正念疗法改善护理人员共情疲劳的meta分析  

Meta analysis of mindfulness therapy in improving compassion fatigue of nurses

作　　者：于健 常雅茹 李月 郭红玉 曹虹[1] YU Jian;CHANG Yaru;LI Yue;GUO Hongyu;CAO Hong(Department of Orthopaedics,Tianjin Hospital,Tianjin,300202,China;Graduate School,Tianjin University of Traditional Chinese Medicine,Tianjin,300061,China)

机构地区：[1]天津医院骨内科,天津300202 [2]天津中医药大学研究生院,天津300061

出　　处：《职业与健康》2023年第15期2123-2128,共6页Occupation and Health

摘　　要：目的 分析正念疗法对改善护理人员共情疲劳的效果。方法 计算机检索中国知网、万方数据库、中国生物医学文献库数据库、PubMed、Cochrane Library、WOS、EMbase等,搜索正念疗法对护理人员共情疲劳影响的对照试验研究,检索时限为建库至2022年3月25日。由两名分析人员独立筛选文献,提取相关资料并评估纳入文献的方法学质量,采用RevMan 5.4对纳入研究进行meta分析。结果 共纳入11篇对照临床试验(controlled clinical trial,CCT)和随机对照试验(randomized controlled trial,RCT),包括689例护理人员。Meta分析结果显示,正念干预组共情满意评分(MD=3.03,95%CI:1.06~4.99)、职业倦怠评分(MD=-2.79,95%CI:-3.44~-2.15)、继发性创伤应激评分(MD=-2.66,95%CI:-3.26~-2.06)指标的改善均优于对照组。亚组分析发现,在不同研究类型、干预时间、科室、结局量表中,正念疗法组共情满意评分升高,职业倦怠评分和继发性创伤应激评分降低,正念干预组与对照组比较差异均有统计学意义(均P<0.05)。结论 正念干预可明显改善护理人员共情疲劳症状。Objective To evaluate the effect of mindfulness therapy on compassion fatigue of nurses.Methods The China knowledge Network,Wanfang Database,Chinese Biomedical Literature Database,PubMed,Cochrane Library,WOS and EMbase were searched by computer to retrieve the control test of the effect of mindfulness therapy on compassion fatigue of nurses.The search time limit was from database establishment to March 25,2022.Two researchers independently screened the literature,extracted data and evaluated the bias risk included in the study.RevMan 5.4 was used to perform the meta analysis.Results A total of 11 controlled clinical trial(CCT)and randomized controlled trial(RCT)were included,involving 689 nurses.The results of meta analysis showed that the improvement of empathy satisfaction score(MD=3.03,95%CI:1.06-4.99),job burnout score(MD=-2.79,95%CI:-3.44--2.15)and secondary trauma stress score(MD=-2.66,95%CI:-3.26--2.06)in the mindfulness intervention group were better than those in the control group.The subgroup analysis showed that,in different research types,intervention times,departments and outcome scales,the empathy satisfaction score in the mindfulness intervention group increased,while the job burnout score and secondary trauma stress score decreased,and the differences were statistically significant between the mindfulness intervention group and the control group(all P<0.05).Conclusion The mindfulness intervention can obviously improve the symptoms of compassion fatigue of nurses.

关 键 词：正念疗法 护理人员 共情疲劳 

分 类 号：R181.2[医药卫生—流行病学]