Web-Based Tools and Mobile Applications To Mitigate Burnout, Depression, and Suicidality Among Healthcare Students and Professionals: a Systematic Review.
Web-Based Tools and Mobile Applications To Mitigate Burnout, Depression, and Suicidality Among Healthcare Students and Professionals: a Systematic Review.
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DOI：
10.1007/s40596-017-0868-0
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发表时间：
2018-03
期刊：
影响因子：
--
通讯作者：
Zisook S
中科院分区：
文献类型：
--
作者：
Pospos S;Young IT;Downs N;Iglewicz A;Depp C;Chen JY;Newton I;Lee K;Light GA;Zisook S
成为一名医疗保健专业人士可能是一个独特的有意义的职业。然而，培训和练习的要求可能导致长期痛苦和严重的心理、人际和个人健康负担。尽管据报道，医护人员的职业倦怠、抑郁和自杀率较高，但只有一小部分人接受了治疗。对保密、耻辱、潜在的职业影响以及成本和时间限制的担忧被认为是关键障碍。基于网络的和移动应用程序已被证明可以缓解几个人群中的压力、倦怠、抑郁和自杀意念，并可能绕过这些障碍。在这里，我们回顾了关于这类资源的已发表数据，并选择了一个很容易被医疗保健提供者使用的小样本。我们在PubMed上搜索了评估针对医疗生或医疗服务提供者的压力、倦怠、抑郁和自杀预防或干预的文章，确定了5类具有显著有效性的项目：认知行为疗法(在线)、冥想、正念、呼吸和放松技术。使用这些类别，我们搜索了压力、倦怠、抑郁和自杀预防等基于网络的(通过谷歌和beacon.anuedu.au-一个健康资源网站)和移动应用程序(Apple和Mobile.va.gov/appstore)，并根据相关性、对医疗保健提供者的适用性(保密性、便利性和成本)以及支持其有效性的发现的力度确定了36种资源进行进一步评估。我们选择了5大类7种资源，旨在促进健康，减少医护人员的倦怠、抑郁和自杀风险：呼吸(Breath2Relax)、冥想(Headspace，引导冥想音频)、基于网络的认知行为疗法(MoodGYM，Stress Gym)和自杀预防应用程序(Keep Live，虚拟希望盒子)。作为一名医疗专业的学生或专业人士，这份清单可以作为一个起点来加强应对压力源，以帮助缓解职业倦怠、抑郁和自杀倾向。下一步包括调整数字健康战略，以具体满足医疗保健提供者的需求，最终目标是在必要时促进面对面护理。
Being a healthcare professional can be a uniquely rewarding calling. However, the demands of training and practice can lead to chronic distress and serious psychological, interpersonal and personal-health burdens. Although higher burnout, depression and suicide rates have been reported in healthcare professionals, only a minority receives treatment. Concerns regarding confidentiality, stigma, potential career implications, and cost and time constraints are cited as key barriers. Web-based and mobile applications have been shown to mitigate stress, burnout, depression, and suicidal ideation among several populations and may circumvent these barriers. Here, we reviewed published data on such resources and selected a small sample that readily can be used by healthcare providers. We searched PubMed for articles evaluating stress, burnout, depression and suicide prevention or intervention for healthcare students or providers and identified 5 categories of programs with significant effectiveness: Cognitive Behavioral Therapy (online), meditation, mindfulness, breathing, and relaxation techniques. Using these categories, we searched for stress-, burnout-, depression-, and suicide prevention- web-based (through Google and beacon.anu.edu.au--a wellness resource website) and mobile applications (Apple and mobile.va.gov/appstore) and identified 36 resources to further evaluate based on relevance, applicability to healthcare providers (confidentiality, convenience and cost) and the strength of findings supporting their effectiveness. We selected 7 resources under 5 general categories designed to foster wellness and reduce burnout, depression, and suicide risk among healthcare workers: breathing (Breath2Relax), meditation (Headspace, guided meditation audios), web-based Cognitive Behavioral Therapy (MoodGYM, Stress Gym) and suicide prevention apps (Stay Alive, Virtual Hope Box). This list serves as a starting point to enhance coping with stressors as a healthcare student or professional in order to help mitigate burnout, depression and suicidality. Next steps include adapting digital health strategies to specifically fit the needs of healthcare providers, with the ultimate goal of facilitating in-person care when warranted.
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