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护士的心理困扰:探索摩洛哥工作场所支持的作用。

Psychological distress among nurses: Exploring the role of support in the work-place in Morocco.

作者信息

Alahiane Latifa, Ikrou Ali, Ventriglio Antonio, Essaffani Hicham, Zaam Youssef, Abouqal Redouane, Belayachi Jihane

机构信息

Laboratory of Biostatistics, Clinical, and Epidemiological Research, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco.

Department of Nursing and Health Techniques, Ibn Sina University Hospital, Rabat, Morocco.

出版信息

Int J Soc Psychiatry. 2025 May;71(3):479-488. doi: 10.1177/00207640241294200. Epub 2024 Nov 1.

Abstract

AIM

This study aimed to assess the psychological distress, specifically anxiety and depression, among nurses employed at University Hospital Center of Rabat in Morocco and tested the associations between support in the workplace and nurses' psychological well-being.

METHODS

A cross-sectional observational study was conducted at University Hospital Center of Rabat in Morocco, based on a prospective data collection employing an ad-hoc self-report questionnaire. 223 nurses were enrolled with a minimum of 1 year of practice in any care unit. Socio-demographic and professional characteristics of each participant were included. A validated tool was utilized to measure the support from superiors and colleagues in the workplace, while the Hospital Anxiety and Depression Scale (HADS) was employed to evaluate anxiety and depression. Univariate and multivariate analyses were conducted to explore the relationships between different independent and dependent variables.

RESULTS

Significant socio-demographic and professional factors associated with increased anxiety included female gender, age over 41 years old, Baccalaureate level of education, intention to leave the hospital, and less support from superiors. Regarding the levels of depression, the Baccalaureate level of education was significantly associated with higher levels of depressive symptoms (β 2.444; CI [1.203, 3.686]).

CONCLUSIONS

Our findings suggested that ensuring support from superiors was crucial for safeguarding the psychological well-being of nurses. Therefore, hospital managers should prioritize addressing the workplace support for professionals, and the organizational enhancement.

摘要

目的

本研究旨在评估摩洛哥拉巴特大学医学中心护士的心理困扰,特别是焦虑和抑郁情况,并测试工作场所支持与护士心理健康之间的关联。

方法

在摩洛哥拉巴特大学医学中心进行了一项横断面观察性研究,基于采用专门设计的自填式问卷进行前瞻性数据收集。纳入了223名在任何护理单元至少有1年工作经验的护士。记录了每位参与者的社会人口统计学和专业特征。使用经过验证的工具来衡量工作场所上级和同事的支持,同时采用医院焦虑抑郁量表(HADS)来评估焦虑和抑郁。进行单因素和多因素分析以探讨不同自变量和因变量之间的关系。

结果

与焦虑增加相关的显著社会人口统计学和专业因素包括女性、年龄超过41岁、学士学位教育水平、打算离开医院以及上级支持较少。关于抑郁水平,学士学位教育水平与较高的抑郁症状水平显著相关(β 2.444;可信区间[1.203, 3.686])。

结论

我们的研究结果表明,确保上级的支持对于维护护士的心理健康至关重要。因此,医院管理人员应优先解决对专业人员的工作场所支持问题,并加强组织建设。

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