2013年设拉子一家综合医院重症监护病房护士的职业压力与心理健康状况
Occupational stress and mental health among nurses in a medical intensive care unit of a general hospital in Bandar Abbas in 2013.
作者信息
Tajvar Abdolhamid, Saraji Gebraeil Nasl, Ghanbarnejad Amin, Omidi Leila, Hosseini Seyed Sodabeh Seyed, Abadi Ali Salehi Sahl
机构信息
Lecturer of Occupational Health Engineering, Center for Social Determinants in Health Promotion, Hormozgan University of Medical Sciences, Bandar-Abbas, Iran.
Professor of Occupational Health Engineering, Faculty of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
出版信息
Electron Physician. 2015 Jul 20;7(3):1108-13. doi: 10.14661/2015.1108-1113. eCollection 2015 Jul.
BACKGROUND
Many nurses have reported experiencing high levels of occupational stress in their work environment. Stress, as an outcome of stressful workplaces and tasks, affects nursing behavior in hospital wards. The objectives of this research were to determine the prevalence of occupational stress and mental health problems in nurses in the intensive care unit (ICU) at Shahid Mohammadi Hospital in Bandar Abbas in 2013 and to determine the relationship between occupational stress and mental health.
METHODS
This cross-sectional study was conducted in 2013 on all of the nurses working in ICU at Shahid Mohammadi Hospital located in Bandar Abbas, Iran. Seventy-two nurses were selected as the population for this study, and all of them were female. Two questionnaires were used in this study, i.e., General Health Questionnaire-28 (GHQ-28) for assessing mental health and an occupational stress test for assessing job stress. Furthermore, the relationship between occupational stress and mental health was examined. One-way analysis of variance (ANOVA), independent samples t-test, and Pearson's product-moment correlation test were used to analyze the data.
RESULTS
High and moderate levels of occupational stress were experienced by 83.9% and 10.7% of ICU nurses, respectively. The prevalence of mental disorders, somatic symptoms, anxiety, social dysfunction, and depression were 58.9, 60.7, 62.5, 71.4, and 10.7%, respectively. The findings of the independent samples t-test showed that somatic symptoms had significant relationships with age and working experience (p = 0.01). According to the independent samples t-test, there were no significant differences between somatic symptoms and working different shifts (p > 0.05).
CONCLUSIONS
There was a high prevalence of occupational stress among ICU nurses. There was a significant relationship between occupational stress and mental health. Future interventions are needed to codify a comprehensive health program in this field to reduce occupational stress and enhance nurses' levels of mental health.
背景
许多护士报告称在工作环境中承受着高水平的职业压力。压力作为紧张的工作场所和任务的结果，会影响医院病房中的护理行为。本研究的目的是确定2013年阿巴斯港沙希德·穆罕默迪医院重症监护病房（ICU）护士的职业压力和心理健康问题的患病率，并确定职业压力与心理健康之间的关系。
方法
这项横断面研究于2013年对伊朗阿巴斯港沙希德·穆罕默迪医院ICU工作的所有护士进行。72名护士被选为该研究的样本，她们均为女性。本研究使用了两份问卷，即用于评估心理健康的一般健康问卷-28（GHQ-28）和用于评估工作压力的职业压力测试。此外，还研究了职业压力与心理健康之间的关系。采用单因素方差分析（ANOVA）、独立样本t检验和Pearson积矩相关检验对数据进行分析。
结果
分别有83.9%和10.7%的ICU护士经历了高水平和中等水平的职业压力。精神障碍、躯体症状、焦虑、社会功能障碍和抑郁的患病率分别为58.
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