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The Effects of Biofeedback Training and Smartphone-Delivered Biofeedback Training on Resilience, Occupational Stress, and Depressive Symptoms among Abused Psychiatric Nurses

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  • Hsiu-Fen Hsieh

    (School of Nursing, College of Nursing, Kaohsiung Medical University, No. 100, Shih-Chuan 1st Road, Kaohsiung 807, Taiwan
    Department of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 807, Taiwan)

  • I-Chin Huang

    (School of Nursing, College of Nursing, Kaohsiung Medical University, No. 100, Shih-Chuan 1st Road, Kaohsiung 807, Taiwan)

  • Yi Liu

    (School of Nursing, College of Nursing, Kaohsiung Medical University, No. 100, Shih-Chuan 1st Road, Kaohsiung 807, Taiwan)

  • Wen-Ling Chen

    (Department of Nursing, Tsyr-Huey Mental Hospital, Kaohsiung, 831 Taiwan)

  • Yi-Wen Lee

    (Nursing Department, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 833, Taiwan)

  • Hsin-Tien Hsu

    (School of Nursing, College of Nursing, Kaohsiung Medical University, No. 100, Shih-Chuan 1st Road, Kaohsiung 807, Taiwan
    Department of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 807, Taiwan)

Abstract

Psychiatric ward (PW) nurses are at a higher risk to encounter workplace violence than are other healthcare providers, and many interventions have been developed to improve their mental health. We compared the effectiveness of biofeedback training (BT) and smartphone-delivered BT (SDBT) interventions on occupational stress, depressive symptoms, resilience, heart rate variability, and respiration rate in a sample of abused PW nurses. This was a quasi-experimental study. Structured questionnaires were administered before and six weeks after the intervention. Data were collected from April 2017 to October 2017. A total of 159 abused PW nurses were randomly assigned to BT, SDBT, and control groups, and 135 of them completed all processes of our protocol, with the study consisting of 119 females (88.1%) and 16 males (11.9%) and their age range being from 22 to 59 with the mean age of 35.61 and a standard deviation of 8.16. Compared to the controls, both the BT and the SDBT intervention groups experienced significant improvements in depressive symptoms, resilience, and respiration rate; and the SDBT group experienced significant reductions in occupational stress. Considering the cost, accessibility, restrictions time and space, SDBT be used as an effective intervention in people with resilience or occupational stress.

Suggested Citation

  • Hsiu-Fen Hsieh & I-Chin Huang & Yi Liu & Wen-Ling Chen & Yi-Wen Lee & Hsin-Tien Hsu, 2020. "The Effects of Biofeedback Training and Smartphone-Delivered Biofeedback Training on Resilience, Occupational Stress, and Depressive Symptoms among Abused Psychiatric Nurses," IJERPH, MDPI, vol. 17(8), pages 1-11, April.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:8:p:2905-:d:349070
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    References listed on IDEAS

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    1. Shu-Fen Niu & Shu-Fen Kuo & Hsiu-Ting Tsai & Ching-Chiu Kao & Victoria Traynor & Kuei-Ru Chou, 2019. "Prevalence of workplace violent episodes experienced by nurses in acute psychiatric settings," PLOS ONE, Public Library of Science, vol. 14(1), pages 1-13, January.
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    Cited by:

    1. Mafalda Ferreira & António Marques & Paulo Veloso Gomes, 2021. "Individual Resilience Interventions: A Systematic Review in Adult Population Samples over the Last Decade," IJERPH, MDPI, vol. 18(14), pages 1-17, July.
    2. Jung-Nyun Lee & Min-Cheol Whang & Bong-Gu Kang, 2022. "Process Design for Optimized Respiration Identification Based on Heart Rate Variability for Efficient Respiratory Sinus Arrhythmia Biofeedback," IJERPH, MDPI, vol. 19(4), pages 1-13, February.

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