基于正念的干预措施来减少助产士和护士的压力和抑郁症:一个元分析研究
Rongrong Zeng1, Yan Zeng1, Miao Li1
1International School of Nursing, Hainan Vocational University of Science and Technology, Haikou, China.
基于正念的干预措施 (MBI) 在4612名护士和助产士中显著降低了压力和抑郁症. 这些发现支持将MBI整合到医疗机构,以提高员工的心理健康和应对能力.
科学领域:
- 医疗保健管理的管理
- 心理健康研究 心理健康研究
- 护理实践 护理实践
背景情况:
- 基于正念的干预 (MBI) 在医疗保健中越来越多地用于减轻专业人员之间的压力.
- 产科护士面临着严重的职业压力和抑郁症,影响健康和患者护理.
- 这次元分析专门评估了MBIs对这一群体的有效性.
研究的目的:
- 系统地评估基于正念的干预措施 (MBI) 在减轻产科护士压力和抑郁症方面的有效性.
- 综合来自多项研究的证据,以提供对MBI影响的定量衡量.
- 探索潜在的调节因素,如干预持续时间,对MBI的有效性.
主要方法:
- 在主要数据库 (Cochrane,PsycINFO,PubMed,Web of Science,Google Scholar) 中进行了全面的文献搜索.
- 偏差风险使用Cochrane风险偏差工具进行评估;元分析采用随机效应模型.
- 亚组分析检查了干预时间和人群特征;效果大小是使用标准化平均差异 (SMD) 计算的.
主要成果:
- 分析包括55项研究,涉及4612名护士和助产士.
- MBIs在减少压力 (SMD = -0.71) 和抑郁症 (SMD = -0.74) 方面表现出显著的影响.
- 干预的持续时间显著影响了抑郁减轻,但没有减轻压力.
结论:
- 医疗机构应将MBI整合到健康计划中,以支持护理人员的心理健康.
- 应将正念组件纳入护理教育,以增强应对机制.
- 未来的研究应该探索综合干预措施,并解决导致倦怠的组织因素.
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