Author: Yinjuan Zhang1,2, Jicheng Sun3, Chao Wu1, Yue Fei4, Wendong Hu5, Hongjuan Lang6
Affiliation:
1 Department of Nursing, Air Force Medical University, No. 169 Changle West Road, Xi'an, Shaanxi, 710032, China.
2 Department of Nursing, Shaanxi University of Chinese Medicine, Qindu District, No. 1 Century Avenue, Xianyang, Shaanxi, 712046, China.
3 Military Medical Innovation Center, Air Force Medical University, No. 169 Changle West Road, Xi'an, Shaanxi, 710032, China.
4 Department of Computer Science and Engineering, Xi'an Technological University, No. 4 Jinhua North Road, Xi'an, Shaanxi, 710021, China.
5 Department of Aerospace Medicine, Air Force Medical University, No. 169 Changle West Road, Xi'an, Shaanxi, 710032, China. Huwend@fmmu.edu.cn.
6 Department of Nursing, Air Force Medical University, No. 169 Changle West Road, Xi'an, Shaanxi, 710032, China. langhj@fmmu.edu.cn.
Conference/Journal: BMC Health Serv Res
Date published: 2024 Aug 21
Other:
Volume ID: 24 , Issue ID: 1 , Pages: 962 , Special Notes: doi: 10.1186/s12913-024-11437-7. , Word Count: 288
Objectives:
The purpose of this study is to compare the efficacy of mind-body practices (MBPs) and multiple psychological methods, and identify the optimal method for relieving work-related stress among healthcare workers (HCWs) by network meta-analysis (NMA).
Methods:
We applied six electronic databases, namely PubMed, Web of Science, Embase, PsycINFO, Cochrane, and Chinese National Knowledge Infrastructure to identify relevant RCTs from inception to September 16, 2023, and implemented a search strategy based on the PICOS principles. Data selection, extraction, and analysis of bias were carried out independently and in duplicate by separate researchers. State 16.0 was used to conduct NMA for comparing the effectiveness of various therapies.
Results:
We identified 23 studies including MBPs and three different psychological therapies, namely mindfulness-related therapy (MRT), psychoeducational therapy (PT), and comprehensive therapy (CT), which were divided into eleven specific techniques, namely yoga, meditation techniques (MT), Qigong, muscle relaxation(MR), biofeedback therapy (BT), mindfulness-based interventions (MBIs), modified mindfulness-based stress reduction (MBSR-M), mindfulness-based interventions combined with others (MBIs-C), mindfulness-based awareness(MBA), PT and CT. Our NMA results of MBPs and three psychological therapies showed MBPs (SMD = -0.90, CrI:-1.26, -0.05, SUCRA = 99%) were effective for occupational stress in HCWs, followed by MRT(SMD = -0.48, CrI:-0.87, -0.08, SUCRA = 66.5%). NMA results of eleven specific techniques showed yoga (SMD = 1.36, CrI:0.91, 1.81, SUCRA = 97.5%) was the most effective technique in relieving the stress of HCWs, followed by MR (SMD = 1.36, CrI:0.91, 1.81, SUCRA = 87.3%).
Conclusions:
Our study suggested MBPs may be the most effective intervention to improve the occupational stress of HCWs. Furthermore, yoga is likely to be the most optimal of MBPs. Hospital managers should attach importance to yoga in addressing occupational stress among medical workers.
Keywords: Healthcare workers; Mind–body practices; Network meta-analysis; Occupational stress; Psychological method.
PMID: 39169332 PMCID: PMC11337641 DOI: 10.1186/s12913-024-11437-7
