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关注医疗工作者的心理健康:基于证据的干预措施和现有资源的系统评价。

Addressing Health Care Workers' Mental Health: A Systematic Review of Evidence-Based Interventions and Current Resources.

机构信息

W. Kent Anger and Lindsey Alley are with Oregon Health & Science University (OHSU), Oregon Institute of Occupational Health Sciences, Portland, OR 97233. Jennifer Dimoff is with University of Ottawa, Telfer School of Management, Ottawa, Ontario, Canada.

出版信息

Am J Public Health. 2024 Feb;114(S2):213-226. doi: 10.2105/AJPH.2023.307556.

Abstract

Mental health is declining in health care workers. To provide a comprehensive assessment of intervention literature focused on the support and treatment of mental health within the health care workforce. We searched online databases (e.g., Medline, PsycINFO). We selected manuscripts published before March 2022 that evaluated the target population (e.g., nurses), mental health outcomes (e.g., burnout, depression), and intervention category (e.g., mindfulness). Of 5158 publications screened, 118 interventions were included. We extracted relevant statistics and information. Twenty (17%) earned study quality ratings indicating design, analysis, and implementation strengths. Randomized controlled trials were used by 52 studies (44%). Thirty-eight percent were conducted in the United States (n = 45). Ninety (76%) reported significant changes, and 46 (39%) reported measurable effect sizes. Multiple interventions significantly reduced stress (n = 29; 24%), anxiety (n = 20; 17%), emotional exhaustion or compassion fatigue (n = 16; 14%), burnout (n = 15; 13%), and depression (n = 15; 13%). Targeted, well-designed mental health interventions can improve outcomes among health care workers. Targeted health care‒focused interventions to address workers' mental health could improve outcomes within this important and vulnerable workforce. (. 2024;114(S2):S213-S226. https://doi.org/10.2105/AJPH.2023.307556).

摘要

医护人员的心理健康状况正在下降。为了全面评估针对医护人员心理健康的支持和治疗干预文献。我们搜索了在线数据库(如 Medline、PsycINFO)。我们选择了发表于 2022 年 3 月之前的评估目标人群(如护士)、心理健康结果(如倦怠、抑郁)和干预类别(如正念)的文献。在筛选出的 5158 篇文献中,有 118 项干预措施被纳入。我们提取了相关统计数据和信息。其中 20 项(17%)的研究质量评分表明设计、分析和实施都具有优势。52 项研究(44%)采用了随机对照试验。38%的研究在美国进行(n=45)。90 项(76%)报告了显著变化,46 项(39%)报告了可衡量的效应量。多种干预措施显著降低了压力(n=29;24%)、焦虑(n=20;17%)、情绪耗竭或同情疲劳(n=16;14%)、倦怠(n=15;13%)和抑郁(n=15;13%)。有针对性、设计良好的心理健康干预措施可以改善医护人员的结果。针对医护人员心理健康的有针对性的医疗保健干预措施可以改善这一重要且脆弱的劳动力群体的结果。(2024;114(S2):S213-S226。https://doi.org/10.2105/AJPH.2023.307556)。

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