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正念干预对减少未来健康专业人员压力的影响:随机对照试验的系统评价和荟萃分析。

The effect of mindfulness-based interventions on reducing stress in future health professionals: A systematic review and meta-analysis of randomized controlled trials.

机构信息

Netherlands Institute for Health Sciences (NIHES), Rotterdam, The Netherlands.

Department of Epidemiology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.

出版信息

Appl Psychol Health Well Being. 2024 May;16(2):765-792. doi: 10.1111/aphw.12472. Epub 2023 Aug 1.

Abstract

Students in health professions often face high levels of stress due to demanding academic schedules, heavy workloads, disrupted work-life balance, and sleep deprivation. Addressing stress during their education can prevent negative consequences for their mental health and the well-being of their future patients. Previous reviews on the effectiveness of mindfulness-based interventions (MBIs) focused on working health professionals or included a wide range of intervention types and durations. This study aims to investigate the effect of 6- to 12-week MBIs with 1- to 2-h weekly sessions on stress in future health professionals. We conducted a systematic review and meta-analysis of randomized controlled trials published in English by searching Embase, Medline, Web of Science, Cochrane Central Register of Controlled Trials, and PsycINFO. We used post-intervention stress levels and standard deviations to assess the ability of MBIs to reduce stress, summarized by the standardized mean difference (SMD). This review is reported according to the PRISMA checklist (2020). We identified 2932 studies, of which 11 were included in the systematic review and 10 had sufficient data for inclusion in the meta-analysis. The overall effect of MBIs on reducing stress was a SMD of 0.60 (95% CI [0.27, 0.94]). Our study provides evidence that MBIs have a moderate reducing effect on stress in students in health professions; however, given the high risk of bias, these findings should be interpreted with caution, and further high-quality studies are needed.

摘要

医学专业的学生由于课业要求高、工作量大、工作与生活平衡被打乱以及睡眠不足,往往面临着很大的压力。在教育过程中应对压力可以防止对他们的心理健康和未来患者的健康产生负面影响。之前关于基于正念的干预措施(MBIs)有效性的综述主要关注在职卫生专业人员,或者包括广泛的干预类型和持续时间。本研究旨在调查为期 6-12 周、每周 1-2 小时的 MBIs 对未来卫生专业人员压力的影响。我们通过搜索 Embase、Medline、Web of Science、Cochrane 对照试验中心注册库和 PsycINFO,对发表在英文期刊上的随机对照试验进行了系统评价和荟萃分析。我们使用干预后压力水平和标准差来评估 MBIs 降低压力的能力,用标准化均数差(SMD)来表示。本综述按照 PRISMA 清单(2020 年)进行报告。我们共检索到 2932 项研究,其中 11 项被纳入系统评价,10 项有足够的数据纳入荟萃分析。MBIs 对降低压力的总体效果为 SMD 为 0.60(95% CI [0.27, 0.94])。我们的研究表明,MBIs 对减少健康专业学生的压力有中等的缓解作用;然而,由于存在高偏倚风险,这些发现应谨慎解释,需要进一步开展高质量的研究。

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