Seo Eunju, Kim Soukyoung
Department of Nursing, Shinsung University, Dangjin, Korea.
College of Nursing, Eulji University, Daejeon, Korea.
J Korean Acad Nurs. 2019 Aug;49(4):361-374. doi: 10.4040/jkan.2019.49.4.361.
This study was conducted to evaluate the effectiveness of autogenic training on stress responses through a systematic review and meta-analysis.
A systematic search was conducted using eight core electronic databases (Embase, CENTRAL, Medline, CINAHL, PsycInfo, DBpia, KISS, and RISS). To estimate the effect size, a meta-analysis of the studies was performed using RevMan 5.3.5 program.
A total 21 studies out of 950 studies were included in the review, and 11 were included for meta-analysis. These studies showed that autogenic training decreased anxiety and depression, and increased the high frequency of heart rate variability. Calculations to understand the effect of autogenic training on anxiety, through a meta-analysis, observed a reduction effect of anxiety score by 1.37 points (n=85, SMD=-1.37: 95% CI -2.07 to -0.67), in the studies on short-term intervention targeting healthy adults. On the other hand, similar calculations to understand the effect of autogenic training on depression observed, a reduction effect on the depression score by 0.29 point (n=327, SMD=-0.29: 95% CI -0.50 to -0.07), in the studies on long term intervention targeting the patient group.
Autogenic training is effective for adults' stress management, and nurses will be able to effectively perform autogenic training programs for workers' stress relief at the workplace.
本研究旨在通过系统评价和荟萃分析评估自生训练对压力反应的有效性。
使用八个核心电子数据库（Embase、CENTRAL、Medline、CINAHL、PsycInfo、DBpia、KISS和RISS）进行系统检索。为了估计效应大小，使用RevMan 5.3.5程序对这些研究进行荟萃分析。
950项研究中共有21项研究纳入本评价，11项纳入荟萃分析。这些研究表明，自生训练可降低焦虑和抑郁，并增加心率变异性的高频成分。通过荟萃分析来了解自生训练对焦虑的影响，在针对健康成年人的短期干预研究中，观察到焦虑评分降低了1.37分（n = 85，标准化均数差=-1.37：95%可信区间-2.07至-0.67）。另一方面，在针对患者群体的长期干预研究中，类似的计算用于了解自生训练对抑郁的影响，观察到抑郁评分降低了0.29分（n = 327，标准化均数差=-0.29：95%可信区间-0.50至-0.07）。
自生训练对成年人的压力管理有效，护士能够在工作场所有效地为员工开展自生训练项目以缓解压力。
