目的 研究正念干预在突发公共卫生事件中一线人员中的效果,并考察领悟社会支持在正念干预效用中的中介效应.方法 选择2021年3月至2022年4月在医院一线工作的200名医务人员为研究对象,按照随机数字表法分为对照组和观察组,每组100名.对照组给予常规心理干预,观察组给予正念干预.干预后比较两组医护人员的正念水平、领悟社会支持能力、睡眠质量和心理情况.分析以上四者之间的相关性,采用中介效应模型分析领悟社会支持在正念干预效用中的中介效应.结果 干预后,观察组医护人员的正念水平和领悟社会支持量表评分明显高于对照组(P＜0.05),观察组分别为(89.59±8.45)分和(88.48±8.53)分,对照组分别为(71.35±7.47)分和(76.34±7.58)分.观察组医护人员的睡眠质量和焦虑-抑郁-压力量表评分明显低于对照组(P＜0.05),分别为(7.35±1.24)分和(16.46±2.29)分,对照组分别为(13.56±2.31)分和(29.48±3.05)分.医护人员的正念水平与领悟社会能力呈正相关,两者分别与焦虑-抑郁-压力和睡眠质量呈负相关.领悟社会支持在正念水平和正念干预效果中发挥中介效应,正念与睡眠质量的总效应值为-0.347,与焦虑之间为-0.439,与抑郁之间为-0.508,与压力之间为-0.395.结论 正念干预能可直接或通过领悟社会支持能力间接作用,显著提高突发公共卫生事件中一线人员改善其睡眠质量及负面情绪,具有重要临床应用价值.
Objective To study the effectiveness of mindfulness interventions for frontline personnel during sud-den public health emergencies and to examine the mediating effect of perceived social support on the efficacy of mindful-ness interventions.Methods Two hundred frontline medical personnel from March 2021 to April 2022 were selected as study subjects,and were divided into control group and observation group,with 100 subjects in each group.Subjects in control group received conventional psychological interventions and those in observation group received mindfulness inter-ventions.After the interventions,the mindfulness levels,perceived social support,sleep quality,and psychological condi-tions of medical personnel between the two groups were observed.The correlations among these four factors were analyzed,and a mediation analysis model was used to examine the mediating effect of perceived social support on the efficacy of mindfulness interventions.Results After the interventions,the mindfulness levels and scores on the perceived social sup-port scale of medical personnel in the observation group were significantly higher than those in the control group(P＜0.05),with scores of 89.59±8.45 and 88.48±8.53 in the observation group,respectively,and scores of 71.35±7.47 and 76.34±7.58 in the control group,respectively.The sleep quality and anxiety-depression-stress scale scores of medical personnel in the observation group were significantly lower than those in the control group(P＜0.05),with scores of 7.35±1.24 and 16.46±2.29 in the observation group,respectively,and scores of 13.56±2.31 and 29.48±3.05 in the control group,respectively.The mindfulness levels of medical personnel were positively correlated with their perceived social support abilities,and both were negatively correlated with anxiety,depression,stress,and sleep quality.Perceived social support played a mediating role in the relationship between mindfulness levels and the effectiveness of mindfulness interventions.The total effect of mindfulness on sleep quality was-0.347,on anxiety was-0.439,on depression was-0.508,and on stress was-0.395.Conclusion Mindfulness interventions can significantly improve the sleep quality and reduce negative emotions of frontline personnel during sudden public health emergencies,either directly or indirectly through enhancing perceived social support abilities,thus demonstrating significant clinical value.
夏英华;吴雨思;马晓宁;翟丽莉;王虹
唐山市人民医院手术室(河北唐山 063001)
临床医学
领悟社会支持;突发公共卫生事件;正念干预;中介效应;干预效果;一线医护人员
understanding social support;public health emergencies;mindfulness intervention;mediating effect;intervention effect;frontline medical personnel
《广东医学》 2024 (003)
350-355 / 6
河北省医学科学研究课题(20221813)
10.13820/j.cnki.gdyx.20230567
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