正念干预对护理专业学生身心健康影响的系统评价

目的系统评价正念干预对护理专业学生身心健康影响的效果。方法计算机检索PubMed、Embase、Cochrane Library、CNKI、万方、维普数据库中关于正念干预对护理专业学生身心健康影响的随机对照试验,检索时限为建库至2020年3月,由2名研究人员独立完成文献筛选、资料提取和偏倚风险评价后进行Meta分析。结果共纳入7篇文献,包括387名研究对象。Meta分析结果显示,正念干预后,试验组较对照组护理专业学生的压力状态[SMD=-0.95,95%CI(-1.21,-0.68),P<0.001]、焦虑情绪[SMD=-0.72,95%CI(-0.98,-0.46),P<0.001]、抑郁情绪[SMD=-0.59,95%CI(-1.00,-0.17),P=0.006]、正念特质[SMD=0.39,95%CI(0.09,0.68),P=0.01]有明显改善;试验组较对照组护理专业学生的收缩压[MD=-0.95,95%CI(-4.50,2.59),P=0.60]、舒张压[MD=2.13,95%CI(-2.60,6.86),P=0.38]、心率[MD=1.50,95%CI(-4.61,7.60),P=0.63]无明显改善。结论正念干预可以改善护理专业学生的压力状态、焦虑情绪、抑郁情绪和正念特质,但对于护理专业学生收缩压、舒张压、心率的影响还有待验证。

Mindfulness intervention on physical and mental health of nursing students:a systematic review

Objective To systematically evaluate the effectiveness of mindfulness intervention on physical and mental health of nursing students.Methods We performed a systematic search in PubMed,Embase,Cochrane Library,CNKI,Wanfang and VIP to collect studies about effects of mindfulness intervention on the mental and physical health of nursing students published from inception to March 2020.Meta-analysis was performed after two independent reviewers conducted literature screening,data extraction,and literature quality evaluation.Results Seven studies were recruited with 387 cases.The results of meta-analysis showed that the stress score[SMD=-0.95,95%CI(-1.21,-0.68),P<0.001],anxiety score[SMD=-0.72,95%CI(-0.98,-0.46),P<0.001],depression score[SMD=-0.59,95%CI(-1.00,-0.17),P=0.006]of mindfulness intervention group was significantly lower than the score of non-mindfulness group.The mindfulness score of mindfulness intervention group was significantly higher than the score of non-mindfulness group after the mindfulness intervention[SMD=0.39,95%CI(0.09,0.68),P=0.01].However,there was no statistically significant difference between mindfulness and non-mindfulness group about systolic pressure[MD=-0.95,95%CI(-4.50,2.59),P=0.60],diastolic pressure[MD=2.13,95%CI(-2.60,6.86),P=0.38]and heart rate[MD=1.50,95%CI(-4.61,7.60),P=0.63].Conclusion Mindfulness intervention can improve the stress,anxiety,depression and mindfulness of nursing students.