Brief mindfulness-based stress management program for a better mental state in working populations - Happy Nurse Project: A randomized controlled trial
Brief mindfulness-based stress management program for a better mental state in working populations - Happy Nurse Project: A randomized controlled trial
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DOI：
10.1016/j.jad.2019.03.067
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发表时间：
2019-05-15
影响因子：
6.6
通讯作者：
Furukawa, Toshi A.
中科院分区：
文献类型：
--
作者：
Watanabe, Norio;Horikoshi, Masaru;Furukawa, Toshi A.
背景资料：基于正念的压力管理计划对保持更好的精神状态的有效性尚未在工作人群中进行过研究。我们的目的是探讨的有效性，简短的正念为基础的压力管理计划为hospital nurs.Methods：在多中心随机试验，80名初级护士在医院工作被随机分配到简短的正念为基础的压力管理计划或心理教育使用传单。该计划包括四个30分钟的个人会议进行了培训的高级护士使用详细的手册。主要结局是第26周时医院焦虑和抑郁量表（HADS）的总分。次要结果包括存在一个严重的抑郁发作;抑郁症，焦虑，失眠，倦怠和出勤的严重程度;效用分数;和不良事件长达52 weeks.Results：平均HADS评分的所有参与者在基线为7.2。在26周时，HADS评分的校正平均评分为7.2（95%置信区间：5.9，8。5)程序组和传单组分别为6.0（4.8，7.2）。组与时间相互作用的系数在-1.41（-3.35，0.54; P=0.156）处不具有统计学显著性。在其他outcomes.Limitations上没有观察到显著的优势或劣势：我们没有设法招募我们最初设定的参与者数量，尽管我们的事后分析表明，这并没有导致我们的结论发生变化。结论：在精神状态和自我评估的工作效率方面，简短的正念压力管理计划的附加值没有得到证实。
Background: The efficacy of the mindfulness-based stress management program for maintaining a better mental state has not been examined among working populations. We aimed to explore the effectiveness of the brief mindfulness-based stress management program for hospital nurses.Methods: In a multi-center randomized trial, 80 junior nurses working in hospitals were randomly allocated either to the brief mindfulness-based stress management program or psychoeducation using a leaflet. The program consisted of four 30 min individual sessions conducted by trained senior nurses using a detailed manual. The primary outcome was the total score of the Hospital Anxiety and Depression Scale (HADS) at week 26. Secondary outcomes included presence of a major depressive episode; severity of depression, anxiety, insomnia, burnout, and presenteeism; utility scores; and adverse events up to 52 weeks.Results: The mean HADS score of all the participants at baseline was 7.2. At 26 weeks, adjusted mean scores on the HADS score were 7.2 (95% confidence intervals: 5.9, 8. 5) in the program group and 6.0 (4.8, 7.2) in the leaflet group, respectively. The coefficient of the group by time interaction was not statistically significant at -1.41 (-3.35, 0.54; P=0.156). No significant superiority or inferiority was observed on the other outcomes.Limitations: We did not manage to recruit the number of participants we initially set out, although our post-hoc analyses showed that this did not lead to changes in our conclusions.Conclusions: The additive value of the brief mindfulness-based stress management program was not confirmed in mental state and self-evaluated work efficiency.