Effects of mindfulness meditation on anxiety, depression, stress, and mindfulness in nursing students: a meta-analysis and trial sequential analysis of randomized controlled trials  

作　　者：Yu-Feng Li Wen-Xin Sun Xiu-Jie Sun Juan Sun Dong-Mei Yang Bei-Li Jia Bin Yuan 

机构地区：[1]Department of Health Care Five,Qingdao Municipal Hospital,Qingdao,Shandong 266072,China [2]Department of Nursing,Qingdao Municipal Hospital,Qingdao,Shandong 266072,China

出　　处：《Frontiers of Nursing》2020年第1期59-69,共11页护理前沿（英文）

摘　　要：Objective:The aim of this study was to assess the effectiveness of mindfulness meditation(MM)on anxiety,depression,stress and mindfulness in nursing students.Methods:A comprehensive search and screening procedures were conducted to locate all MM interventions implemented with nursing students.For randomized controlled trials(RCTs)in accordance with the inclusion criteria,a search was conducted in PubMed,Embase,Web of Science,Medline,PsycINFO,Cumulative Index to Nursing and Allied Health(CINAHL),Cochrane Central Register of Controlled Trials(CENTRAL),China Biology Medicine(CBM),Chinese National Knowledge Infrastructure(CNKI)and Wanfang.Databases were retrieved from inception through August 2018.Additional studies were identified through hand searches and Internet searches.Two reviewers collected relevant data of eligible articles according to the data extraction tables.Based on Cochrane Handbook,critical appraisal of the methodological quality was assessed by two other reviewers.An Excel form was used to extract main characteristics of included RCTs.Meta-analysis and trial sequential analysis(TSA)were carried out using software RevMan 5.3 and TSA 0.9.Results:Five RCTs with 257 nursing students were included.Only two studies were assessed as high quality and three studies were evaluated as moderate quality.Meta-analysis showed that,comparing with the control group,MM could significantly improve anxiety(SMD=?0.45,95%CI?0.73 to?0.17,P=0.001)and stress(SMD=?0.69,95%CI?0.97 to?0.40,P<0.001).TSA results confirmed that the outcome of the merger is credible.It could also significantly improve depression level of nursing students after 8 weeks intervention duration(SMD=?0.70,95%CI?1.14 to?0.26,P=0.002).However,there was no beneficial effect on depression level of nursing students with 1 week intervention duration(SMD=0.09,95%CI?0.42 to 0.59,P=0.74)and its effects on mindfulness level of nursing students also did not show statistical significance(SMD=0.37,95%CI?0.04 to 0.77,P=0.07).No definitive conclusions were drawn from Objective:The aim of this study was to assess the effectiveness of mindfulness meditation (MM) on anxiety,depression,stress and mindfulness in nursing students.Methods:A comprehensive search and screening procedures were conducted to locate all MM interventions implemented with nursing students.For randomized controlled trials (RCTs) in accordance with the inclusion criteria,a search was conducted in PubMed,Embase,Web of Science,Medline,PsycINFO,Cumulative Index to Nursing and Allied Health (CINAHL),Cochrane Central Register of Controlled Trials (CENTRAL),China Biology Medicine (CBM),Chinese National Knowledge Infrastructure (CNKI) and Wanfang.Databases were retrieved from inception through August 2018.Additional studies were identified through hand searches and Internet searches.Two reviewers collected relevant data of eligible articles according to the data extraction tables.Based on Cochrane Handbook,critical appraisal of the methodological quality was assessed by two other reviewers.An Excel form was used to extract main characteristics of included RCTs.Meta-analysis and trial sequential analysis (TSA) were carried out using software RevMan 5.3 and TSA 0.9.Results:Five RCTs with 257 nursing students were included.Only two studies were assessed as high quality and three studies were evaluated as moderate quality.Meta-analysis showed that,comparing with the control group,MM could significantly improve anxiety (SMD=-0.45,95%CI-0.73 to-0.17,P=0.001) and stress (SMD=-0.69,95%CI-0.97 to-0.40,P <0.001).TSA results confirmed that the outcome of the merger is credible.It could also significantly improve depression level of nursing students after 8 weeks intervention duration(SMD=-0.70,95%CI-1.14 to-0.26,P=0.002).However,there was no beneficial effect on depression level of nursing students with1 week intervention duration (SMD=0.09,95%CI-0.42 to 0.59,P=0.74) and its effects on mindfulness level of nursing students also did not show statistical significance (SMD=0.37,95%CI-0.04 to 0.77,P=0.07).No definitive conclusions

关 键 词：MINDFULNESS MEDITATION ANXIETY DEPRESSION STRESS nursing students META-ANALYSIS trial sequential analysis 

分 类 号：R47[医药卫生—护理学]