复杂互动多模式干预对中国卫生保健工作者个性化压力管理的影响:非随机对照研究
Wenhua Liu1,2, Quan Wang2, Danli Zheng2
1Department of Pharmacology, School of Basic Medical Science, Shanghai Medical College, Fudan University, Shanghai, China.
Journal of medical Internet research
|July 12, 2024
概括
一个复杂的交互式多式调节干预 (CIMI) 有效地减少了感知到的压力,并改善了陷入困境的医疗保健工作者 (HCW) 的睡眠. 这种基于移动的方法弥合了HCW压力管理的知识与实践差距.
科学领域:
- 职业健康 职业健康 职业健康
- 心理学 心理学 心理学
- 数字健康干预措施 数字健康干预措施
背景情况:
- 医疗保健工作者 (HCWs) 面临着重要的工作场所压力因素,特别是那些在夜班工作的人.
- 陷入困境的HCW可能会努力实施压力管理技术,尽管他们意识到这一点.
- 需要个性化的干预措施来弥补压力管理知识和HCW实践之间的差距.
研究的目的:
- 为了比较一个复杂的交互式多式干预 (CIMI) 与自我引导的方法来管理应激在困难的HCWs.
- 评估CIMI对生理 (心率变化),心理 (感知压力,精神困扰,幸福) 和睡眠指标 (疲劳,嗜睡) 的影响.
主要方法:
- 一项非随机对照研究,涉及两家中国医院的245名患病重症护士.
- 参与者填写了问卷,并佩戴霍尔特设备进行24小时心率变化监测.
- CIMI组接受了为期12周的在线课程,包括移动指导,社交网络,反和护士指导;对照组接受了自我指导的干预.
主要成果:
- 与基线相比,CIMI组的感知压力量表 (PSS) 分数 (MD -5.31,P<.001) 显著降低,与对照组 (MD -4.03,P<.001) 相比,效果大小中等.
- 两组都表现出心率变化 (SDNN) 的显著下降,但两组之间没有发现显著差异.
- CIMI干预措施在改善心理压力和睡眠障碍方面表现出有效性.
结论:
- 复杂的交互式多式干预 (CIMI) 是有效的改善睡眠障碍和心理压力在痛苦的HCWs.
- 这些发现支持为高压工人开发可适应和可访问的移动应激管理干预措施.
- 建议进行进一步的研究,以调查CIMI的长期影响.
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