Institute of Nursing Science, Medical University of Graz, Universitaetsplatz 4/3, 8010, Graz, Austria.
Wien Med Wochenschr. 2024 Mar;174(3-4):79-86. doi: 10.1007/s10354-023-01013-9. Epub 2023 May 16.
This rapid review was conducted by following a predefined protocol developed by the Cochrane Rapid Reviews Methods Group. A total of 172 potential reviews and 167 primary studies of interest were found. AMSTAR II was used to assess the quality of the included reviews and the JBI Checklist for Randomized Controlled Trials for primary studies. Overall, four studies were included in this review. The study quality ranged from 5 to 12 out of 13 possible stars. No robust evidence was found that psychosocial interventions can reduce psychological distress. No significant effect could be found regarding post-traumatic stress. Two studies on anxiety were identified, one which showed an effect and another which did not. The psychosocial intervention had no beneficial effect on burnout and depression, whereas providing a mindfulness- or relaxation-based intervention resulted in a significant improvement in sleep quality. By considering the secondary results and results of previous reviews, a combination of training and mindfulness seems to be beneficial for decreasing anxiety and stress in home care workers. In summary, the evidence-based recommendations are still limited and, therefore, more evidence is needed to make a general statement of high certainty about the effects.
本快速综述是按照 Cochrane 快速综述方法组制定的既定方案进行的。共发现了 172 篇潜在综述和 167 篇相关的原始研究。使用 AMSTAR II 评估纳入综述的质量，使用 JBI 随机对照试验清单评估原始研究的质量。总体而言，本综述纳入了四项研究。研究质量范围为 13 颗星中的 5 到 12 颗星。没有发现心理社会干预可以减轻心理困扰的有力证据。关于创伤后应激障碍，也没有发现显著效果。确定了两项关于焦虑的研究，一项显示有效果，另一项则没有。心理社会干预对倦怠和抑郁没有有益效果，而提供基于正念或放松的干预则显著改善了睡眠质量。通过考虑次要结果和先前综述的结果，培训和正念的结合似乎对降低家庭护理人员的焦虑和压力有益。总之，基于证据的建议仍然有限，因此需要更多的证据来对效果做出高度确定性的一般性陈述。
