认知行为技能培养计划可改善护士和其他医院员工的心理健康，并促进其健康的生活方式行为。

A cognitive-behavioral skills building program improves mental health and enhances healthy lifestyle behaviors in nurses and other hospital employees.

机构信息

College of Nursing, The Ohio State University, Columbus, Ohio, USA.

出版信息

Worldviews Evid Based Nurs. 2023 Dec;20(6):542-549. doi: 10.1111/wvn.12686. Epub 2023 Oct 28.

DOI:10.1111/wvn.12686

PMID:37897217

Abstract

BACKGROUND

Mental health outcomes in nurses have historically indicated a greater prevalence of anxiety, depression, and suicide than the general population. It is vital to provide programming for healthcare workers to gain the necessary skills to reduce burnout and improve their mental and physical health.

AIMS

The aims of this study were to evaluate mental health outcomes and healthy lifestyle beliefs and behaviors among nurses and other hospital employees who completed MINDBODYSTRONG, a cognitive-behavioral skill building program.

METHODS

A pre-experimental, pre- and poststudy design was used to examine mental health and well-being outcomes among 100 hospital personnel who participated in MINDBODYSTRONG, a program designed to improve coping and resiliency and decrease stress, anxiety, and depressive symptoms. Outcomes measured included healthy lifestyle behaviors, healthy lifestyle beliefs, anxiety, depression, stress, and burnout.

RESULTS

One hundred hospital personnel, including 93 nurses, completed the pre- and post-survey. Among all participants, post- MINDBODYSTRONG scores for healthy lifestyle beliefs (p = .00; Cohen's d = 0.52) and healthy lifestyle behaviors (p = .00; Cohen's d = -0.74) increased significantly with medium effects, while depression (p = .00; Cohen's d = -0.51), anxiety (p = .00; Cohen's d = -0.54), stress (p = .00; Cohen's d = -0.33), and burnout (p = .00; Cohen's d = -0.37) decreased significantly with small and medium effects. The program produced even stronger positive effects on mental health outcomes for participants who started the study with higher levels of depression and anxiety.

LINKING EVIDENCE TO PRACTICE

Anxiety, depression, stress, and burnout decreased significantly postintervention. Participants also significantly improved their healthy lifestyle beliefs and behaviors with the MINDBODYSTRONG program. MINDBODYSTRONG is an effective program that reduces anxiety, depression, burnout, and stress and improves healthy lifestyle beliefs and behaviors in hospital-based clinicians. It is of utmost importance to provide evidence-based programs to improve mental resiliency and decrease stress, anxiety, burnout, and depressive symptoms, which will ultimately improve the safety and quality of health care.

摘要

背景

护士的心理健康状况历来表明，他们的焦虑、抑郁和自杀发生率高于一般人群。为医护人员提供必要的技能培训以减少职业倦怠并改善他们的身心健康至关重要。

目的

本研究旨在评估完成 MINDBODYSTRONG 认知行为技能培养计划的护士和其他医院员工的心理健康结果和健康生活方式信念与行为。

方法

采用实验前、前后研究设计，调查了 100 名参与 MINDBODYSTRONG 的医院工作人员的心理健康和幸福感结果。MINDBODYSTRONG 旨在提高应对能力和韧性，减少压力、焦虑和抑郁症状。结果测量包括健康生活方式行为、健康生活方式信念、焦虑、抑郁、压力和倦怠。

结果

100 名医院工作人员（包括 93 名护士）完成了预调查和后调查。在所有参与者中，MINDBODYSTRONG 后测健康生活方式信念（p = .00；Cohen's d = 0.52）和健康生活方式行为（p = .00；Cohen's d = -0.74）评分显著增加，具有中等效应，而抑郁（p = .00；Cohen's d = -0.51）、焦虑（p = .00；Cohen's d = -0.54）、压力（p = .00；Cohen's d = -0.33）和倦怠（p = .00；Cohen's d = -0.37）评分显著降低，具有小到中等效应。对于在研究开始时抑郁和焦虑水平较高的参与者，该计划对心理健康结果产生了更强的积极影响。

实践联系

干预后焦虑、抑郁、压力和倦怠显著降低。参与者还通过 MINDBODYSTRONG 计划显著改善了他们的健康生活方式信念和行为。MINDBODYSTRONG 是一种有效的计划，可降低焦虑、抑郁、倦怠和压力，改善医院临床医生的健康生活方式信念和行为。提供基于证据的计划以提高心理弹性、降低压力、焦虑、倦怠和抑郁症状至关重要，这将最终提高医疗保健的安全性和质量。