Abstract：
Work-related stress complaints are a growing societal problem. Occupational health professionals often play a key role in its prevention. However, studies providing an overview of preventive interventions and their effectiveness are lacking. Therefore, the aim of this systematic review was to summarise the evidence on the effectiveness of interventions delivered by occupational health professionals to prevent work-related stress complaints.A systematic search in PubMed, Embase, PsycInfo and Medline was performed in May 2023 based on PICO (population, intervention, control and outcomes) elements. Inclusion criteria were: peer-reviewed papers with a randomised controlled trial design, quasi-experimental design and pre-post evaluations with a control group; working populations not on sick leave; interventions delivered by occupational health professionals; and stress outcomes. Data were extracted using a predefined extraction form, risk of bias was assessed using the Cochrane risk of bias tool for randomised trials (RoB-2) and Risk of Bias in non-randomised Studies-of Interventions tool, and a narrative analysis was performed to summarise data.Nine studies were included in this review and encompassed a diverse range of populations, interventions and professionals involved, outcome measures, and effects observed. Five studies found either mixed effects on stress outcomes, short-term positive effects, or positive effects in a subgroup of participants demonstrating high adherence to the intervention.As the results show mixed findings, a high risk of bias, and a limited number of studies was available, more research is needed to the effectiveness of the interventions and the factors underlying this.
摘要：
与工作有关的压力投诉是一个日益严重的社会问题。职业卫生专业人员通常在预防疾病方面发挥关键作用。然而,缺乏提供预防性干预措施及其有效性概述的研究。因此,这项系统评价的目的是总结职业卫生专业人员为预防与工作有关的压力投诉而采取的干预措施的有效性的证据。在PubMed中进行系统搜索，Embase,PsycInfo和Medline于2023年5月根据PICO（人口，干预，控制和结果)要素。纳入标准是：具有随机对照试验设计的同行评审论文，与对照组进行准实验设计和事后评估；不休病假的工作人群；职业卫生专业人员提供的干预措施；和压力结果。使用预定义的提取表单提取数据，使用Cochrane随机试验偏倚风险工具（RoB-2）和非随机研究干预工具中的偏倚风险评估偏倚风险，并进行了叙述性分析以总结数据。本综述包括9项研究，涵盖了不同范围的人群，干预措施和参与的专业人员，结果衡量标准，和观察到的效果。五项研究发现了对压力结果的混合影响，短期积极影响，或在表现出对干预措施的高依从性的参与者亚组中产生积极影响。由于结果显示结果好坏参半，偏见的高风险，数量有限的研究，需要对干预措施的有效性及其潜在因素进行更多研究.
