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尼日利亚医护人员心理社会压力及其危险因素的患病率:系统评价与荟萃分析

Prevalence of Psychosocial Stress and Its Risk Factors among Health-care Workers in Nigeria: A Systematic Review and Meta-Analysis.

作者信息

Onigbogi Charles Babajide, Banerjee Srikanta

机构信息

Department of Clinical Services, Nigerian National Petroleum Corporation Medical Services Limited, Warri, Delta State, Nigeria.

Health Sciences Research Centre, Core Faculty, Walden University, Minneapolis, MN, USA.

出版信息

Niger Med J. 2019 Sep-Oct;60(5):238-244. doi: 10.4103/nmj.NMJ_67_19. Epub 2019 Nov 26.

Abstract

CONTEXT

Health-care workers experience psychosocial stress in their workplace. Available statistics are at variance, and hence, the need to know the overall prevalence of psychosocial stress among Nigerian health-care workers and associated risk factors.

AIMS

The aim of this study was to determine the prevalence of psychosocial stress and its risk factors among health-care workers in Nigeria through meta-analysis.

MATERIALS AND METHODS

PubMed, CINAHL, and Google Scholar databases were searched for articles. Search terms include "psychosocial stress," "occupational health," and "Nigerian health-care worker." Articles were included if they used validated psychosocial stress assessment instruments. Of the 17 articles with data on psychosocial stress prevalence, eight met all inclusion criteria. Each article independently reviewed by the authors and relevant data abstracted. Statistical analysis was done using MedCalc version 18.10.

RESULTS

Overall, the prevalence of psychosocial stress was 61.97% (95% confidence interval [CI]: 41.013-80.823) based on analyzed eight articles with the sample size of 1763. Work overload rate at 67.72% (95% CI: 33.24-93.76) was the most prevalent psychosocial stress risk factor. Other risk factors were poor communication and staff attitude and lack of resources and equipment at 50.37% (95% CI: 13.35-87.16) and 62.4% (95% CI: 7.70-99.9), respectively. Headache, with neck and back pain, was the most prevalent psychosocial stress-related health outcome at 73.26% (95% CI: 66.14-79.82).

CONCLUSION

Prevalence of psychosocial stress is high among health-care workers in Nigeria, necessitating preventive measures.

摘要

背景

医护人员在工作场所会经历心理社会压力。现有统计数据存在差异,因此有必要了解尼日利亚医护人员心理社会压力的总体患病率及相关风险因素。

目的

本研究旨在通过荟萃分析确定尼日利亚医护人员心理社会压力的患病率及其风险因素。

材料与方法

在PubMed、CINAHL和谷歌学术数据库中检索文章。检索词包括“心理社会压力”“职业健康”和“尼日利亚医护人员”。如果文章使用了经过验证的心理社会压力评估工具,则纳入研究。在17篇有心理社会压力患病率数据的文章中,8篇符合所有纳入标准。作者对每篇文章进行独立评审并提取相关数据。使用MedCalc 18.10版本进行统计分析。

结果

总体而言,基于分析的8篇文章(样本量为1763),心理社会压力的患病率为61.97%(95%置信区间[CI]:41.013 - 80.823)。工作负荷率为67.72%(95% CI:33.24 - 93.76)是最普遍的心理社会压力风险因素。其他风险因素分别为沟通不畅和员工态度问题,以及资源和设备不足,患病率分别为50.37%(95% CI:13.3

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6470/6900898/472540af3f8a/NMJ-60-238-g001.jpg

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