Department of Pediatrics, The Lu'an Hospital Affiliated to Anhui Medical University, The Lu'an People's Hospital, Lu'an, China.
Medical School of Chinese PLA, Beijing, China.
Front Public Health. 2023 Jun 27;11:1122626. doi: 10.3389/fpubh.2023.1122626. eCollection 2023.
This cross-sectional survey aimed to investigate the prevalence of depression among medical staff and its risk factors as well as the association between depression, anxiety, headache, and sleep disorders.
Stratified random cluster sampling was used to select medical staff from various departments of four hospitals in Sanya City. The Self-Rating Depression Scale (SDS), Self-Rating Anxiety Scale (SAS), and Pittsburgh Sleep Quality Index (PSQI) were used to quantitatively assess depression, anxiety, and sleep disorders. Correlation and regression analyses were performed to determine factors affecting the depression occurrence and scores.
Among 645 medical staff members, 548 (85%) responded. The 1-year prevalence of depression was 42.7% and the prevalence of depression combined with anxiety, headache, and sleep disorders was 23, 27, and 34.5%, respectively. The prevalence of depression in women, nurses, the unmarried or single group, and the rotating-shift population was significantly higher than that in men (48.3% vs. 27.1%, odds ratio OR = 2.512), doctors (55.2% vs. 26.7%, OR = 3.388), the married group (50.5% vs. 35.8%, OR = 1.900), and the day-shift population (35.2% vs. 7.5%, OR = 1.719). The occurrence of depression was correlated with anxiety, sleep disorders, headache, and migraines, with anxiety having the highest correlation (Spearman's Rho = 0.531). The SDS was significantly correlated with the SAS and PSQI (Spearman's Rho = 0.801, 0.503) and was also related to the presence of headache and migraine (Spearman Rho = 0.228, 0.159). Multiple logistic regression indicated that nurse occupation and anxiety were risk factors for depression, while grades of anxiety, sleep disorders and nurse occupation were risk factors for the degree of depression in multiple linear regression.
The prevalence of depression among medical staff was higher than that in the general population, especially among women, nurses, unmarried people, and rotating-shift workers. Depression is associated with anxiety, sleep disorders, headache, and migraines. Anxiety and nursing occupation are risk factors for depression. This study provides a reference for the promotion of occupational health among medical professionals.
本横断面调查旨在研究医务人员抑郁的患病率及其危险因素，以及抑郁、焦虑、头痛和睡眠障碍之间的关系。
采用分层随机整群抽样方法，选取三亚市 4 家医院各科室医务人员进行调查。采用抑郁自评量表（SDS）、焦虑自评量表（SAS）和匹兹堡睡眠质量指数（PSQI）对抑郁、焦虑和睡眠障碍进行定量评估。采用相关和回归分析确定影响抑郁发生和评分的因素。
在 645 名医务人员中，有 548 名（85%）做出回应。1 年抑郁患病率为 42.7%，抑郁合并焦虑、头痛和睡眠障碍的患病率分别为 23%、27%和 34.5%。女性、护士、未婚或单身群体以及轮班人群的抑郁患病率显著高于男性（48.3%比 27.1%，比值比 OR=2.512）、医生（55.2%比 26.7%，OR=3.388）、已婚群体（50.5%比 35.8%，OR=1.900）和白班人群（35.2%比 7.5%，OR=1.719）。抑郁的发生与焦虑、睡眠障碍、头痛和偏头痛相关，其中焦虑的相关性最高（Spearman's Rho=0.531）。SDS 与 SAS 和 PSQI 显著相关（Spearman's Rho=0.801、0.503），且与头痛和偏头痛的发生相关（Spearman Rho=0.228、0.159）。多因素 logistic 回归分析表明，护士职业和焦虑是抑郁的危险因素，而焦虑程度、睡眠障碍和护士职业是多元线性回归中抑郁程度的危险因素。
医务人员的抑郁患病率高于一般人群，尤其是女性、护士、未婚人员和轮班人员。抑郁与焦虑、睡眠障碍、头痛和偏头痛有关。焦虑和护士职业是抑郁的危险因素。本研究为促进医务人员职业健康提供了参考。
