摘要
目的:通过系统评价与meta分析方法探讨电子心理健康干预对医务人员抑郁和焦虑症状的影响,为改善医务人员心理健康状况提供参考。方法:检索2013年11月-2023年11月Pubmed、PsychINFO、Scopus、Web of Science、中国知网、万方数据库中相关文献,对纳入文献进行质量评价,提取数据后应用Revman 5.3进行meta分析。结果:共纳入11篇文献,覆盖2804名研究对象。结果表明,在电子心理健康干预下医务人员抑郁症状水平显著降低[SMD=-0.38,95%CI(-0.60,-0.15),P=0.001];焦虑症状水平显著降低[SMD=-0.76,95%CI(-1.24,-0.29),P=0.002]。亚组分析显示,干预效果受到评估工具、干预类型、干预次数和干预时间等因素的影响,可能导致研究结果之间的异质性。结论:电子心理健康干预已初步显示出对改善医务人员抑郁和焦虑症状的积极效果。但现有研究证据有限且差异较大,未来需更多高质量研究进一步验证其效用。
Objective:Evaluating the effects of electronic mental(e-mental)health interventions on the psychological status of depression and psychological status of anxiety in medical staff,and providing references for enhancing the mental health of medical staff.Methods:Relevant literature from Pubmed,PsychINFO,Scopus,Web of Science,CNKI,and Wanfang databases from November 2013 to November 2023 was searched.The included studies were subjected to quality evaluation,data extraction,and meta-analysis using Revman 5.3.Results:This study included 11 trials with a total of 2804 participants.The results indicated that e-mental health interventions significantly reduced depression symptoms among medical staff,with an SMD of-0.38,95%CI(-0.60,-0.15),P=0.001.Similarly,anxiety symptoms were significantly reduced,with an SMD of-0.76,95%CI(-1.24,-0.29),P=0.002.Subgroup analysis showed that the intervention effect was influenced by factors such as the assessment method,intervention type,number of interventions,and intervention duration,all of which may have contributed to the study results'heterogeneity.Conclusion:E-mental health interventions have preliminarily shown positive effects on improving the mental health of medical staff.However,due to limited and varied existing evidence,more high-quality research is needed in the future to further validate their effectiveness.
作者
张业妍
胡银环
刘莎
周婧涵
路少玉
冯显东
ZHANG Yeyan(School of Medicine and Health Management,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei,430030,China)
出处
《医学与社会》
北大核心
2024年第8期24-31,共8页
Medicine and Society
基金
国家自然科学基金资助项目,编号为72274068。
关键词
电子心理健康
干预
医务人员
抑郁
焦虑
Electronic Mental Health
Intervention
Medical Staff
Depression
Anxiety
