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基于正念的干预简短疗程对护士睡眠质量、睡眠时间和疲劳的影响:一项随机对照试验。

A brief mindfulness-based intervention, sleep quality, sleep duration, and fatigue among nurses: A randomized controlled trial.

机构信息

Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan.

出版信息

J Clin Psychol. 2024 Jul;80(7):1504-1514. doi: 10.1002/jclp.23677. Epub 2024 Mar 8.

DOI:10.1002/jclp.23677
PMID:38458149
Abstract

AIMS

The purpose of the current study was to investigate the effectiveness of a mindfulness-based intervention in improving sleep duration, sleep quality, and fatigue among Jordanian nurses.

DESIGN AND METHODS

A randomized controlled trial was used to conduct this study. Data from 123 nurses (60 nurses in the interventional group and 63 nurses in the control group) were collected and analyzed. The primary outcome measures were compared between the intervention and control groups using repeated measure MANOVA to assess changes in sleep duration, sleep quality, and fatigue over time.

RESULTS

The results showed that there was a statistically significant multivariate effect of the intervention on the linear combination of the dependent variables (sleep duration, sleep quality, and fatigue) (V = 0.23, F (3, 119) = 12.02, p < .001) with Partial η of 0.23. Follow-up analysis showed that the intervention group had lower sleep disturbances (Mean difference = -6.53, CI = -7.79 to -5.26) and less fatigue (Mean difference = -13.36, CI = -17.24 to -9.47) than the control group.

CONCLUSIONS

The current study showed that the mindfulness-based intervention effectively addresses sleep quality and fatigue in nurses, which in turn is expected to positively impact the health care system.

CLINICAL RELEVANCE

Mindfulness-based interventions effectively address sleep quality and fatigue associated with nurses' job performance and outcomes. Implementing brief mindfulness-based interventions is crucial as they can be self-implemented and fit into nurses' busy schedules.

摘要

目的

本研究旨在探讨基于正念的干预对改善约旦护士的睡眠时间、睡眠质量和疲劳的有效性。

设计和方法

采用随机对照试验进行了这项研究。共收集和分析了 123 名护士(干预组 60 名护士,对照组 63 名护士)的数据。主要观察指标采用重复测量 MANOVA 比较干预组和对照组之间的变化,以评估睡眠时间、睡眠质量和疲劳随时间的变化。

结果

结果表明,干预对依赖变量(睡眠时间、睡眠质量和疲劳)的线性组合具有统计学上显著的多变量效应(V = 0.23,F(3, 119)= 12.02,p <.001),部分η为 0.23。后续分析表明,干预组的睡眠障碍(平均差异 = -6.53,CI = -7.79 至 -5.26)和疲劳(平均差异 = -13.36,CI = -17.24 至 -9.47)均低于对照组。

结论

本研究表明,基于正念的干预可有效改善护士的睡眠质量和疲劳,进而有望对医疗保健系统产生积极影响。

临床相关性

基于正念的干预措施可有效改善与护士工作表现和结果相关的睡眠质量和疲劳。实施简短的基于正念的干预措施至关重要,因为它们可以自我实施,并适应护士繁忙的日程安排。

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