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正念在医患人群中的应用
The Application of Mindfulness in the Doctor-Patient Population

DOI: 10.12677/ap.2024.147475, PP. 242-249

Keywords: 正念,正念干预,正念减压疗法
Mindfulness
, Mindfulness Intervention, Mindfulness-Based Stress Reduction

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Abstract:

正念(Mindfulness)是一种有目的地且非判断地关注当下的方式。本文聚焦于正念在医院中医务人员和临床患者两类人群的应用现状。对于医务人员,正念可以减轻压力,缓解职业倦怠,提高心理健康水平。对于临床患者,正念可以减轻痛苦,提升幸福感和睡眠质量。本文通过系统地回顾正念在医患人群中的相关研究,并总结正念在发展和应用中的一些不足,对正念未来的发展与应用进行展望。
Mindfulness is a way of paying attention to the present moment purposefully and non-judgmentally. This article focuses on the application status of mindfulness in medical staff and patients in hospitals, and finds that for medical staff, mindfulness can reduce stress, relieve job burnout, and improve mental health. For patients, mindfulness can reduce pain and improve well-being and sleep quality. By systematically reviewing the relevant research on mindfulness in hospitals, the paper summarizes some shortcomings in the development and application of mindfulness, and looks forward to the future development and application of mindfulness.

References

[1]  陈曲, 孟开, 刘旭, 吕旭东(2017). 基于文献计量法的我国医护人员职业倦怠研究现状分析. 中国健康教育, 33(4), 346-348.
[2]  段晴楠(2023). 正念自我照护对安宁疗护士心理健康的影响路径及干预研究. 硕士学位论文, 太原: 山西医科大学.
[3]  段文杰(2014). 正念研究的分歧: 概念与测量. 心理科学进展, 22(10), 1616-1627.
[4]  段文杰, 冯宇(2018). 学校正念干预的应用与特点. 心理科学, 41(1), 85-90.
[5]  顾漪, 陈皞, 徐燕玲(2020). 医务人员心理压力和应对方式的调查研究. 中国临床医生杂志, 48(9), 1130-1132.
[6]  顾瑛琦(2018). 正念的去自动化心理机制及临床干预效果研究. 博士学位论文, 上海: 华东师范大学.
[7]  黄淑婷, 薛文娟, 陈洁, 刘迪迪(2020). 三级甲等综合性医院心内科医护人员职业倦怠现状、影响因素及正念减压疗法的疗效. 职业与健康, 36(23), 3190-3193.
[8]  江琴, 贾骏, 蔡太生(2019). 手机App辅助正念干预对心理健康作用的研究进展. 医学与哲学, 40(21), 64-66+70.
[9]  李茸, 雷叡, 刘璇, 朱丽, 王玲, 邢舒, 姚晚侠(2023). 正念减压疗法减轻同步放化疗肿瘤病人的心理痛苦. 安徽医药, 27(7), 1426-1432.
[10]  林琦, 庞程, 黄艳益, 祝立阳(2014). 正念训练干预对中青年乳腺癌患者术后睡眠质量的影响. 护理管理杂志, 14(4), 278-279.
[11]  刘莎, 江承川, 潘思, 李现红(2021). 正念减压疗法对肝癌患者心理健康和生存质量的干预效果研究. 当代护士(中旬刊), 28(10), 87-91.
[12]  刘彦辰, 张研(2019). 邢台市某县医院医务人员职业认知、工作满意度与职业倦怠的相关性研究. 医学与社会, 32(1), 103-107.
[13]  庞娇艳, 柏涌海, 唐晓晨, 罗劲(2010). 正念减压疗法在护士职业倦怠干预中的应用. 心理科学进展, 18(10), 1529-1536.
[14]  盛静, 门辉华, 姚宇(2024). 正念认知疗法对抑郁症患者干预疗效的Meta分析. 华北理工大学学报(医学版), 26(2), 150-158.
