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加拿大护士的精神障碍症状。

Mental Disorder Symptoms Among Nurses in Canada.

机构信息

Canadian Institute for Public Safety Research and Treatment, University of Regina, Regina, SK, Canada.

出版信息

Can J Nurs Res. 2021 Sep;53(3):264-276. doi: 10.1177/0844562120961894. Epub 2020 Oct 4.

DOI:10.1177/0844562120961894
PMID:33012176
Abstract

BACKGROUND

Nurses face regular exposures to potentially psychologically traumatic events as part of their occupational responsibilities. Cumulative stress due to repeated exposure to such events is associated with poor mental health and an increased risk of developing clinically significant symptoms consistent with some mental disorders.

PURPOSE

The current study was designed to estimate rates of mental disorder symptoms among nurses in Canada and identify demographic characteristics that are associated with increased risk for mental disorder symptoms.

METHOD

An online survey was conducted with Canadian nurses in both English and French. Participants were recruited largely through the Canadian Federation of Nurses Unions (CFNU) member unions, non-CFNU member unions, and social media. The survey assessed current mental disorder symptoms using well-validated screening measures.

RESULTS

A total of 4267 participants (93.8% women) completed the survey. Almost half of participants screened positive for a mental disorder (i.e., 47.9%). No gender differences emerged. Significant differences in proportions of positive screens based on each measure were found across demographic groups (e.g., age, province of residence, type of nurse).

CONCLUSIONS

The rate of positive screens appears much higher than mental disorder prevalence rates in the general Canadian population, but there were important methodological differences. The current results provide potentially important information to support researchers and healthcare administrators to investigate possible ways to mitigate and manage mental health in nursing workplaces.

摘要

背景

护士在其职业职责范围内经常面临潜在的心理创伤性事件。由于反复接触此类事件而导致的累积压力与心理健康状况不佳以及出现某些精神障碍一致的临床显著症状的风险增加有关。

目的

本研究旨在评估加拿大护士的精神障碍症状发生率,并确定与精神障碍症状风险增加相关的人口统计学特征。

方法

用英语和法语对加拿大护士进行了在线调查。参与者主要通过加拿大护士联合会(CFNU)成员工会、非 CFNU 成员工会和社交媒体招募。该调查使用经过充分验证的筛选措施评估当前的精神障碍症状。

结果

共有 4267 名参与者(93.8%为女性)完成了调查。近一半的参与者出现了精神障碍(即 47.9%)。没有出现性别差异。在不同的人口统计学群体中,基于每种测量方法的阳性筛查比例存在显著差异(例如,年龄、居住省份、护士类型)。

结论

阳性筛查率似乎远高于加拿大普通人群的精神障碍患病率,但存在重要的方法学差异。目前的结果为支持研究人员和医疗保健管理人员调查可能的减轻和管理护理工作场所心理健康的方法提供了重要信息。

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