Effect of smartphone-based stress management programs on depression and anxiety of hospital nurses in Vietnam: a three-arm randomized controlled trial

被引：13

作者：

Imamura, Kotaro ^{[1
]}

Thuy Thi Thu Tran ^{[2
]}

Huong Thanh Nguyen ^{[3
]}

Sasaki, Natsu ^{[1
]}

Kuribayashi, Kazuto ^{[4
]}

Sakuraya, Asuka ^{[5
]}

Thu Minh Bui ^{[6
]}

Anh Quoc Nguyen ^{[7
]}

Quynh Thuy Nguyen ^{[2
]}

Nga Thi Nguyen ^{[3
]}

Kien Trung Nguyen ^{[3
]}

Giang Thi Huong Nguyen ^{[6
]}

Xuyen Thi Ngoc Tran ^{[6
]}

Tien Quang Truong ^{[3
]}

Zhang, Melvyn Weibin ^{[8
]}

Minas, Harry ^{[9
]}

Sekiya, Yuki ^{[1
]}

Watanabe, Kazuhiro ^{[10
]}

Tsutsumi, Akizumi ^{[10
]}

Kawakami, Norito ^{[1
]}

机构：

[1] Univ Tokyo, Grad Sch Med, Dept Mental Hlth, Bunkyo Ku, 7-3-1 Hongo, Tokyo 1130033, Japan

[2] Hanoi Univ Publ Hlth, Fac Environm & Occupat Hlth, Dept Occupat Hlth & Safety, Hanoi, Vietnam

[3] Hanoi Univ Publ Hlth, Fac Social & Behav Sci, Hanoi, Vietnam

[4] Tokyo Med & Dent Univ, Grad Sch Hlth Care Sci, Dept Mental Hlth & Psychiat Nursing, Tokyo, Japan

[5] Tokyo Womens Med Univ, Sch Med, Dept Hyg & Publ Hlth, Div Publ Hlth, Tokyo, Japan

[6] Bach Mai Hosp, Nursing Off, Hanoi, Vietnam

[7] Bach Mai Hosp, Hanoi, Vietnam

[8] Inst Mental Hlth, Natl Addict Management Serv, Singapore, Singapore

[9] Univ Melbourne, Melbourne Sch Populat & Global Hlth, Melbourne, Vic, Australia

[10] Kitasato Univ, Dept Publ Hlth, Sch Med, Sagamihara, Kanagawa, Japan

来源：

SCIENTIFIC REPORTS | 2021年 / 11卷 / 01期

关键词：

MENTAL-HEALTH; SCALES DASS; INTERVENTIONS; WORKPLACE; SERVICES; FORM; SELF;

D O I：

10.1038/s41598-021-90320-5

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

There are growing concerns on stress among nurses in low- and middle-income countries (LMICs) in South-East Asia. It is important to improve mental health among nurses in these countries. The objective of this study was to examine the efficacy of two types of newly developed smartphone-based stress management programs in improving depressive and anxiety symptoms among hospital nurses in Vietnam. This study was a three-arm (including two intervention groups and one control group) randomized trial. Participants were recruited from nurses in a large general hospital in Hanoi, Vietnam. Two types (free-choice and fixed sequential order) of smartphone-based stress management programs were developed. Participants were randomly allocated to Program A (a free-choice, multimodule stress management), Program B (a fixed-order, internet cognitive behavioral therapy, iCBT), or a control group (treatment as usual). The depressive and anxiety symptoms were measured by using the Depression Anxiety and Stress Scales at baseline, 3-, and 7-month follow-up surveys. 951 participants were randomly allocated to each of the three groups. Program B showed a statistically significant effect on improving depressive symptoms at 3-month (p=0.048), but not at 7-month (p=0.92); Cohen's d was -0.18 (95% CI -0.34 to -0.02) and 0.03 (95% CI -1.00 to 1.05), respectively. Program A failed to show a significant intervention effect on any of the outcomes at 3- or 7-month follow-up (p>0.05). Despite the small effect size, the present fixed-order iCBT program seems effective in improving depression of hospital nurses in Vietnam. A public health impact of the intervention can be scalable, when considering its accessibility and minimal cost.Trial registration number: The study protocol is registered at the UMIN Clinical Trials Registry (UMINCTR; ID=UMIN000033139). Registered date of the protocol is 1st Jul. 2018. https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000037796

引用

页数：12

共 50 条

[1] Effect of smartphone-based stress management programs on depression and anxiety of hospital nurses in Vietnam: a three-arm randomized controlled trial
Kotaro Imamura
Thuy Thi Thu Tran
Huong Thanh Nguyen
Natsu Sasaki
Kazuto Kuribayashi
Asuka Sakuraya
Thu Minh Bui
Anh Quoc Nguyen
Quynh Thuy Nguyen
Nga Thi Nguyen
Kien Trung Nguyen
Giang Thi Huong Nguyen
Xuyen Thi Ngoc Tran
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Harry Minas
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Norito Kawakami
[J]. Scientific Reports, 11
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