Department of Nursing, College of Nursing and Health, Kongju National University, Gongju, Republic of Korea.
Chungbuk Regional Trauma Center, Chungbuk National University Hospital, Cheongju, Republic of Korea.
Public Health Nurs. 2023 Jan;40(1):80-89. doi: 10.1111/phn.13131. Epub 2022 Sep 7.
This study investigated the effects of occupational stress, anxiety, depression, and sleep disturbance on the level of fatigue among public health nurses (PHNs).
The study had a cross-sectional, correlational survey design.
A total of 198 PHNs were enrolled from 30 public healthcare centers/offices. Data were collected between May and July 2021 using a structured questionnaire to investigate the general characteristics, occupational stress, anxiety, depression, sleep disturbance, and fatigue of the participants. Descriptive statistics and multiple regressions were used to determine fatigue and its influencing factors among PHNs.
The participants showed high fatigue and occupational stress levels due to a lack of rewards. The percentage of participants with mild-to-severe anxiety and mild-to-severe depression, and those who identified themselves as poor sleepers were 44.9%, 50.5%, and 70.2%, respectively. High levels of sleep disturbance (β = .23, p < .001), occupational stress (β = .21, p < .001), anxiety (β = .20, p = .016), depression (β = .17, p = .043), being younger (β = -.15, p = .004), and being a regular worker (β = .13, p = .017) were influencing factors of fatigue.
Individual efforts and organizational interventions to enhance sleep quality are needed to relieve fatigue among PHNs. Further, organizational support can be considerate of young nurses and regular workers, and alleviate their occupational stress. Moreover, anxiety and depression should be managed efficiently to reduce fatigue.
本研究旨在探讨职业压力、焦虑、抑郁和睡眠障碍对公共卫生护士（PHN）疲劳水平的影响。
研究采用了横断面相关性调查设计。
共有 198 名 PHN 从 30 个公共卫生保健中心/办公室中招募。于 2021 年 5 月至 7 月期间，采用结构化问卷收集数据，以调查参与者的一般特征、职业压力、焦虑、抑郁、睡眠障碍和疲劳情况。采用描述性统计和多元回归来确定 PHN 疲劳及其影响因素。
由于缺乏奖励，参与者表现出高疲劳和职业压力水平。有 44.9%、50.5%和 70.2%的参与者分别存在轻度至重度焦虑和轻度至重度抑郁，以及自我认定的睡眠不佳者。较高的睡眠障碍水平（β=.23，p<.001）、职业压力（β=.21，p<.001）、焦虑（β=.20，p=.016）、抑郁（β=.17，p=.043）、年龄较小（β=-.15，p=.004）和固定工（β=.13，p=.017）是疲劳的影响因素。
需要个人努力和组织干预来提高睡眠质量，以缓解 PHN 的疲劳。此外，组织支持可以考虑到年轻护士和固定工，并减轻他们的职业压力。而且，应该有效地管理焦虑和抑郁，以减少疲劳。
