Al-Badiri Muhmmad Qabil Jamil, Ghadirian Fataneh, Zahednezhad Hosein, Boozari Mahsa, Hayati Mahsa-Sadat
Department of Management & Psychiatric Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Medical & Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Front Psychol. 2024 Dec 11;15:1402075. doi: 10.3389/fpsyg.2024.1402075. eCollection 2024.
There is some evidence comparing the efficacy of telehealth to in-person mental health care, but there is limited research specifically comparing these modalities in nurses. The study aimed to compare the effects of Mindfulness-based Stress Reduction (MBSR) and Internet-delivered Mindfulness-based Stress Reduction (iMBSR) on burden of psychosomatic symptoms of nurses working at Al-Alhamzeh general hospital, Aldiwaniyeh, Iraq.
The study was a semi-experiment study with a pre-posttest design on 72 registered nurses. Subjects were randomly allocated in group A, in-person MBSR and group B, internet-delivered MBSR. Intervention in two groups was held at 8 weekly sessions. The data collection instrument included sociodemographic, Patient Questionnaire Health-15 (PHQ-15), and General Health Questionnaire-12 (GHQ-12). Data were analyzed with SPSS version 24 by descriptive and non-parametric inferential tests.
The study found that 50% of the nurses in both groups reported mild somatic symptoms, and 40% reported moderate symptoms, with the majority showing no signs of mental distress. A more significant reduction in GHQ scores compared to PHQ scores was observed from pre-to post-intervention. Notably, the online MBSR group showed a significant decrease in GHQ scores, both between groups ( = 0.04) and within the online MBSR group itself ( = 0.02), highlighting the greater impact of the intervention in this group.
The study highlights the positive effects of both in-person and online MBSR interventions on reducing depressive symptoms and improving mental health outcomes among nurses. Online MBSR, in particular, shows promise in addressing medically unexplained symptoms and enhancing mental well-being.
有一些证据比较了远程医疗与面对面心理健康护理的疗效，但专门比较这些方式对护士影响的研究有限。本研究旨在比较基于正念的减压疗法（MBSR）和基于互联网的正念减压疗法（iMBSR）对伊拉克阿尔迪瓦尼耶市阿尔哈姆泽综合医院护士心身症状负担的影响。
本研究为半实验性研究，采用前后测设计，对72名注册护士进行研究。受试者被随机分为A组，即面对面MBSR组和B组，即基于互联网的MBSR组。两组的干预均为期8周，每周进行一次。数据收集工具包括社会人口统计学资料、患者健康问卷-15（PHQ-15）和一般健康问卷-12（GHQ-12）。使用SPSS 24版软件通过描述性和非参数推断性检验对数据进行分析。
研究发现，两组中50%的护士报告有轻度躯体症状，40%报告有中度症状，大多数人没有精神困扰的迹象。从干预前到干预后，观察到GHQ评分的下降比PHQ评分更显著。值得注意的是，在线MBSR组的GHQ评分在组间（=0.04）和在线MBSR组内部（=0.02）均显著下降，突出了该组干预的更大影响。
本研究强调了面对面和在线MBSR干预对减轻护士抑郁症状和改善心理健康结果的积极作用。特别是在线MBSR在解决医学上无法解释的症状和提高心理健康方面显示出前景。
