The effect of acceptance and commitment therapy on work-related rumination and job fatigue of medical emergency and accident management center staff: an experimental study.

IF 3.4 2区 医学 Q2 PSYCHIATRY BMC Psychiatry Pub Date : 2024-10-18 DOI:10.1186/s12888-024-06150-y
Ladan Fattah Moghaddam, Shadieh Sadegh Sheikhi, Sepideh Nasrollah, Roza Hoorsan
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Abstract

Background: Working in accident management centers and medical emergencies makes employees face psychological tensions and leads to a decrease in their work quality and endangering the lives of patients. Therefore, any solution to reduce their tension will be valuable. This study was conducted to investigate the effect of acceptance and commitment-based therapy (ACT) on work-related rumination and job fatigue among the employees of the Emergency and Medical Accident Management Center of Alborz Province, Iran.

Methods: This study is an experimental research with intervention and control groups conducted between January 16, 2019, and July 8, 2019. Sixty-four employees were selected based on the entry criteria and randomly assigned to two groups. People in the intervention group participated in 8 sessions of 2-hour therapy based on acceptance and commitment. Questionnaires for demographic information, work-related rumination, and occupational recovery/exhaustion were used to collect data. The intervention was conducted with univariate and multivariate covariance analysis.

Results: The findings showed that the average job fatigue reached 16.78[Formula: see text] 11.44 from 37.06 ± 16.70 in the pre-test with a decrease of 20.28 points. Also, the average of all rumination dimensions related to work decreased in the post-test. The findings showed that the effectiveness of treatment based on acceptance and commitment therapy was confirmed on job fatigue and all its components and all dimensions of work-related rumination (p < 0.05). The partial eta square index was greater than 0.14 in all cases and showed the significant effectiveness of the intervention on all components of work-related rumination and job fatigue.

Conclusion: Treatment based on acceptance and commitment reduced rumination and job fatigue. It is recommended to practice this intervention to improve personnel's mental health and the quality of services provided to patients.

Clinical trial number: Not applicable.

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接受与承诺疗法对医疗急救和事故管理中心工作人员工作相关反刍和工作疲劳的影响:一项实验研究。
背景:在事故管理中心和医疗急救中心工作会使员工心理紧张,导致工作质量下降,危及病人生命。因此,任何能缓解他们紧张情绪的解决方案都是有价值的。本研究旨在探讨接受与承诺疗法(ACT)对伊朗阿尔伯兹省紧急医疗事故管理中心员工工作相关遐想和工作疲劳的影响:本研究是一项实验研究,分为干预组和对照组,于2019年1月16日至2019年7月8日期间进行。根据入选标准选取了 64 名员工,并将其随机分配到两组。干预组的人参加了 8 次 2 小时的基于接纳和承诺的治疗。调查问卷用于收集人口统计学信息、与工作相关的遐想和职业恢复/疲惫等方面的数据。干预采用单变量和多变量协方差分析:结果显示,工作疲劳的平均值从测试前的 37.06±16.70 降至 16.78[计算公式:见正文] 11.44,减少了 20.28 分。此外,与工作相关的所有反刍维度的平均值在后测期间也有所下降。研究结果表明,基于接纳与承诺疗法的治疗对工作疲劳及其所有组成部分以及与工作相关的所有遐想维度的有效性都得到了证实(p 结论:基于接纳与承诺疗法的治疗减少了与工作相关的遐想维度的平均值:基于接纳与承诺的治疗减少了反刍和工作疲劳。建议采取这种干预措施,以改善工作人员的心理健康和为患者提供的服务质量:临床试验编号:不适用。
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来源期刊
BMC Psychiatry
BMC Psychiatry 医学-精神病学
CiteScore
5.90
自引率
4.50%
发文量
716
审稿时长
3-6 weeks
期刊介绍: BMC Psychiatry is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of psychiatric disorders, as well as related molecular genetics, pathophysiology, and epidemiology.
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