Seo Eun Hyun, Lee Jae-Hon, MacDougall Arlene, Liu Nancy, Hofkirchner Alexander, Sharma Simran, Elfakhani Mohamad, Yoon Hyung-Jun
Premedical Science, College of Medicine, Chosun University, Gwangju, Republic of Korea.
Department of Psychiatry, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.
Psychiatry Investig. 2024 Jan;21(1):100-108. doi: 10.30773/pi.2023.0305. Epub 2024 Jan 12.
Recently, burnout and mental health issues regarding nurses are reported increasingly. This study aimed to investigate the prevalence of anxiety symptoms among hospital nurses and determine their association with psychological and job-related factors.
Data on demographics, job-related characteristics, burnout, Type A behavior patterns, self-esteem, and happiness were collected from 515 nurses working at a university hospital in Korea. Anxiety symptoms were assessed using the anxiety subscale of the Hospital Anxiety and Depression Scale, with scores of 8 or higher indicating the presence of anxiety symptoms. Demographic, job-related, and psychological factors were compared according to the presence of anxiety. Logistic regression was conducted to identify factors associated with anxiety symptoms.
Two hundred and four (39.6%) participants had anxiety symptoms. Self-esteem and happiness were associated with a lower risk of anxiety symptoms, whereas burnout was associated with a higher risk of anxiety symptoms. Furthermore, being female, having a career of less than five years, and requiring counseling due to stress were associated with a higher risk of anxiety symptoms. Being younger, female, or a basic nurse; having a career of less than five years; partaking in shift work; experiencing job dissatisfaction; requiring counseling due to stress; being exposed to higher levels of burnout; and having lower levels of self-esteem and happiness were all found to be significantly correlated with anxiety symptoms.
These findings suggest that promoting self-esteem and happiness while reducing burnout may be beneficial in preventing and managing anxiety symptoms among hospital nurses.
最近，有关护士职业倦怠和心理健康问题的报道日益增多。本研究旨在调查医院护士中焦虑症状的患病率，并确定其与心理和工作相关因素的关联。
收集了韩国一家大学医院515名护士的人口统计学、工作相关特征、职业倦怠、A型行为模式、自尊和幸福感数据。使用医院焦虑抑郁量表的焦虑分量表评估焦虑症状，得分8分及以上表明存在焦虑症状。根据是否存在焦虑比较人口统计学、工作相关和心理因素。进行逻辑回归以确定与焦虑症状相关的因素。
204名（39.6%）参与者有焦虑症状。自尊和幸福感与焦虑症状风险较低相关，而职业倦怠与焦虑症状风险较高相关。此外，女性、工作年限不足五年以及因压力需要咨询与焦虑症状风险较高相关。年龄较小、女性、基础护士；工作年限不足五年；从事轮班工作；经历工作不满意；因压力需要咨询；暴露于较高水平的职业倦怠；以及自尊和幸福感水平较低均与焦虑症状显著相关。
这些发现表明，在减少职业倦怠的同时提升自尊和幸福感可能有助于预防和管理医院护士的焦虑症状。
