家庭第一:将社会支持纳入居民福祉的试点研究。

Susan M Martinelli, Robert S Isaak, Brooke A Chidgey, Ty L Bullard, Amy DiLorenzo, Annette Rebel, Fei Chen
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引用次数: 0

摘要

背景:最近的研究表明,家人和朋友对工作压力的理解与住院患者幸福感的提高有关。然而,住院患者往往很难与他们的支持者(SP)进行沟通,尤其是那些对医疗领域了解甚少的支持者,甚至连他们在医疗系统中所扮演角色的最基本功能都不了解。本研究旨在对一项创新的健康活动进行试点测试,重点关注居民幸福感中的社会关系部分:目标人群包括2017年2个麻醉学住院医师培训项目的30名新住院医师及其SP。家庭麻醉体验活动(FAX)以教学演讲和有关健康主题的小组讨论开始。最后是多方面的模拟体验。活动前后对参与者进行了调查。调查内容包括医护人员对住院医师工作的理解以及住院医师的压力、职业倦怠、复原力和社会支持水平。采用学生 t 检验、Mann-Whitney U 检验、Wilcoxon 符号秩检验和重复测量方差分析来研究活动的影响:参加FAX活动的26名临床麻醉一年级住院医师中有22人(84.6%)完成了活动后的调查,所有参加活动的住院医师(100%,n = 33)都完成了活动前和活动后的调查。住院医师(100%)和他们的专科医生(100%)对此次活动反应良好。据观察,干预 SPs 组的感知理解能力有所提高(活动前:1.44 ± 0.63,活动后:2.69 ± 0.33,P < .0001)。并非所有居民的幸福感指标都有显著变化,但与历史对照组相比,压力有所减少(对照组:1.91 ± 0.61,干预组:1.54 ± 0.42,P = .019):该活动提高了住院医生对麻醉科住院医生角色的理解。
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Family Comes First: A Pilot Study of the Incorporation of Social Support Into Resident Well-being.

Background: Recent work has shown that understanding of work-related stress by family and friends is associated with increased resident well-being. However, it is often difficult for residents to communicate with their support persons (SPs), especially those who have minimal understanding of the medical field, regarding even the most basic functions of their role in the health care system. This study aimed to pilot test an innovative wellness event focusing on the social relatedness component of resident well-being.

Methods: The target population included 30 new residents at 2 anesthesiology residency programs and their SPs in 2017. The Family Anesthesia Experience (FAX) began with didactic presentations and a panel discussion about wellness topics. It concluded with a multifaceted simulation experience. Participants were surveyed before and after the event. Measures included SPs' understanding of residents' work and residents' stress, burnout, resilience, and social support levels. Student t tests, Mann-Whitney U tests, Wilcoxon signed-rank tests, and repeated measures analysis of variance were used to examine the impact of the event.

Results: Twenty-two (84.6%) of the 26 intervention clinical anesthesia year 1 residents who attended FAX completed the postevent surveys, and all intervention SPs (100%, n = 33) completed both pre-event and postevent surveys. The event was well received by the residents (100%) and their SPs (100%). Improvement in perceived understanding in the intervention SPs group (Pre: 1.44 ± 0.63, Post: 2.69 ± 0.33, P < .0001) was observed. Not all metrics of well-being for the residents achieved significance in change; however, decreased stress was observed compared with historical controls (Control: 1.91 ± 0.61, Intervention: 1.54 ± 0.42, P = .019).

Conclusion: The event led to improved SPs' understanding of the role of an anesthesiology resident.

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