Kayaroganam Rajarajan, Sarkar Sonali, Satheesh Santhosh, Tamilmani Santhi, Sivanantham Parthibane, Kar Sitanshu S
Department of Preventive and Social Medicine (P&SM), Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.
Department of Cardiology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.
J Family Med Prim Care. 2022 Nov;11(11):6765-6771. doi: 10.4103/jfmpc.jfmpc_2313_21. Epub 2022 Dec 16.
Nurses are constantly exposed to physical and mental stress due to the nature of their job. Estimating the prevalence and the factors associated with psychological distress among nurses is crucial to devise health promotion strategies. We conducted this study to determine the prevalence of psychological distress and its associated factors among nurses working in a teaching institute in Puducherry.
We conducted a cross-sectional study among 1217 nursing employees aged between 21 and 60 years from May 2019 to April 2020. We assessed psychological distress by using a self-administered general health questionnaire-12 (GHQ-12). Participants having a GHQ-12 score of ≥ 3 were considered to have psychological distress. Chi-squared test and adjusted prevalence ratio (aPR) were used to determine the factors associated with psychological distress.
The response rate was 99% (1217/1229), and the majority 943 (77.5%) were women. The mean (SD) GHQ-12 score among nurses was 1.88 (2.6). More than one-fourth of nurses, that is, 27.2% (95% CI: 24.8-29.7) had psychological distress. Psychological distress was significantly higher among women (aPR = 1.08, 95% CI: 1.02-1.14), those having less than ten years of work experience (aPR = 1.08, 95% CI: 1.00-1.18), those with poor sleep quality (aPR = 1.29, 95% CI: 1.22-1.35), and those having severe to dangerous level of workplace stress (aPR = 1.27, 95% CI: 1.17-1.39).
We report a high prevalence of psychological distress among nurses, especially among women, those having poor sleep quality, and those having severe to dangerous level of workplace stress. We highlight that reducing workplace stress and improving sleep hygiene can be vital in improving mental health status.
由于工作性质，护士经常面临身心压力。估计护士心理困扰的患病率及其相关因素对于制定健康促进策略至关重要。我们开展这项研究以确定在本地治里一所教学机构工作的护士中心理困扰的患病率及其相关因素。
2019年5月至2020年4月，我们对1217名年龄在21至60岁之间的护理人员进行了一项横断面研究。我们使用自我管理的一般健康问卷-12（GHQ-12）评估心理困扰。GHQ-12得分≥3的参与者被认为有心理困扰。采用卡方检验和调整患病率比（aPR）来确定与心理困扰相关的因素。
回复率为99%（1217/1229），大多数943名（77.5%）为女性。护士的平均（标准差）GHQ-12得分为1.88（2.6）。超过四分之一的护士，即27.2%（95%可信区间：24.8 - 29.7）有心理困扰。女性（aPR = 1.08，95%可信区间：1.02 - 1.14）、工作经验少于十年的人（aPR = 1.08，95%可信区间：1.00 - 1.18）、睡眠质量差的人（aPR = 1.29，95%可信区间：1.22 - 1.35）以及工作场所压力处于重度至危险水平的人（aPR = 1.27，95%可信区间：1.17 - 1.39）的心理困扰明显更高。
我们报告护士中，尤其是女性、睡眠质量差的人以及工作场所压力处于重度至危险水平的人，心理困扰患病率很高。我们强调减轻工作场所压力和改善睡眠卫生对于改善心理健康状况可能至关重要。
