Department of Nursing, Air Force Medical University, No. 169 Changle West Road, Xi'an, Shaanxi, 710032, China.
Department of Nursing, Shaanxi University of Chinese Medicine, Qindu District, No. 1 Century Avenue, Xianyang, Shaanxi, 712046, China.
BMC Health Serv Res. 2024 Aug 21;24(1):962. doi: 10.1186/s12913-024-11437-7.
The purpose of this study is to compare the efficacy of mind-body practices (MBPs) and multiple psychological methods, and identify the optimal method for relieving work-related stress among healthcare workers (HCWs) by network meta-analysis (NMA).
We applied six electronic databases, namely PubMed, Web of Science, Embase, PsycINFO, Cochrane, and Chinese National Knowledge Infrastructure to identify relevant RCTs from inception to September 16, 2023, and implemented a search strategy based on the PICOS principles. Data selection, extraction, and analysis of bias were carried out independently and in duplicate by separate researchers. State 16.0 was used to conduct NMA for comparing the effectiveness of various therapies.
We identified 23 studies including MBPs and three different psychological therapies, namely mindfulness-related therapy (MRT), psychoeducational therapy (PT), and comprehensive therapy (CT), which were divided into eleven specific techniques, namely yoga, meditation techniques (MT), Qigong, muscle relaxation(MR), biofeedback therapy (BT), mindfulness-based interventions (MBIs), modified mindfulness-based stress reduction (MBSR-M), mindfulness-based interventions combined with others (MBIs-C), mindfulness-based awareness(MBA), PT and CT. Our NMA results of MBPs and three psychological therapies showed MBPs (SMD = -0.90, CrI:-1.26, -0.05, SUCRA = 99%) were effective for occupational stress in HCWs, followed by MRT(SMD = -0.48, CrI:-0.87, -0.08, SUCRA = 66.5%). NMA results of eleven specific techniques showed yoga (SMD = 1.36, CrI:0.91, 1.81, SUCRA = 97.5%) was the most effective technique in relieving the stress of HCWs, followed by MR (SMD = 1.36, CrI:0.91, 1.81, SUCRA = 87.3%).
Our study suggested MBPs may be the most effective intervention to improve the occupational stress of HCWs. Furthermore, yoga is likely to be the most optimal of MBPs. Hospital managers should attach importance to yoga in addressing occupational stress among medical workers.
本研究旨在通过网络荟萃分析（NMA）比较身心练习（MBP）和多种心理方法的疗效，并确定缓解医护人员（HCW）工作相关压力的最佳方法。
我们应用了六个电子数据库，即 PubMed、Web of Science、Embase、PsycINFO、Cochrane 和中国国家知识基础设施，从成立到 2023 年 9 月 16 日，根据 PICOS 原则制定搜索策略，识别相关 RCTs。数据选择、提取和偏倚分析由独立的研究员分别进行。使用 State 16.0 对各种疗法的疗效进行 NMA。
我们共确定了 23 项研究，包括 MBP 和三种不同的心理疗法，即正念相关疗法（MRT）、心理教育疗法（PT）和综合疗法（CT），这些疗法又分为 11 种具体技术，即瑜伽、冥想技术（MT）、气功、肌肉放松（MR）、生物反馈疗法（BT）、基于正念的干预（MBIs）、改良正念减压（MBSR-M）、基于正念的干预与其他方法相结合（MBIs-C）、基于正念的意识（MBA）、PT 和 CT。我们对 MBP 和三种心理疗法的 NMA 结果表明，MBP（SMD=-0.90，CrI:-1.26，-0.05，SUCRA=99%）对 HCW 的职业压力有效，其次是 MRT（SMD=-0.48，CrI:-0.87，-0.08，SUCRA=66.5%）。11 种具体技术的 NMA 结果表明，瑜伽（SMD=1.36，CrI:0.91，1.81，SUCRA=97.5%）是缓解 HCW 压力最有效的技术，其次是 MR（SMD=1.36，CrI:0.91，1.81，SUCRA=87.3%）。
本研究表明，MBP 可能是改善 HCW 职业压力最有效的干预措施。此外，瑜伽可能是 MBP 中最理想的方法。医院管理者应重视瑜伽在解决医务人员职业压力方面的作用。
