Effects of mindfulness-based interventions on reducing psychological distress among nurses: A systematic review and meta-analysis of randomized controlled trials

IF 2.4 3区医学 Q1 NURSING

Journal of Nursing Scholarship Pub Date : 2023-11-13 DOI:10.1111/jnu.12941

Mestiana Karo DNSc, RN, Lindawati Simorangkir SKep, Ns, MKes, Ita Daryanti Saragih MSN, RN, Ira Suarilah PhD, RN, Huey-Ming Tzeng PhD, RN, FAAN

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引用次数: 0

Abstract

Purpose

Nurses increasingly use mindfulness as an effective mental health intervention to reduce psychological distress. The effectiveness of mindfulness-based interventions remains inconclusive, which may lead to implementation of interventions in an inefficient or ineffective manner. This study aimed to examine the effects of mindfulness-based interventions on reducing stress, anxiety, and depression among nurses.

Design

Systematic review and meta-analysis.

Methods

Randomized controlled trials (RCTs) were searched using six databases published through May 20, 2023, which evaluated the effects of mindfulness-based interventions on reducing psychological distress among nurses. To assess the quality of methodology included in the RCTs, version 2 of the Cochrane risk-of-bias instrument for RCTs with five domains was used. Standardized mean difference (SMD) with 95% confidence interval (CI) were calculated using the random–effects model in the meta-analyses. Publication bias was assessed using Egger's regression test. Further, the robustness effect size of the pooled analysis was assessed using leave-one-out sensitivity analysis.

Findings

A total of 16 RCTs were included in the final analysis. Overall, the modalities appeared to alleviate stress (pooled SMD: −0.50 [95% CI: −0.82 to −0.18]; p < 0.001) and depression (pooled SMD: −0.42 [95% CI: −0.78 to −0.06]; p = 0.02) among nurses.

Conclusion

Mindfulness-based interventions appear to alleviate stress and depression in nurses. Future research evaluating mindfulness-based interventions among working nurses with more rigorous methodological and larger sample size.

Clinical Relevance

Support for nurses' mental health must be included while implementing personal and professional development plans.

查看原文本刊更多论文

正念干预对减少护士心理困扰的影响:随机对照试验的系统回顾和荟萃分析。

目的:护士越来越多地使用正念作为一种有效的心理健康干预来减少心理困扰。基于正念的干预措施的有效性仍然不确定，这可能导致以低效或无效的方式实施干预措施。本研究旨在探讨正念干预对减轻护士压力、焦虑和抑郁的影响。设计:系统回顾和荟萃分析。方法:检索截至2023年5月20日发表的6个数据库的随机对照试验(rct)，评估基于正念的干预对减少护士心理困扰的效果。为了评估纳入随机对照试验的方法学质量，我们使用了Cochrane 5个领域随机对照试验的第2版偏倚风险评估工具。在meta分析中使用随机效应模型计算标准化平均差(SMD)和95%置信区间(CI)。采用Egger回归检验评估发表偏倚。此外，采用留一敏感性分析评估合并分析的稳健性效应大小。结果:最终分析共纳入16项rct。总的来说，这些方式似乎减轻了压力(综合SMD: -0.50 [95% CI: -0.82至-0.18];结论:正念干预可以缓解护士的压力和抑郁。未来的研究评估正念为基础的干预工作护士更严格的方法和更大的样本量。临床相关性:在实施个人和专业发展计划时，必须包括对护士心理健康的支持。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Nursing Scholarship 医学-护理

CiteScore

6.30

自引率

5.90%

发文量

审稿时长

6-12 weeks

期刊介绍： This widely read and respected journal features peer-reviewed, thought-provoking articles representing research by some of the world’s leading nurse researchers. Reaching health professionals, faculty and students in 103 countries, the Journal of Nursing Scholarship is focused on health of people throughout the world. It is the official journal of Sigma Theta Tau International and it reflects the society’s dedication to providing the tools necessary to improve nursing care around the world.