J Hosp Palliat Nurs. 2021 Dec 1;23(6):544-550. doi: 10.1097/NJH.0000000000000791.
Nurses frequently face stressful situations during work, which makes resilience an essential quality of their personality to cope with professional stress and to prevent burnout. Resilience can be improved by training and practice. To analyze the effect of resilience training in nurses, studies reporting the changes in resilience before and after resilience training were identified by conducting the literature search in electronic databases. Meta-analyses of standardized mean differences (SMDs) between postintervention and preintervention scores of resilience and other related variables were performed. Thirteen studies (576 nurse participants) were included. Resilience training improved the resilience scores of the participants (SMD, 0.58; 95% confidence interval [CI], 0.23-0.94; P = .001), whereas there was no improvement in the resilience scores of nurses who did not participate in resilience training (SMD, -0.13; 95% CI, -0.54 to 0.27; P = .523). The stress (SMD, -0.60; 95% CI, -0.80 to -0.40; P < .00001), anxiety (SMD, -0.50; 95% CI, -0.80 to -0.20; P = .001), depression (SMD, -0.43; 95% CI, -0.67 to -0.19; P < .0001), and burnout (SMD, -1.01; 95% CI, -1.25 to -0.76; P <˂ .0001) scores of the participants were also decreased after resilience training. In conclusion, resilience training improved the resilience scores of nurses, which was also associated with improvements in stress, depression, anxiety, and burnout scores. However, because of the variations in training contents and measuring tools, only generalized assessments could be made.
护士在工作中经常面临压力较大的情况，因此，韧性是他们应对职业压力和预防倦怠的重要人格特质。韧性可以通过培训和实践来提高。为了分析韧性训练对护士的影响，我们通过在电子数据库中进行文献检索，确定了报告韧性训练前后变化的研究。对韧性训练前后的韧性评分和其他相关变量的标准化均数差（SMD）进行了荟萃分析。共纳入 13 项研究（576 名护士参与者）。韧性训练提高了参与者的韧性评分（SMD，0.58；95%置信区间[CI]，0.23-0.94；P=.001），而未参加韧性训练的护士的韧性评分没有提高（SMD，-0.13；95%CI，-0.54 至 0.27；P=.523）。训练后，护士的压力（SMD，-0.60；95%CI，-0.80 至-0.40；P<.00001）、焦虑（SMD，-0.50；95%CI，-0.80 至-0.20；P=.001）、抑郁（SMD，-0.43；95%CI，-0.67 至-0.19；P<.0001）和倦怠（SMD，-1.01；95%CI，-1.25 至-0.76；P<.0001）评分也有所降低。总之，韧性训练提高了护士的韧性评分，这与压力、抑郁、焦虑和倦怠评分的改善有关。然而，由于培训内容和测量工具的差异，只能进行一般性评估。
