Natasha Yixuan Ong, Finn Jing Jie Teo, Jane Zi Ying Ee, Chun En Yau, Julian Thumboo, Hiang Khoon Tan, Qin Xiang Ng
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Randomised controlled trials with a defined MBI focusing on healthcare workers and quantitative outcome measures related to subjective or psychological well-being were eligible for inclusion. R V.4.0.3 was used for data analysis, with the standardised mean difference as the primary outcome, employing DerSimonian and Laird's random effects model. Grading of Recommendations, Assessment, Development and Evaluation framework was used to evaluate the quality of evidence. Cochrane's Risk of Bias 2 tool was used to assess the risk of bias in the included studies.</p><p><strong>Results: </strong>A total of 27 studies with 2506 participants were included, mostly from the USA, involving various healthcare professions. MBIs such as stress reduction programmes, apps, meditation and training showed small to large effects on anxiety, burnout, stress, depression, psychological distress and job strain outcomes of the participants. 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引用次数: 0
摘要
背景：越来越多的证据证明了正念干预（MBIs）的有效性，但其对医护人员的有效性仍不确定。目的：评估MBIs在改善医护人员心理健康方面的证据：方法：使用 "医护人员"、"医生"、"护士"、"专职医疗"、"正念"、"健康"、"工作坊 "和 "计划 "等关键词，在 Medline、Embase、Cumulative Index for Nursing and Allied Health Literature、PsycINFO 和 Cochrane Central Register of Controlled Trials 中对截至 2022 年 8 月 31 日的文献进行了系统性检索。符合纳入条件的随机对照试验应包含以医护人员为研究对象、与主观或心理健康相关的定量结果测量。数据分析采用 R V.4.0.3，以标准化平均差异作为主要结果，并采用 DerSimonian 和 Laird 的随机效应模型。采用 "推荐、评估、发展和评价 "框架对证据质量进行评估。Cochrane's Risk of Bias 2 工具用于评估纳入研究的偏倚风险：共纳入了 27 项研究，2506 名参与者，大部分来自美国，涉及不同的医疗保健专业。减压计划、应用程序、冥想和培训等心理干预措施对参与者的焦虑、职业倦怠、压力、抑郁、心理困扰和工作压力等结果产生了由小到大的影响。在自我同情、移情、正念和幸福感方面也有积极的效果。然而，长期效果（干预后 1 个月或更长时间）各不相同，而且效果也没有持续保持：结论：MBI 可在短期内减轻医护人员的压力相关症状。该综述还强调了一些局限性，如干预的异质性、特定亚组分析的力量减弱以及研究质量参差不齐：CRD42022353340。
Effectiveness of mindfulness-based interventions on the well-being of healthcare workers: a systematic review and meta-analysis.
Background: Growing evidence attests to the efficacy of mindfulness-based interventions (MBIs), but their effectiveness for healthcare workers remains uncertain.
Aims: To evaluate the evidence for MBIs in improving healthcare workers' psychological well-being.
Methods: A systematic literature search was conducted on Medline, Embase, Cumulative Index for Nursing and Allied Health Literature, PsycINFO and Cochrane Central Register of Controlled Trials up to 31 August 2022 using the keywords 'healthcare worker', 'doctor', 'nurse', 'allied health', 'mindfulness', 'wellness', 'workshop' and 'program'. Randomised controlled trials with a defined MBI focusing on healthcare workers and quantitative outcome measures related to subjective or psychological well-being were eligible for inclusion. R V.4.0.3 was used for data analysis, with the standardised mean difference as the primary outcome, employing DerSimonian and Laird's random effects model. Grading of Recommendations, Assessment, Development and Evaluation framework was used to evaluate the quality of evidence. Cochrane's Risk of Bias 2 tool was used to assess the risk of bias in the included studies.
Results: A total of 27 studies with 2506 participants were included, mostly from the USA, involving various healthcare professions. MBIs such as stress reduction programmes, apps, meditation and training showed small to large effects on anxiety, burnout, stress, depression, psychological distress and job strain outcomes of the participants. Positive effects were also seen in self-compassion, empathy, mindfulness and well-being. However, long-term outcomes (1 month or longer postintervention) varied, and the effects were not consistently sustained.
Conclusions: MBIs offer short-term benefits in reducing stress-related symptoms in healthcare workers. The review also highlights limitations such as intervention heterogeneity, reduced power in specific subgroup analyses and variable study quality.
期刊介绍：
General Psychiatry (GPSYCH), an open-access journal established in 1959, has been a pioneer in disseminating leading psychiatry research. Addressing a global audience of psychiatrists and mental health professionals, the journal covers diverse topics and publishes original research, systematic reviews, meta-analyses, forums on topical issues, case reports, research methods in psychiatry, and a distinctive section on 'Biostatistics in Psychiatry'. The scope includes original articles on basic research, clinical research, community-based studies, and ecological studies, encompassing a broad spectrum of psychiatric interests.
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