「マインドフルネス研究」2017年 第2巻 第2号 特集「マインドフルネス認知療法」 原著論文(実証研究)
Japanese Journal of Mindfulness, 2017, Vol. 2, No. 2 Special Issue: Mindfulness-Based Cognitive Therapy Original Article

ホスピス緩和ケアに従事する支援者のためのマインドフルネス認知療法の効果

伊藤 義徳 (琉球大学法文学部)
笹良 剛史 (友愛会南部病院麻酔科ペインクリニック/緩和ケア内科)
栗山 登至 (輔人会サマリア人病院 精神科)
木甲斐 智紀 (早稲田大学大学院人間科学研究科)
平仲 唯 (友愛会南部病院医療技術部)
玉榮 伸康 (医療法人社団祐和会大石クリニック)
坂本 大河 (宜野座村教育委員会)

早期公開:2017年10月31日

Effects of Mindfulness-Based Cognitive Therapy for Professional Palliative Caregiver

Ito Yoshinori Faculty of Law and Letters, University of the Ryukyus
Sasara Takeshi Department of Anesthesiology, Pain and Palliative Medicine, Yuuaikai Nanbu Hospital
Kuriyama Toshi Department of Psychiatry, Hojinkai Samaritan Hospital
Kikai Tomoki Graduate School of Human Science, Waseda University
Hiranaka Yui Department of Medical Technology, Yuuaikai Nanbu Hospital
Tamae Nobuyasu Medical Corporation Ohishi Clinic
Sakamoto Taiga Ginoza Village Board of Education

Online first published : October 30, 2017

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The final version of this article with its full bibliographical information is available.
To access the article, click here (Vol. 2 (2017), No. 2 pp. 66-81).
http://mindfulness.jp.net/Journal/vol2no2/jjm22ito180714/


キーワード:MBCT,ホスピス緩和ケア,医療従事者,バーンアウト,支援者の資質
Keywords: MBCT, palliative care, professional caregiver, burnout, a quality of professional caregiver


要 約
本研究は,ホスピス緩和ケアに従事する支援者のストレスの軽減と資質の向上を目的としたMindfulness-Based Cognitive Therapy(MBCT)プログラムを開発し,その効果を検討した。8セッションのMBCTプログラムに,ホスピス緩和ケアに従事する14名(M=43.64歳,SD=8.30)の医療専門家が参加した。プログラム開始1カ月前,プログラム開始時及び終了後,終了1カ月後,及び6カ後の各時点で,職業ストレス,バーンアウト,緩和ケアに対する態度,死に対する価値観,及びマインドフルネススキルに関する指標が測定された。その結果,短期的には身体的疲弊感が低減し,多様なマインドフルネススキルの向上が見られた。さらに長期的には,マインドフルネススキルだけでなく死に対する価値観の変化が認められた。MBCTが目的に一致した効果を発揮したことが示された。

Abstract
While the importance of the hospice/palliative care became greater in our life, professional palliative caregivers may experience occupational stress and burnout, which negatively impact their quality of life and job performance. In the present study, we intended to examine the effect of the Mindfulness-Based Cognitive Therapy (MBCT) for professional palliative caregivers on the stress reduction and the improvement of their nature as the professionals. Fourteen professionals (including doctors, nurses, psychologists, and medical social workers, Mean Age=43.64, SD=8.30, women=11) participated in the MBCT program. The MBCT program designed by Segal, Williams, and Teasdale (2002) for recurrent depression was partly modified and used for the present study. Participants completed Maslach Burnout Inventory, Stress Response Scale for Nurse, Emotional Labour Inventory for Nurse, stress, burnout, Frommelt Attitude Toward Care Of Dying scale, Items about a view of life and death, Five Facet Mindfulness Questionnaire, Self-Compassion Scale, Acceptance and Action Questionnaire-II at one month before the program starts (Baseline), Pre- and Post-test, and one month and six months follow-up. The results showed that MBCT reduced the physical exhaustion, increased some mindfulness skills at one month follow-up, and deepened some attitude to the death or palliative care at six months follow-up. MBCT may be an effective intervention for addressing the stress reduction and the improvement of the professional awareness in palliative care.