首页|电子心理健康干预对医务人员抑郁和焦虑症状影响的系统评价与meta分析

电子心理健康干预对医务人员抑郁和焦虑症状影响的系统评价与meta分析

A Systematic Review and Meta-analysis of the Impact of Electronic Mental Health Interventions on Depression and Anxiety in Medical Staff

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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 No-vember 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.Sub-group 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.

Electronic Mental HealthInterventionMedical StaffDepressionAnxiety

张业妍、胡银环、刘莎、周婧涵、路少玉、冯显东

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华中科技大学同济医学院医药卫生管理学院,湖北武汉,430030

电子心理健康 干预 医务人员 抑郁 焦虑

国家自然科学基金

72274068

2024

医学与社会
华中科技大学同济医学院

医学与社会

CSTPCDCHSSCD北大核心
影响因子:1.178
ISSN:1006-5563
年,卷(期):2024.37(8)