[15]  孙玉静, 杨洁, 林梓洵, 宋东峰, 高桂凤, 李竞, 沈怡(2022). 正念减压疗法对医务人员职业倦怠和心理健康的干预效果分析. 中国医院, 26(5), 52-55.
[16]  汪芬, 黄宇霞(2011). 正念的心理和脑机制. 心理科学进展, 19(11), 1635-1644.
[17]  王静, 金璐(2019). 正念减压疗法对老年冠心病合并心理障碍患者睡眠质量及主观幸福感的影响. 护士进修杂志, 34(22), 2084-2087.
[18]  王龙珍, 杨菲, 方萍, 王芳(2024). 混合式正念减压干预对ICU护士心理弹性、职业倦怠感及离职意愿的影响. 当代护士(下旬刊), 31(4), 143-147.
[19]  王怡, 李凌(2020). 正念干预及其教育应用. 基础教育, 17(2), 96-106.
[20]  徐东升, 赵慧玲, 马筱慧, 李宏伟, 刘冬雪, 高函, 高明月(2019). 基于正念认知疗法的心理护理干预对乳腺癌化疗患者焦虑、抑郁及生存质量的影响. 中国老年学杂志, 39(23), 5854-5857.
[21]  徐慰, 刘兴华(2013). 正念训练提升幸福感的研究综述. 中国心理卫生杂志, 27(3), 197-202.
[22]  张静, 宋继文, 王悦(2017). 工作场所正念: 研究述评与展望. 外国经济与管理, 39(8), 56-70+84.
[23]  张颖杰, 刘兴玲, 曾文, 邓瑞妍, 陈浩莹, 黄志强(2021). 正念减压训练对脑卒中康复期病人照顾者负性情绪及感知压力的影响. 护理研究, 35(19), 3507-3510.
[24]  赵慧强, 宋瑞雯, 张丽萍(2022). 正念训练改善睡眠质量的作用机制研究现状. 世界睡眠医学杂志, 9(3), 583-586+590.
[25]  郑晓明, 倪丹(2018). 组织管理中正念研究述评. 管理评论, 30(10), 153-168.
[26]  Aeschbach, V. M., Fendel, J. C., Schmidt, S., & G?ritz, A. S. (2021). A Tailored Mindfulness-Based Program for Resident Physicians: A Qualitative Study. Complementary Therapies in Clinical Practice, 43, Article ID: 101333.
https://doi.org/10.1016/j.ctcp.2021.101333
[27]  Alkhawaldeh, J. M., Khawaldeh, M. A., Mrayyan, M. T., Yehia, D., Shudifat, R. M., Anshasi, H. A. et al. (2024). The Efficacy of Mindfulness‐Based Programs in Reducing Anxiety among Nurses in Hospital Settings: A Systematic Review. Worldviews on Evidence-Based Nursing.
https://doi.org/10.1111/wvn.12722
[28]  Baer, R. A. (2003). Mindfulness Training as a Clinical Intervention: A Conceptual and Empirical Review. Clinical Psychology: Science and Practice, 10, 125-143.
https://doi.org/10.1093/clipsy.bpg015
[29]  Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J. et al. (2004). Mindfulness: A Proposed Operational Definition. Clinical Psychology: Science and Practice, 11, 230-241.
https://doi.org/10.1093/clipsy.bph077
[30]  Chiesa, A., Calati, R., & Serretti, A. (2011). Does Mindfulness Training Improve Cognitive Abilities? A Systematic Review of Neuropsychological Findings. Clinical Psychology Review, 31, 449-464.
https://doi.org/10.1016/j.cpr.2010.11.003
[31]  Chumachenko, S. Y., Cali, R. J., Rosal, M. C., Allison, J. J., Person, S. J., Ziedonis, D. et al. (2021). Keeping Weight off: Mindfulness-Based Stress Reduction Alters Amygdala Functional Connectivity during Weight Loss Maintenance in a Randomized Control Trial. PLOS ONE, 16, e0244847.
