Effect of smartphone-based stress management programs on depression and anxiety of hospital nurses in Vietnam: a three-arm randomized controlled trial.
Effect of smartphone-based stress management programs on depression and anxiety of hospital nurses in Vietnam: a three-arm randomized controlled trial.
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DOI：
10.1038/s41598-021-90320-5
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发表时间：
2021-05-31
影响因子：
4.6
通讯作者：
Kawakami N
中科院分区：
文献类型：
--
作者：
Imamura K;Tran TTT;Nguyen HT;Sasaki N;Kuribayashi K;Sakuraya A;Bui TM;Nguyen AQ;Nguyen QT;Nguyen NT;Nguyen KT;Nguyen GTH;Tran XTN;Truong TQ;Zhang MW;Minas H;Sekiya Y;Watanabe K;Tsutsumi A;Kawakami N
东南亚低收入和中等收入国家（LMIC）的护士压力越来越大。在这些国家，改善护士的心理健康非常重要。本研究的目的是研究两种新开发的基于智能手机的压力管理计划在改善越南医院护士的抑郁和焦虑症状方面的有效性。本研究为三组（包括两个干预组和一个对照组）随机试验。参与者是从越南河内一家大型综合医院的护士中招募的。两种类型（自由选择和固定的顺序）的智能手机为基础的压力管理程序的开发。参与者被随机分配到方案A（自由选择，多模块压力管理），方案B（固定顺序，互联网认知行为疗法，iCBT）或对照组（照常治疗）。在基线、3个月和7个月的随访中，使用抑郁、焦虑和应激量表测量抑郁和焦虑症状。951名参与者被随机分配到三组中的每一组。程序B在3个月时对改善抑郁症状有统计学显著性影响（p = 0.048），但在7个月时无统计学显著性影响（p = 0.92）; Cohen d分别为-0.18（95%CI-0.34至0.02）和0.03（95%CI-1.00至1.05）。在3个月或7个月的随访中，方案A未能显示出对任何结局的显著干预效果（p > 0.05）。尽管效果小，目前的固定顺序iCBT程序似乎有效地改善抑郁症的医院护士在越南。如果考虑到干预措施的可获得性和最低成本，干预措施的公共卫生影响是可以扩大的。试验注册号：研究方案在UMIN临床试验注册中心（UMINCTR; ID = UMIN 000033139）注册。方案注册日期为2018年7月1日。https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?接收号= R 000037796
There are growing concerns on stress among nurses in low- and middle-income countries (LMICs) in South-East Asia. It is important to improve mental health among nurses in these countries. The objective of this study was to examine the efficacy of two types of newly developed smartphone-based stress management programs in improving depressive and anxiety symptoms among hospital nurses in Vietnam. This study was a three-arm (including two intervention groups and one control group) randomized trial. Participants were recruited from nurses in a large general hospital in Hanoi, Vietnam. Two types (free-choice and fixed sequential order) of smartphone-based stress management programs were developed. Participants were randomly allocated to Program A (a free-choice, multimodule stress management), Program B (a fixed-order, internet cognitive behavioral therapy, iCBT), or a control group (treatment as usual). The depressive and anxiety symptoms were measured by using the Depression Anxiety and Stress Scales at baseline, 3-, and 7-month follow-up surveys. 951 participants were randomly allocated to each of the three groups. Program B showed a statistically significant effect on improving depressive symptoms at 3-month (p = 0.048), but not at 7-month (p = 0.92); Cohen’s d was − 0.18 (95% CI − 0.34 to − 0.02) and 0.03 (95% CI − 1.00 to 1.05), respectively. Program A failed to show a significant intervention effect on any of the outcomes at 3- or 7-month follow-up (p > 0.05). Despite the small effect size, the present fixed-order iCBT program seems effective in improving depression of hospital nurses in Vietnam. A public health impact of the intervention can be scalable, when considering its accessibility and minimal cost. Trial registration number: The study protocol is registered at the UMIN Clinical Trials Registry (UMINCTR; ID = UMIN000033139). Registered date of the protocol is 1st Jul. 2018. https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000037796
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影响因子：
3.7
作者：
Imamura K;Kawakami N;Furukawa TA;Matsuyama Y;Shimazu A;Umanodan R;Kawakami S;Kasai K
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