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COVID-19 疫情期间管理医护人员心理健康的身心调节方法系统评价

Systematic Review of Mind-Body Modalities to Manage the Mental Health of Healthcare Workers during the COVID-19 Era.

作者信息

Kwon Chan-Young, Lee Boram

机构信息

Department of Oriental Neuropsychiatry, College of Korean Medicine, Dong-eui University, Busan 47227, Korea.

Department of Clinical Korean Medicine, Graduate School, Kyung Hee University, Seoul 02453, Korea.

出版信息

Healthcare (Basel). 2022 Jun 1;10(6):1027. doi: 10.3390/healthcare10061027.

Abstract

Healthcare workers (HCWs) have suffered physical and psychological threats since the beginning of the coronavirus disease 2019 (COVID-19) pandemic. Mind-body modalities (MBMs) can reduce the long-term adverse health effects associated with COVID-specific chronic stress. This systematic review aims to investigate the role of MBMs in managing the mental health of HCWs during the COVID-19 pandemic. A comprehensive search was conducted using 6 electronic databases, resulting in 18 clinical studies from 2019 to September 2021. Meta-analysis showed that MBMs significantly improved the perceived stress of HCWs (standardized mean difference, -0.37; 95% confidence intervals, -0.53 to -0.21). In addition, some MBMs had significant positive effects on psychological trauma, burnout, insomnia, anxiety, depression, self-compassion, mindfulness, quality of life, resilience, and well-being, but not psychological trauma and self-efficacy of HCWs. This review provides data supporting the potential of some MBMs to improve the mental health of HCWs during COVID-19. However, owing to poor methodological quality and heterogeneity of interventions and outcomes of the included studies, further high-quality clinical trials are needed on this topic in the future.

摘要

自2019冠状病毒病(COVID-19)大流行开始以来,医护人员一直遭受身体和心理威胁。身心调节法(MBMs)可以减少与COVID特定慢性应激相关的长期不良健康影响。本系统评价旨在调查身心调节法在COVID-19大流行期间对医护人员心理健康管理中的作用。使用6个电子数据库进行了全面检索,得到了2019年至2021年9月的18项临床研究。荟萃分析表明,身心调节法显著改善了医护人员的感知压力(标准化平均差,-0.37;95%置信区间,-0.53至-0.21)。此外,一些身心调节法对心理创伤、职业倦怠、失眠、焦虑、抑郁、自我同情、正念、生活质量、恢复力和幸福感有显著的积极影响,但对医护人员的心理创伤和自我效能感没有影响。本综述提供的数据支持了一些身心调节法在COVID-19期间改善医护人员心理健康的潜力。然而,由于纳入研究的方法学质量较差以及干预措施和结果的异质性,未来需要针对该主题进行进一步的高质量临床试验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a55c/9222815/3aec76bb66a3/healthcare-10-01027-g001.jpg

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