Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran.
Student Research Committee, School of Public Health, Qazvin University of Medical Sciences, Qazvin, Iran.
Sci Rep. 2024 Jul 10;14(1):15913. doi: 10.1038/s41598-024-66357-7.
Occupational stress is a complex concept resulting from interaction among personnel, work environment, and cultural contexts. It can cause mental health issues, including clinical mental disorders, as well as emotional challenges like depression, anxiety, cognitive difficulties, and feeling sad. As a vulnerable group, healthcare professionals, especially nurses, experience a high rate of occupational stress. Therefore, we aimed to study the relationship between occupational stress, mental health problems, and self-efficacy among the nursing population. A cross-sectional study was conducted among 365 nurses selected through a two-stage sampling process from tertiary hospitals in Qazvin, Iran, between July and September 2022. Study variables included occupational stress measured by the persian version of the health and safety executive management standards revised indicator tool (MS-RIT), the general health questionnaire containing 28 questions measuring psychological distress in four primary areas of somatic and anxiety symptoms, sleep disorders, social dysfunction, and depression [GHQ-28], and general self-efficacy [GSE-10]. The mentioned variables and some of the nurses' demographic characteristics, including age, gender, education, and work experience, were analyzed using moderated multiple regression, descriptive statistics, and the Pearson correlation coefficient.The Pearson correlation analysis revealed a statistically significant association between self-efficacy and occupational stress (r = 0.62, P = 0.000) and self-efficacy and mental health (r = 0.67, P = 0.01). Regression analysis demonstrated that occupational stress accounted for 42% of the variation in mental health (R = 0.42, P < 0.01). The results also showed that self-efficacy moderates the relationship between occupational stress and mental health, with a significant effect (P < 0.01). The elevated prevalence of occupational stress and the concerning state of mental health among nurses highlight the need for the implementation of intervention programs, including stress prevention strategies at the workplace through organizing better working shifts, as well as increasing nurses' self-efficacy and their effective participation in work-related tasks aiming to enhance working conditions for nurses.
职业压力是一个复杂的概念，源于人员、工作环境和文化背景的相互作用。它会导致心理健康问题，包括临床精神障碍，以及情绪挑战，如抑郁、焦虑、认知困难和悲伤。作为一个弱势群体，医疗保健专业人员，特别是护士，面临着很高的职业压力。因此，我们旨在研究护理人群中的职业压力、心理健康问题和自我效能感之间的关系。一项横断面研究在伊朗卡泽伦的三所医院中，通过两阶段抽样程序，从 2022 年 7 月至 9 月期间，共选择了 365 名护士进行。研究变量包括职业压力，用修正的健康和安全执行管理标准指标工具（MS-RIT）的波斯语版本来衡量，28 个问题的一般健康问卷，用于衡量四个主要领域的心理困扰，即躯体和焦虑症状、睡眠障碍、社会功能障碍和抑郁[GHQ-28]，以及一般自我效能感[GSE-10]。使用调节多元回归、描述性统计和 Pearson 相关系数分析了上述变量和一些护士的人口统计学特征，包括年龄、性别、教育和工作经验。Pearson 相关分析显示，自我效能感与职业压力（r=0.62，P=0.000）和自我效能感与心理健康（r=0.67，P=0.01）之间存在统计学显著关联。回归分析表明，职业压力占心理健康变化的 42%（R2=0.42，P<0.01）。结果还表明，自我效能感调节职业压力和心理健康之间的关系，具有显著影响（P<0.01）。护士中职业压力和心理健康问题的高发率凸显了实施干预计划的必要性，包括通过组织更好的轮班来预防工作场所的压力，以及提高护士的自我效能感和让他们有效参与工作相关任务，以改善护士的工作条件。
