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工作场所心理健康项目在减轻职业倦怠方面的有效性:一项系统综述。

Effectiveness of Workplace Mental Health Programs in Reducing Occupational Burnout: A Systematic Review.

作者信息

Bagasi Abdulaziz, Al Harbi Eman K, Alabbasi Salah M, Alqaedi Raneem O, Alharbi Basmah A, Alhomaid Tameem A

机构信息

Family Medicine, Ministry of the National Guard-Health Affairs, King Abdulaziz Medical City, Jeddah, SAU.

Family Medicine, Ministry of Health (MOH), Madinah, SAU.

出版信息

Cureus. 2025 Jul 25;17(7):e88715. doi: 10.7759/cureus.88715. eCollection 2025 Jul.

Abstract

Occupational burnout remains a critical workplace challenge with significant organizational and economic consequences. While workplace mental health programs (WMHPs) are widely implemented, their effectiveness in reducing burnout-related claims requires rigorous evaluation. This systematic review evaluated the effectiveness of WMHPs in reducing burnout-related symptoms. This systematic review followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to analyze WMHP efficacy. We searched MEDLINE, PubMed, Scopus, and four other databases (2004-2025) for randomized controlled trials (RCTs) and quasi-experimental studies evaluating WMHPs against controls. Two reviewers independently screened records using Covidence, with conflicts resolved by a third reviewer. Study quality was assessed using Cochrane Risk of Bias Tool for RCTs and Joanna Briggs Institute (JBI) Critical Appraisal Checklist for quasi-experimental studies. This review included 14 studies that met inclusion criteria (nine RCTs, five quasi-experimental; total = 3,572). Studies represented healthcare ( = 6), corporate (= 5), and public sector ( = 3) settings, with moderate-high heterogeneity in interventions (mindfulness, cognitive behavioral therapy (CBT), organizational restructuring) and outcomes (seven different burnout scales). Participatory organizational interventions reduced burnout for ≥12 months. Digital tools showed short-term benefits, but high attrition (42%), while brief workshops had no sustained effects beyond three months. Therefore, this review suggests that multi-level WMHPs combining individual and organizational strategies demonstrate the most robust evidence for burnout reduction, though effects vary by implementation quality. This underscores the need for tailored WMHPs that address both individual and structural workplace dynamics to mitigate burnout sustainably.

摘要

职业倦怠仍然是一个严峻的职场挑战,会产生重大的组织和经济后果。虽然职场心理健康项目(WMHPs)已广泛实施,但其在减少与倦怠相关的索赔方面的有效性需要严格评估。本系统评价评估了职场心理健康项目在减轻与倦怠相关症状方面的有效性。本系统评价遵循系统评价和Meta分析的首选报告项目(PRISMA)指南来分析职场心理健康项目的疗效。我们在MEDLINE、PubMed、Scopus和其他四个数据库(2004 - 2025年)中搜索了评估职场心理健康项目与对照组对比的随机对照试验(RCTs)和准实验研究。两名评审员使用Covidence独立筛选记录,冲突由第三名评审员解决。使用Cochrane随机对照试验偏倚风险工具和乔安娜·布里格斯研究所(JBI)准实验研究批判性评价清单评估研究质量。本综述纳入了14项符合纳入标准的研究(9项随机对照试验,5项准实验;共3572人)。研究涵盖医疗保健(6项)、企业(5项)和公共部门(3项)环境,干预措施(正念、认知行为疗法(CBT)、组织重组)和结果(七种不同的倦怠量表)存在中度至高度异质性。参与式组织干预在≥12个月内减轻了倦怠。数字工具显示出短期益处,但流失率很高(42%),而简短的工作坊在三个月后没有持续效果。因此,本综述表明,结合个人和组织策略的多层次职场心理健康项目在减轻倦怠方面有最有力的证据,尽管效果因实施质量而异。这凸显了需要定制职场心理健康项目,以解决个人和结构性职场动态问题,从而可持续地减轻倦怠。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8a8/12375206/dd7e3e98a31c/cureus-0017-00000088715-i01.jpg

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