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首页> 外文期刊>International journal of stress management >A Meta-Analysis on the Effectiveness of Stress Management Interventions for Nurses: Capturing 14 Years of Research
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A Meta-Analysis on the Effectiveness of Stress Management Interventions for Nurses: Capturing 14 Years of Research

机译：护士压力管理干预有效性的荟萃分析：14年的研究

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Nurses are considered to have one of the most demanding professions and are at risk of developing stress-related outcomes. As a result, many stress management interventions (SMIs) have been published in the literature, but there is a lack of a systematic quantitative approach to assess their effectiveness. The present study uses meta-analytic techniques to evaluate their overall effectiveness and potential moderators related to greater intervention success. Databases were searched for articles published between 2007 and 2020, measuring stress-related outcomes before and after the SMI and including a control group. Based on 85 publications (83 SMIs), a combined medium effect (Hedges' g = 0.42) was found. Person-directed interventions yielded larger effects than organization-directed or multilevel interventions, but this could only be concluded regarding their short-term effectiveness. For person-directed interventions, higher exposure and a homogeneous sample of nurses were related to greater effectiveness, whereas the type (cognitive behavioral, relaxation, work skills, or a mix), the length of the intervention, target group (primary or secondary), and type of control group used were not. In addition, person-directed interventions were more effective on current stress levels (e.g., work-related stress) than on outcomes indicating strain (e.g., burnout). As all organization-directed interventions used a participatory approach, this process variable could not be examined as potential moderator. To conclude, SMIs can effectively prevent and reduce stress-related outcomes in nurses. To further evaluate factors contributing to their effectiveness, more detailed reporting in publications is necessary. Furthermore, especially for person-directed interventions, long-term measurements are needed to determine the longevity of their effects.
机译：护士被认为有一个最大的要求专业的风险发展与压力相关的结果。许多压力管理干预(重度)发表在《文学,但有一个缺乏一个系统的定量方法评估其有效性。使用整合技术来评估他们整体效果和潜在的版主与更大的干预的成功。数据库搜索的文章发表在2007年至2020年之间,测量与压力有关结果重度,包括之前和之后对照组。重度),结合介质效应”(对冲g =0.42)被发现。比organization-directed产生了较大的影响或多级干预,但这只能关于他们的短期完成有效性。更高的曝光和齐次的样本护士是与更大的有效性,而类型(认知行为、放松,工作技能,或混合)的长度主要目标群体(或干预二次),对照组使用的类型不是。更有效的在当前的压力吗(例如,工作压力)比的结果指示压力(例如,倦怠)。organization-directed干预使用参与式方法,这个过程变量不能检查潜在的主持人。最后,重度可以有效地预防和减少在护士与压力相关的结果。他们的评价因素有效性,更详细的报告出版物是必要的。特别是对于person-directed干预措施,长期需要测量来确定长寿的效果。

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