Letvak Susan, Ruhm Christopher J, McCoy Thomas
School of Nursing, University of North Carolina at Greensboro, NC 27402, USA.
Clin Nurse Spec. 2012 May-Jun;26(3):177-82. doi: 10.1097/NUR.0b013e3182503ef0.
Depression impacts 9.4% of the adult population in the United States, and it is known to impact work performance. Nurses with depression are not only likely to suffer themselves, but their illness may have an impact on their coworkers and potentially the quality of care they provide. Thus, the purpose of this study was to determine the prevalence of depression in a random sample of hospital-employed nurses to determine individual and workplace characteristics that are associated with depression. A cross-sectional survey design of 1171 registered nurses was used. Measures included individual characteristics, workplace characteristics, work productivity, and depression (9-item Patient Health Questionnaire). Data analysis demonstrated a depressive symptom rate of 18%. The linear regression model accounted for 60.6% of the variation in the 9-item Patient Health Questionnaire depression scores. Body mass index, job satisfaction, number of health problems, mental well-being, and health-related productivity had significant relationships with depression (P < .05). Hospital-employed nurses have higher rates of depressive symptoms than national norms. Advanced practice nurses can assist with educating nurses on recognizing depression and confidential interventions, including the use of computerized cognitive-based therapy.
抑郁症影响着美国9.4%的成年人口，并且已知会影响工作表现。患有抑郁症的护士不仅自身可能遭受痛苦，其疾病还可能对同事产生影响，并有可能影响他们提供的护理质量。因此，本研究的目的是确定在随机抽取的医院在职护士样本中抑郁症的患病率，以确定与抑郁症相关的个人和工作场所特征。采用了对1171名注册护士的横断面调查设计。测量指标包括个人特征、工作场所特征、工作效率和抑郁症（9项患者健康问卷）。数据分析显示抑郁症状发生率为18%。线性回归模型解释了9项患者健康问卷抑郁得分中60.6%的变异。体重指数、工作满意度、健康问题数量、心理健康和与健康相关的工作效率与抑郁症有显著关系（P < 0.05）。医院在职护士的抑郁症状发生率高于全国标准。高级执业护士可以协助教育护士识别抑郁症并进行保密干预，包括使用基于计算机的认知疗法。
