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护士的轮班工作、心理健康障碍与工作安全感:一项横断面研究。

Shift Work, Psychological Health Disorders, and Job Security Among Nurses: A Cross-Sectional Study.

作者信息

Alghamdi Rokaya, Bahari Ghareeb

机构信息

Medical Surgical Department, College of Nursing, King Saud University, Riyadh 11421, Saudi Arabia.

Nursing Administration and Education Department, College of Nursing, King Saud University, Riyadh 11421, Saudi Arabia.

出版信息

Healthcare (Basel). 2025 Jan 22;13(3):221. doi: 10.3390/healthcare13030221.

Abstract

BACKGROUND/OBJECTIVES: Shift work is prevalent among nurses, often leading to adverse psychological effects, such as fatigue, depression, anxiety, and stress. Understanding how shift work contributes to psychological health disorders can help healthcare organizations identify critical areas where support should be offered. This study aimed to determine the relationships between shift work, psychological health disorders, and job security among nurses in Saudi Arabia.

METHODS

This cross-sectional study included 163 nurses, recruited via convenience sampling. The participants completed an online questionnaire that assessed demographic variables, psychological disorders, fatigue, and job security. The data were analyzed using descriptive statistics as well as bivariate analyses to explore relationships between variables.

RESULTS

Most participants (73%) worked 12 h shifts, and 67.5% reported fair sleep quality. We found significant correlations among shift work, fatigue, and common psychological disorders. Significant differences were also observed for fatigue ( = 0.007) and depression ( = 0.008). Both nationality ( < 0.001) and shift work ( = 0.015) were correlated with anxiety. Similarly, significant differences were found for nationality ( = 0.001) and shift work ( = 0.002) regarding stress.

CONCLUSIONS

These findings underscore the psychological challenges faced by nurses related to shift work, emphasizing the importance of addressing fatigue and mental health. Healthcare organizations should implement strategies to enhance job security and support nurses' well-being to ultimately improve both nurse satisfaction and patient care outcomes. Further research is warranted to explore effective interventions and the long-term effects of shiftwork on nursing professionals.

摘要

背景/目的:轮班工作在护士群体中很普遍,常常会导致不良心理影响,如疲劳、抑郁、焦虑和压力。了解轮班工作如何导致心理健康问题有助于医疗保健机构确定应提供支持的关键领域。本研究旨在确定沙特阿拉伯护士的轮班工作、心理健康问题和工作安全感之间的关系。

方法

这项横断面研究纳入了163名通过便利抽样招募的护士。参与者完成了一份在线问卷,该问卷评估了人口统计学变量、心理障碍、疲劳和工作安全感。使用描述性统计以及双变量分析对数据进行分析,以探索变量之间的关系。

结果

大多数参与者(73%)上12小时轮班,67.5%的人报告睡眠质量一般。我们发现轮班工作、疲劳和常见心理障碍之间存在显著相关性。在疲劳(P = 0.007)和抑郁(P = 0.008)方面也观察到了显著差异。国籍(P < 0.001)和轮班工作(P = 0.015)均与焦虑相关。同样,在国籍(P = 0.001)和轮班工作(P = 0.002)方面,压力也存在显著差异。

结论

这些发现强调了护士因轮班工作而面临的心理挑战,突出了解决疲劳和心理健康问题的重要性。医疗保健机构应实施策略来提高工作安全感并支持护士的福祉,以最终提高护士满意度和患者护理结果。有必要进行进一步研究,以探索有效的干预措施以及轮班工作对护理专业人员的长期影响。

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