Modifiye Rehberli Farkındalık Temelli Meditasyon Uygulamasının Doktorların Stres Seviyeleri Ve Stresle Başa Çıkma Stratejileri Üzerine Etkisi, Randomize Kontrollü Çalışma

Öz

Farkındalık temelli stres azaltma girişimleri, stresi azaltma ve başa çıkma stratejileri üzerindeki faydaları nedeniyle ön plana çıkmıştır. Ancak, farkındalık temelli uygulamaların bazı eleştirilere açık olduğu görülmektedir. Yöntemlerin zorlu ve uzun çalışma saatleri ve yüksek maliyetleri nedeniyle hekimler uygulamalara tam olarak katılmakta, sürdürmekte ve uyum sağlamakta zorluk çekebilmektedirler. Ayrıca, odaklanmayı sürdürme ve grup çalışması sorumluluklarıyla ilişkili stres faktörleriyle başa çıkma zorlukları, istenen sonuçların alınmasını engelleyebilmektedir. Bu durum farkındalık temelli stres azaltma uygulamalarının genel faydalarını olumsuz yönde etkileme potansiyeline sahiptir. Bildirilen yüksek stres seviyeleri göz önüne alınarak , stres seviyelerini düşürme ve hekimlerde yapıcı stresle başa çıkma stratejilerini teşvik etme konusunda çözümlere önemle ihtiyaç vardır. Bu sorunu ele almak için mevcut yöntemleri ihtiyaca göre uyarlayarak uygulamak faydalı olabilir. Bu çalışmada, Downdog uygulamasıyla sağlanan modifiye rehberli farkındalık temelli meditasyonun stres seviyelerini azaltma ve hekimlerin stresle başa çıkma stratejilerinde değişimi üzerindeki etkisi değerlendirilmiştir. Bu çalışma kör olmayan randomize kontrollü bir çalışmadır. Çalışmanın örneklemi 01.05.2023-30.06.2023 tarihlerinde halk sağlığı stajını alan intern doktorlardan oluşmaktadır. Deney grubu 22 intern doktordan oluşurken, kontrol grubu 33 intern doktordan oluşmuştur. Downdog uygulamasıyla sağlanan modifiye rehberli farkındalık temelli meditasyon intern doktorlar tarafından uygulanmış ve intern doktorların stres düzeyleri ve stresle başa çıkma stratejilerini değerlendirmek için pre-post PSS ve WCI envanteri kullanılmıştır. Deney grubunun stres düzeyleri modifiye rehberli farkındalık temelli meditasyonla önemli ölçüde azalmıştır. (p=0,001). Modifiye rehberli farkındalık temelli meditasyonun intern doktorların stres düzeyleri üzerindeki etki büyüklüğü küçüktür. (Cohen d=0,41). Modifiye rehberli farkındalık meditasyonu uygulamasıyla, deney grubundaki katılımcılar stresle başa çıkmak için yapıcı yolları uygulamaya devam etmiş (p=0,594), kontrol grubundaki katılımcılar ise yıkıcı yolları uygulama davranışını önemli ölçüde artırmıştır (p=0,06). Downdog uygulaması kullanılarak denenmiş, ekonomik, zaman esnekliği sağlayan, bireye özel farkındalık temelli meditasyona ulaşma fırsatları sunan, modifiye edilmiş rehberli farkındalık temelli meditasyon, intern doktorlarda stresi azaltmada etkili olduğu gibi, stresle başa çıkmada yapıcı stratejiler geliştirmeye de yardımcı olmuştur.

Anahtar Kelimeler

• Modifiye rehberli farkındalık temelli meditasyon
• stresle başa çıkma
• stres yönetimi
• farkındalık meditasyonu
• farkındalık temelli stres azaltma.

Etik Beyan

This research was approved by Zonguldak Bülent Ecevit University Human Research Ethic Comitee with protocol number: 375 in the date of 12.04.2023.

Effect Of Modified Guided Mindfullness Based Meditation Application On Stress Levels And Stress Coping Strategies off Doctors , Randomised Controlled Trial

Öz

Mindfulness-based stress reduction initiatives have come to the fore as a result of their benefits on reducing stress and coping strategies. However, it is seen that mindfulness-based practices are open to some criticism. Due to the demanding and prolonged work hours and high costs of the methods that physicians may struggle to fully engage, sustain, and adapt to practices. Furthermore, challenges in maintaining focus and dealing with the stressors associated with group work responsibilities may hinder the desired outcomes. These unfavorable aspects have the potential to detrimentally impact the overall benefits of mindfulness based stress reduction practices. Based on the high levels of stress reported, there is an urgent need to reduce stress levels and promote strategies to cope with stress in physicians. it is necessary to modify and apply existing methods to promtly adress this issue. In this study the effect of the modified guided mindfullness based meditation provided by Downdog application on reducing stress levels and change in stress coping strategies of physicians were evaluated. This study is non blind randomised controlled trial. The sample of the study consists of intern doctors who received their public health internship between 01.05.2023-30.06.2023. The experimental group consisted of 22 intern doctors while the control group consisted of 33 intern doctors. Modified guided mindfullness based meditation provided by Downdog application was practiced by intern doctors and pre-post PSS and WCI inventory were used to evaluate stress levels and stress coping strategies of intern doctors. The stress levels of the experimental group decreased significantly with modified guided mindfulness based meditation .(p=0,001).Effect size of modified guided mindfulness based meditation on stress levels of intern doctors was small. (Cohen d=0,41). With the modified guided mindfulness meditation practice, the participants in the experimental group continued to apply constructive ways to cope with stress (p = 0.594), while the participants in the control group significantly increased the behavior of applying destructive ways (p = 0.06). Modified guided mindfullness based meditation provided by Downdog application which offers economic, time flex , personalised opportunities to reach mindfullness based meditation is effective in reducing stress as well as help to remain constructive strategies of coping with stress in intern doctors.

Anahtar Kelimeler

• Modified guided mindfullness based meditation
• stress reduction
• stress coping
• stress management
• mindfullness meditation
• mindfullness based stress reduction.

Kaynakça

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