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首页> 外文期刊>Academic psychiatry: the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry >Encouraging Mindfulness in Medical House Staff via Smartphone App: A Pilot Study
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Encouraging Mindfulness in Medical House Staff via Smartphone App: A Pilot Study

机译：通过智能手机应用程序鼓励医疗房间工作人员的正念：试点研究

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Abstract Background Stress and burnout are increasingly recognized as urgent issues among resident physicians, especially given the concerning implications of burnout on physician well-being and patient care outcomes. Objective The authors assessed how a mindfulness and meditation practice among residents, supported via a self-guided, smartphone-based mindfulness app, affects wellness as measured by prevalidated surveys. Methods Residents in the departments of general surgery, anesthesia, and obstetrics and gynecology were recruited for participation in this survey-based, four-week, single-arm study. All participants used the app (Headspace) on a self-guided basis, and took surveys at enrollment, at 2 weeks, and at 4 weeks. The Positive and Negative Affect Schedule (PANAS) assessed mood, and the Freiburg Mindfulness Inventory (FMI) measured mindfulness. Results Forty-three residents enrolled in this study from April 2015 to August 2016; 30 residents (90% female) completed two or more surveys, and so were included for further analysis. In a comparison of baseline scores to week four scores, there was a significant increase in FMI at week four (36.88?±?7.00; Cohen's d?=?0.77, p ?=?0.005), a trend toward increase in the positive affect score (PAS) (31.73?±?6.07; Cohen's d?=?0.38, p ?= 0.08), and no change in negative affect score (NAS) (21.62?±?7.85; Cohen's d?=?-0.15, p ?=?NS). In mixed-effect multivariate modeling, both the PAS and the FMI scores showed significant positive change with increasing use of the smartphone app (PAS, 0.31 (95% CI 0.03–0.57); FMI, 0.38 (95% CI 0.11–0.66)), while the NAS did not show significant change. Conclusions Study limitations include self-guided app usage, a homogenous study subject population, insufficient study subjects to perform stratified analysis of the impact of specialty on the findings, lack of control group, and possible influence from the Hawthorne effect. This study suggests the feasibility and efficacy of a short mindfulness intervention delivered by a smartphone app to improve mindfulness and associated resident physician wellness parameters.
机译：摘要背景压力和倦怠越来越被认为是居民医师之间的紧急问题，特别是鉴于倦怠对医生福祉和患者护理结果的涉及。目的，作者评估了居民之间的一心数心和冥想的实践，通过自我引导的智能手机的思想应用程序支持，影响通过普通调查来衡量的健康。方法雇用普通手术部门的居民，麻醉和妇产科招募参加本次调查，为期四周的单人手臂研究。所有参与者使用该应用程序（头部空间）以自我引导的基础，并在2周和4周内进行注册调查。积极和消极的影响时间表（Panas）评估情绪，弗莱堡正念库存（FMI）衡量了正常。结果2015年4月至2016年8月招收了本研究的四十三名居民; 30名居民（90％的女性）完成了两次或更多调查，所以包括进一步分析。在基线评分到第四周的比较中，第四周的FMI显着增加（36.88？±7.00; Cohen的D？=？0.77，P？= 0.005），呈现积极影响的趋势得分（PAS）（31.73？±6.07; COHEN的D？=？0.38，p？= 0.08），阴性影响得分没有变化（21.62？±7.85; COHEN的D？=？ - 0.15，P ？=？ns）。在混合效应多变量建模中，PAS和FMI分数都显示出智能手机应用程序的使用（PAS，0.31（95％CI 0.57）; FMI，0.38（95％CI 0.11-0.66））的显着阳性变化，虽然NAS没有显示出重大变化。结论研究限制包括自我引导的应用程序使用，均匀的研究主题群体，研究受试者不足，以对特种对调查结果，缺乏对照组的影响，缺乏对照组的影响，以及从霍桑效应的可能影响。本研究表明，智能手机应用程序提供了短暂的心灵干预的可行性和功效，以改善正常和相关的居民医师健康参数。

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