Cepeda-Lopez Ana Carla, Solís Domínguez Leticia, Villarreal Zambrano Sofía, Garza-Rodriguez Iris Y, Del Valle Alejandra Cortes, Quiroga-Garza Angélica
Tecnologico de Monterrey, Monterrey, Mexico.
Department of Nutrition, Universidad de Monterrey, San Pedro Garza García, Mexico.
Front Psychol. 2023 Mar 13;14:848637. doi: 10.3389/fpsyg.2023.848637. eCollection 2023.
To mitigate against the possible adverse effects of stress among nurses due to the COVID-19 outbreak, we designed a 12-week mind-body based online intervention program to promote well-being and prevent stress-related disorders such as burnout. Our study aimed to compare the impact of the intervention on perception of stress, negative emotions, burnout, mindfulness, resilience, and well-being at pretest and 6 months post-intervention and to compare the effect among nurses working at two different hospitals.
We conducted an uncontrolled trial using a convenience sample of nurses working at two hospitals in Mexico: one designated to treat confirmed COVID-19 patients (COVID-hospital) and the other whose patients had a negative COVID-19 test on admission (Non COVID-hospital). The 12 week online intervention consisted of 36 mind-body based micropractices, with subjective well-being as the primary outcome. Secondary outcomes were health perception, resilience, mindfulness, negative emotions, stress, and burnout.
A pretest survey was completed by 643 nurses. Of the remaining valid responses, 82% were women, with a mean age of 34.8 (SD = 8.95) years old. For the analysis two groups of nurses were sampled by cluster: a COVID-hospital group of 429 (67%) nurses, and a non-COVID Hospital group of 214 (33%) nurses. The proportion lost to follow-up was 71% at postest ( = 188) and 42% at 6 months follow-up ( = 371). At pretest, non-COVID hospital nurses had lower subjective well-being and higher burnout than their COVID hospital counterparts. At postest, non-COVID hospital nurses displayed more negative emotions than their COVID hospital peers. At 6 months post-intervention, nurses experienced improved mindfulness, reduced negative emotions and stress, but a decrease in subjective well-being and resilience. Nurses working at the non-COVID hospital had significantly higher mean scores for burnout than those working at the COVID hospital.
The results of our study suggest that our online mind-body interventions can help to reduce stress and negative emotions, yet the effects on subjective well-being and resilience are uncertain. Further research is needed to gain a better understanding of their potential mechanisms and the associated efforts of such online interventions.
ClinicalTrials.gov, NCT05515172.
为减轻新冠疫情给护士带来的潜在压力负面影响，我们设计了一项为期12周的基于身心的在线干预项目，以促进幸福感并预防与压力相关的疾病，如职业倦怠。我们的研究旨在比较干预措施在干预前和干预后6个月对压力感知、负面情绪、职业倦怠、正念、心理韧性和幸福感的影响，并比较在两家不同医院工作的护士之间的效果。
我们采用非对照试验，以墨西哥两家医院的护士为便利样本：一家指定治疗确诊的新冠患者（新冠医院），另一家患者入院时新冠检测呈阴性（非新冠医院）。为期12周的在线干预包括36项基于身心的微实践，以主观幸福感为主要结果。次要结果包括健康感知、心理韧性、正念、负面情绪、压力和职业倦怠。
643名护士完成了干预前调查。在其余有效回复中，82%为女性，平均年龄34.8岁（标准差=8.95）。为进行分析，通过整群抽样选取两组护士：新冠医院组429名（67%）护士，非新冠医院组214名（33%）护士。随访失访率在干预后为71%（n=188），在6个月随访时为42%（n=371）。干预前，非新冠医院护士的主观幸福感低于新冠医院护士，职业倦怠程度高于新冠医院护士。干预后，非新冠医院护士的负面情绪比新冠医院同行更多。干预后6个月，护士的正念有所改善，负面情绪和压力有所减轻，但主观幸福感和心理韧性有所下降。在非新冠医院工作的护士的职业倦怠平均得分显著高于在新冠医院工作的护士。
我们的研究结果表明，我们的在线身心干预有助于减轻压力和负面情绪，但其对主观幸福感和心理韧性的影响尚不确定。需要进一步研究以更好地了解其潜在机制以及此类在线干预的相关作用。
ClinicalTrials.gov，NCT05515172。