https://doi.org/10.1371/journal.pone.0244847
[32]  Cohen-Katz, J., Wiley, S. D., Capuano, T., Baker, D. M., & Shapiro, S. (2005a). The Effects of Mindfulness-Based Stress Reduction on Nurse Stress and Burnout, Part II: A Quantitative and Qualitative Study. Holistic Nursing Practice, 19, 26-35.
https://doi.org/10.1097/00004650-200501000-00008
[33]  Cohen-Katz, J., Wiley, S., Capuano, T., Baker, D. M., Deitrick, L., & Shapiro, S. (2005b). The Effects of Mindfulness-Based Stress Reduction on Nurse Stress and Burnout: A Qualitative and Quantitative Study, Part III. Holistic Nursing Practice, 19, 78-86.
https://doi.org/10.1097/00004650-200503000-00009
[34]  Cusens, B., Duggan, G. B., Thorne, K., & Burch, V. (2009). Evaluation of the Breathworks Mindfulness‐Based Pain Management Programme: Effects on Well‐Being and Multiple Measures of Mindfulness. Clinical Psychology & Psychotherapy, 17, 63-78.
https://doi.org/10.1002/cpp.653
[35]  Dreyfus, G. (2011). Is Mindfulness Present-Centred and Non-Judgmental? A Discussion of the Cognitive Dimensions of Mindfulness. Contemporary Buddhism, 12, 41-54.
https://doi.org/10.1080/14639947.2011.564815
[36]  Fendel, J. C., Aeschbach, V. M., Schmidt, S., & G?ritz, A. S. (2021). The Impact of a Tailored Mindfulness‐Based Program for Resident Physicians on Distress and the Quality of Care: A Randomised Controlled Trial. Journal of Internal Medicine, 290, 1233-1248.
https://doi.org/10.1111/joim.13374
[37]  Heinen, J. M., Laing, E. M., Sch?ffeler, N., B?uerle, A., Krakowczyk, J. B., Schug, C. et al. (2024). How Do Mindfulness‐Based Interventions Promote Coping and Self‐Efficacy in Patients with Cancer: A Systematic Review of Qualitative and Quantitative Data. Psycho-Oncology, 33, e6350.
https://doi.org/10.1002/pon.6350
[38]  Jaseja, H. (2005). Meditation May Predispose to Epilepsy: An Insight into the Alteration in Brain Environment Induced by Meditation. Medical Hypotheses, 64, 464-467.
https://doi.org/10.1016/j.mehy.2004.09.012
[39]  Jiang, A., Rosario, M., Stahl, S., Gill, J. M., & Rusch, H. L. (2021). The Effect of Virtual Mindfulness-Based Interventions on Sleep Quality: A Systematic Review of Randomized Controlled Trials. Current Psychiatry Reports, 23, Article No. 62.
https://doi.org/10.1007/s11920-021-01272-6
[40]  Kabat-Zinn, J. (1990). Full Catastrophe Living: Using the Wisdom Books of Your Body and Mind to Face Stress, Pain, and Illness. Delta Books.
[41]  Kabat-Zinn, J. (1994). Wherever You Go, There You Are: Mindfulness Meditation in Everyday Life (pp. 78-80). Hyperion.
