医护人员、工作场所和社区福祉的生活方式医学:蝴蝶效应。

HCA healthcare journal of medicine Pub Date : 2024-06-01 eCollection Date: 2024-01-01 DOI:10.36518/2689-0216.1816
Karina Doucet, Nicholas D'Angelo
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引用次数: 0

摘要

描述 在美国,职业倦怠是一个普遍存在且代价高昂的问题,"健康劳动力福利国家计划 "中包含了将福利作为一项长期价值制度化的目标。生活方式医学(LM)是一种循证实践,通过行为干预来治疗、预防和逆转某些慢性疾病,可以实现这一目标。在工作场所实施支持生活方式医学的微小改变,会对工作场所和社区的福祉产生蝴蝶效应。此外,医护人员(HCWs)和患者的健康也会得到改善,医疗成本也会降低。这可以通过针对医护人员的 LM 健康计划或 LM 培训来实现。LM 健康计划通过在机构层面实施生活方式医学的六大支柱(营养、饮食、减压、社会联系、避免/减少毒素、恢复性睡眠)来帮助医护人员和患者的个人健康。生活方式管理倡议,如生活方式管理培训,可帮助医护人员及其患者踏上最佳健康、疾病预防、治疗或逆转之旅。调整政策以支持以证据为基础的生活方式改变,从而改善情绪和减轻压力,这将有助于恢复性休息,使医护人员减少疲惫,并将更多精力用于其他生活方式支柱。生活方式医学住院医师培训课程是生活方式医学培训计划的一个范例,它能使住院医师成功改变生活方式,提高他们指导患者的能力。最后,支持生活方式医学的医疗保健服务,如共享医疗预约,符合以价值为基础的系统改善公共卫生的趋势。
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Lifestyle Medicine for the Health Care Worker, Workplace, and Community Well-Being: A Butterfly Effect.

Description Burnout is a prevalent and expensive problem in the US, and the National Plan For Health Workforce Well-Being included a goal to institutionalize well-being as a long-term value. Lifestyle Medicine (LM), an evidence-based practice using behavioral interventions to treat, prevent, and reverse certain chronic conditions, can achieve this goal. Implementing small changes in the workplace that support lifestyle medicine has a butterfly effect on both workplace and community well-being. Furthermore, the health of health care workers (HCWs) and patients improves, and health care costs decrease. This can be done with LM wellness programs or LM training for HCWs. LM wellness programs help the individual HCWs' and patients' well-being through the implementation of the 6 pillars of lifestyle medicine (nutrition, diet, stress reduction, social connection, avoiding/reducing toxins, restorative sleep) on an institutional level. LM initiatives, like LM training, help HCWs and their patients embark on this journey of optimal well-being, disease prevention, treatment, or reversal. Aligning policies to support evidence-based lifestyle changes that improve mood and stress reduction would support restorative rest, leaving HCWs less drained and allowing for more energy to be spent devoted to other lifestyle pillars. The Lifestyle Medicine Residency Curriculum is an example of an LM training program that leads to successful lifestyle change in residents' lives, improving their ability to coach patients. Finally, health care delivery that supports lifestyle medicine, such as shared medical appointments, is in alignment with the trend towards a value-based system for the improvement of public health.

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