Department of Clinical Korean Medicine, Graduate School, Dong-eui University, Busan 47227, Korea.
Clinical Research Coordinating Team, Korea Institute of Oriental Medicine, Daejeon 34054, Korea.
Int J Environ Res Public Health. 2021 Aug 23;18(16):8855. doi: 10.3390/ijerph18168855.
The mental health of nurses including burnout is an important issue. The purpose of this systematic review was to evaluate whether mind-body modalities improve burnout and other mental health aspects of nurses. A comprehensive search was conducted using six electronic databases. Randomized controlled trials using mind-body modalities on the mental health of nurses, up to January 2021, were included. The methodological quality of the included studies was assessed using the Cochrane Risk of Bias tool. Seventeen studies were included in the review. Data on mindfulness-based interventions (MBIs) and yoga were available for burnout, and there was no evidence that multimodal resilience programs including MBIs statistically significantly improved burnout levels compared to no intervention or active control groups. However, one study reported that yoga could significantly improve emotional exhaustion and depersonalization, which are subscales of burnout, compared to usual care. In addition, the effects of MBIs, relaxation, yoga, and music on various mental health outcomes and stress-related symptoms have been reported. In conclusion, there was some evidence that yoga was helpful for improvement in burnout of nurses. However, due to the heterogeneity of interventions and outcomes of the studies included, further high-quality clinical trials are needed on this topic in the future.
护士的心理健康包括倦怠是一个重要问题。本系统评价的目的是评估身心模式是否能改善护士的倦怠和其他心理健康方面。使用六个电子数据库进行了全面检索。纳入了截至 2021 年 1 月使用身心模式对护士心理健康进行的随机对照试验。使用 Cochrane 偏倚风险工具评估纳入研究的方法学质量。本综述纳入了 17 项研究。正念减压干预（MBI）和瑜伽的数据可用于评估倦怠，没有证据表明包括 MBI 的多模式抗逆力计划与无干预或积极对照组相比，在统计学上能显著改善倦怠水平。然而，有一项研究报告称，与常规护理相比，瑜伽可以显著改善倦怠的两个子量表，即情绪疲惫和去人性化。此外，MBI、放松、瑜伽和音乐对各种心理健康结果和与压力相关的症状的影响也有报道。总之，有一些证据表明瑜伽有助于改善护士的倦怠。然而，由于纳入研究的干预措施和结果存在异质性，未来需要对此主题进行更多高质量的临床试验。
