Department of Sports Medicine, Faculty of Medicine, Ilam University of Medical Sciences, Ilam, Iran.
Psychosocial Injuries Research Center, Ilam University of Medical Sciences, Ilam, Iran.
Przegl Epidemiol. 2021;75(2):254-262. doi: 10.32394/pe.75.24.
Depression, anxiety, and stress are common problems among nurses.
This meta-analysis was conducted to investigate the prevalence of depression, anxiety, and stress among nurses working in Iranian hospitals.
Published studies on nurses working in Iranian hospitals were investigated in this meta-analysis. All national and international online databases, including Web of Science, PubMed, Scopus, Embase, Cochrane Library, Scientific Information Database (SID), MagIran, and IranMedex, as well as Google Scholar, were searched using related keywords without any time limits until September 2017. The heterogeneity of studies was assessed using the I2 index. Data were analyzed in STATA version 11.1.
In 28 studies with a sample size of 6581 people, the prevalence of depression was 31% (n=2040) among Iranian nurses (31% in females and 28% in males) according to Beck's Depression Inventory (BDI); 30% (n=1974) (54% in females and 40% in males) according to the 21-Item Depression, Anxiety and Stress Scale (DASS-21); and 9% according to the General Health Questionnaire (GHQ-28). The prevalence of mild, moderate, and severe depression in nurses was 39%, 16%, and 20% according to the BDI; 8%, 24%, and 4% according to DASS-21; and 48%, 36%, and 16% according to GHQ-28, respectively. The prevalence of anxiety and stress was 85% and 67% in Beck's inventory, 28% and 38% in DASS-21, and 46% and 49% in GHQ-28, respectively.
According to the BDI and DASS-21, about one-third of Iranian nurses have depression with a female predilection. Nurses play an essential role in improving the quality of treatment; therefore, health policymakers must pay attention to reducing depression among nurses.
抑郁、焦虑和压力是护士中常见的问题。
本荟萃分析旨在调查伊朗医院护士中抑郁、焦虑和压力的患病率。
本荟萃分析调查了在伊朗医院工作的护士的已发表研究。所有国家和国际在线数据库，包括 Web of Science、PubMed、Scopus、Embase、Cochrane Library、科学信息数据库（SID）、MagIran 和 IranMedex，以及 Google Scholar，均使用相关关键词进行搜索，无时间限制，直至 2017 年 9 月。使用 I2 指数评估研究的异质性。数据使用 STATA 版本 11.1 进行分析。
在 28 项研究中，有 6581 人的样本量，根据贝克抑郁量表（BDI），伊朗护士的抑郁患病率为 31%（n=2040）（女性为 31%，男性为 28%）；根据 21 项抑郁、焦虑和压力量表（DASS-21），伊朗护士的抑郁患病率为 30%（n=1974）（女性为 54%，男性为 40%）；根据一般健康问卷（GHQ-28），伊朗护士的抑郁患病率为 9%。根据 BDI，护士中轻度、中度和重度抑郁的患病率分别为 39%、16%和 20%；根据 DASS-21，分别为 8%、24%和 4%；根据 GHQ-28，分别为 48%、36%和 16%。贝克量表中焦虑和压力的患病率分别为 85%和 67%，DASS-21 中分别为 28%和 38%，GHQ-28 中分别为 46%和 49%。
根据 BDI 和 DASS-21，大约三分之一的伊朗护士患有抑郁症，女性患病率较高。护士在提高治疗质量方面发挥着重要作用；因此，卫生政策制定者必须注意减轻护士的抑郁。
