倦怠的补充医学治疗

IF 1.8 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Israel Medical Association Journal Pub Date : 2025-02-01
Noa Bigman-Peer, Genady Drozdinsky, Irit Heruti, Eran Rotman, Irit Ayalon-Dangur, Anat Dagan, Noa Eliakim-Raz
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引用次数: 0

摘要

背景:职业倦怠在医疗保健提供者中普遍存在,其特征是情绪耗竭、人格解体和个人成就感降低。由于工作量增加、情绪紧张和风险增加,2019年冠状病毒病(COVID-19)大流行加剧了职业倦怠。补充医学(CAM)干预措施,如指压按摩和反射疗法,已经被探索为减轻倦怠的潜力,特别是与流行病相关的压力。目的:评估CAM干预措施在2022年Delta变异流行期间缓解医疗服务提供者治疗COVID-19患者倦怠的效果。方法:本前瞻性观察研究纳入了北林森校区Rabin医学中心的86名医疗服务提供者。工作人员被分为两组:参与CAM活动的干预组和对照组。在基线和干预后一天和一周,使用马斯拉奇倦怠量表和一般焦虑障碍7评估参与者的倦怠和创伤后应激障碍(PTSD)症状。结果:CAM组的倦怠得分显著降低,主要是成就感的增强(P = 0.023),一周后效果持续,但未达到统计学意义(P = 0.078)。两组间PTSD评分差异无统计学意义(P = 0.28)。结论:该研究揭示了CAM干预措施在减少COVID-19大流行期间医疗保健提供者的倦怠症状方面的潜在益处。研究结果强调了整合这些干预措施的重要性,以解决医疗保健提供者的心理健康问题,特别是在高压力环境中。建议进一步进行不同样本的随机对照试验和延长随访时间,以验证和探索这些初步发现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Complementary Medicine for Treating Emotional Exhaustion and Burnout of Frontline Healthcare Providers during the COVID-19 Pandemic.

Background: Burnout is prevalent among healthcare providers and characterized by emotional exhaustion, depersonalization, and reduced personal accomplishment. The coronavirus disease 2019 (COVID-19) pandemic exacerbated burnout due to increased workloads, emotional strain, and heightened risk. Complementary medicine (CAM) interventions like shiatsu massage and reflexology have been explored as potential to mitigate burnout, particularly pandemic-related stress.

Objectives: To assess the efficacy of CAM interventions for alleviating burnout in healthcare providers treating COVID-19 patients during 2022, when the Delta variant was prevalent.

Methods: This prospective observational study included 86 healthcare providers at Rabin Medical Center, Beilinson Campus. Workers were divided into two groups: an intervention group participating in CAM activities and a control group. Participant burnout and post-traumatic stress disorder (PTSD) symptoms were evaluated using the Maslach Burnout Inventory and General Anxiety Disorder 7 at baseline and at one day and one week post-intervention.

Results: The CAM group demonstrated significant reduction in burnout scores, primarily due to an enhanced sense of accomplishment (P = 0.023), with enduring effects observed after one week, although not reaching statistical significance (P = 0.078). There was no observed difference in PTSD scores between the groups (P = 0.28).

Conclusions: The study reveals potential benefits of CAM interventions in reducing burnout symptoms among healthcare providers during the COVID-19 pandemic. The findings underscore the importance of integrating such interventions to address the mental well-being of healthcare providers, especially in high-stress environments. Further randomized controlled trials with diverse samples and extended follow-up are recommended to validate and explore these initial findings.

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来源期刊
Israel Medical Association Journal
Israel Medical Association Journal 医学-医学:内科
CiteScore
2.20
自引率
12.50%
发文量
54
审稿时长
3-8 weeks
期刊介绍: The Israel Medical Association Journal (IMAJ), representing medical sciences and medicine in Israel, is published in English by the Israel Medical Association. The Israel Medical Association Journal (IMAJ) was initiated in 1999.
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