[42]  Kabat-Zinn, J. (2003). Mindfulness-Based Interventions in Context: Past, Present, and Future. Clinical Psychology: Science and Practice, 10, 144-156.
https://doi.org/10.1093/clipsy.bpg016
[43]  Kieviet-Stijnen, A., Visser, A., Garssen, B., & Hudig, W. (2008). Mindfulness-Based Stress Reduction Training for Oncology Patients: Patients’ Appraisal and Changes in Well-Being. Patient Education and Counseling, 72, 436-442.
https://doi.org/10.1016/j.pec.2008.05.015
[44]  Lai, S., Lim, K., Tang, V., & Low, W. (2021). Mindfulness-Based Intervention to Promote Psychological Wellbeing in People with Epilepsy: A Randomized Controlled Trial. Epilepsy & Behavior, 118, Article ID: 107916.
https://doi.org/10.1016/j.yebeh.2021.107916
[45]  Lansky, E. P., & St. Louis, E. K. (2006). Transcendental Meditation: A Double-Edged Sword in Epilepsy? Epilepsy & Behavior, 9, 394-400.
https://doi.org/10.1016/j.yebeh.2006.04.019
[46]  Lee, A. C., Harvey, W. F., Price, L. L., Morgan, L. P. K., Morgan, N. L., & Wang, C. (2017). Mindfulness Is Associated with Psychological Health and Moderates Pain in Knee Osteoarthritis. Osteoarthritis and Cartilage, 25, 824-831.
https://doi.org/10.1016/j.joca.2016.06.017
[47]  Li, G., Yuan, H., & Zhang, W. (2016). The Effects of Mindfulness-Based Stress Reduction for Family Caregivers: Systematic Review. Archives of Psychiatric Nursing, 30, 292-299.
https://doi.org/10.1016/j.apnu.2015.08.014
[48]  Lindsay, S. (2014). Can Hyper-Synchrony in Meditation Lead to Seizures? Similarities in Meditative and Epileptic Brain States. Medical Hypotheses, 83, 465-472.
https://doi.org/10.1016/j.mehy.2014.07.015
[49]  Liu, C., Chen, H., Cao, X., Sun, Y., Liu, C., Wu, K. et al. (2022). Effects of Mindfulness Meditation on Doctors’ Mindfulness, Patient Safety Culture, Patient Safety Competency and Adverse Event. International Journal of Environmental Research and Public Health, 19, Article No. 3282.
https://doi.org/10.3390/ijerph19063282
[50]  Liu, X., Li, J., Zhang, Q., Zhao, Y., & Xu, W. (2020). Being Beneficial to Self and Caregiver: The Role of Dispositional Mindfulness among Breast Cancer Patients. Supportive Care in Cancer, 29, 239-246.
https://doi.org/10.1007/s00520-020-05435-8
[51]  Lu, R., Xiong, H., Xia, H., Zhou, E., Dai, X., & Chen, X. (2019). Effects of Mindfulness-Based Stress Reduction on Negative Emotions and Sleep Quality Levels of Clinical Medical Staff Members. International Journal of Clinical And Experimental Medicine, 12, 77-81.
[52]  Mackenzie, C. S., Poulin, P. A., & Seidman-Carlson, R. (2006). A Brief Mindfulness-Based Stress Reduction Intervention for Nurses and Nurse Aides. Applied Nursing Research, 19, 105-109.
https://doi.org/10.1016/j.apnr.2005.08.002
[53]  Marlatt, G. A., & Kristeller, J. L. (1999). Mindfulness and Meditation. In W. R. Miller (Ed.), Integrating Spirituality into Treatment: Resources for Practitioners (pp. 67-84). American Psychological Association.
https://doi.org/10.1037/10327-004
[54]  Noda, T., Isobe, M., Mishima, R., Tose, K., Kawabata, M., Aso, T. et al. (2023). Neural Correlates of a Mindfulness-Based Intervention in Anorexia Nervosa. BJPsych Open, 9, e22.
https://doi.org/10.1192/bjo.2022.637
[55]  Pan, C., Wang, H., Chen, M., Cai, Y., Xiao, C., Tang, Q. et al. (2019). Mindfulness-Based Intervention for Nurses in AIDS Care in China: A Pilot Study. Neuropsychiatric Disease and Treatment, 15, 3131-3141.
https://doi.org/10.2147/ndt.s223036
[56]  Pleman, B., Park, M., Han, X., Price, L. L., Bannuru, R. R., Harvey, W. F. et al. (2019). Mindfulness Is Associated with Psychological Health and Moderates the Impact of Fibromyalgia. Clinical Rheumatology, 38, 1737-1745.
https://doi.org/10.1007/s10067-019-04436-1
[57]  Qiu, Y., & Xu, H. (2024). Effects of WeChat-Based Mindfulness-Based Stress Reduction on Psychological Resilience and Quality of Life Among Patients Undergoing Loose Body Removal Surgery. Alternative Therapies in Health and Medicine, AT9964.
[58]  Shapiro, S. L., Brown, K. W., Thoresen, C., & Plante, T. G. (2010). The Moderation of Mindfulness‐Based Stress Reduction Effects by Trait Mindfulness: Results from a Randomized Controlled Trial. Journal of Clinical Psychology, 67, 267-277.
https://doi.org/10.1002/jclp.20761
[59]  Siegel, R. D., Germer, C. K., & Olendzki, A. (2009). Mindfulness: What Is It? Where Did It Come from? In F. Didonna (Ed.), Clinical Handbook of Mindfulness (17-35). Springer.
https://doi.org/10.1007/978-0-387-09593-6_2
[60]  Singh, N. N., Lancioni, G. E., Winton, A. S. W., Wahler, R. G., Singh, J., & Sage, M. (2004). Mindful Caregiving Increases Happiness among Individuals with Profound Multiple Disabilities. Research in Developmental Disabilities, 25, 207-218.
https://doi.org/10.1016/j.ridd.2003.05.001
[61]  Smith, S. A. (2014). Mindfulness‐Based Stress Reduction: An Intervention to Enhance the Effectiveness of Nurses’ Coping with Work‐Related Stress. International Journal of Nursing Knowledge, 25, 119-130.
https://doi.org/10.1111/2047-3095.12025
[62]  Tsur, N., Defrin, R., Haller, C. S., Bercovitz, K., & Langer, E. J. (2020). The Effect of Mindful Attention Training for Pain Modulation Capacity: Exploring the Mindfulness-Pain Link. Journal of Clinical Psychology, 77, 896-909.
https://doi.org/10.1002/jclp.23063
[63]  Türko?lu, N., & Kavuran, E. (2024). The Effect of Mindfulness-Based Stress Reduction Program on Stress and Quality of Life in Family Caregivers of Patients with Cancer: Randomized Controlled Trial. Mindfulness, 15, 1070-1079.
https://doi.org/10.1007/s12671-024-02336-3
[64]  Wang, Y., Chen, C., Gu, L., Zhai, Y., Sun, Y., Gao, G. et al. (2023). Effect of Short-Term Mindfulness-Based Stress Reduction on Sleep Quality in Male Patients with Alcohol Use Disorder. Frontiers in Psychiatry, 14, Article ID: 928940.
https://doi.org/10.3389/fpsyt.2023.928940
[65]  Weick, K. E., & Putnam, T. (2006). Organizing for Mindfulness: Eastern Wisdom and Western Knowledge. Journal of Management Inquiry, 15, 275-287.
https://doi.org/10.1177/1056492606291202
[66]  Westphal, M., Bingisser, M., Feng, T., Wall, M., Blakley, E., Bingisser, R. et al. (2015). Protective Benefits of Mindfulness in Emergency Room Personnel. Journal of Affective Disorders, 175, 79-85.
https://doi.org/10.1016/j.jad.2014.12.038
[67]  Zeidan, F., Emerson, N. M., Farris, S. R., Ray, J. N., Jung, Y., McHaffie, J. G. et al. (2015). Mindfulness Meditation-Based Pain Relief Employs Different Neural Mechanisms than Placebo and Sham Mindfulness Meditation-Induced Analgesia. The Journal of Neuroscience, 35, 15307-15325.
https://doi.org/10.1523/jneurosci.2542-15.2015

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