Bozkurt Tuğba Mutlu, Öztürk Mehmet Ali
Physical Education and Sports School, Bitlis Eren University, Bitlis, Türkiye.
Psychiatry Investig. 2025 Mar;22(3):311-319. doi: 10.30773/pi.2024.0245. Epub 2025 Mar 18.
Nurses belong to a professional cohort that frequently experiences depression and stress. The objective of this research was to examine the correlation between objective physical activity (PA) with depression and stress among nurses, with a specific focus on the mediating role of resilience.
This study employed the descriptive-correlation method. One-hundred twenty-seven nurses (76 women) working in hospitals in Bitlis province, Türkiye in 2023 were selected using a convenience sampling. To measure PA, depression, stress, and resilience, ActiGraph GT3X-BT accelerometer, Beck Depression Inventory, Perceived Stress Scale, and Connor-Davidson Resilience Scale were utilized, respectively. Data analysis was conducted using Pearson correlation test and structural equation modeling.
Nurses, particularly women, experienced a moderate level of depression and stress. Moreover, the number of step counts was significantly higher in day vs. night shift. Overall, the nurses in this study, especially women, engaged in PA levels that were significantly below the international guidelines for adults (p<0.001). Additionally, higher intensity levels of PA (i.e., moderate PA [MPA] and vigorous PA [VPA]) were found to be linked with reduced levels of depression (β=-0.528, β=-0.410, respectively) and stress (β=-0.605, β=-0.531, respectively). Lastly, resilience was identified as a significant mediator in the correlation between MPA and VPA with depression and stress (p<0.05).
These findings hold great significance as they demonstrate the positive impact of both resilience and PA on the mental well-being of nurses. It is advisable for healthcare authorities to formulate policies and strategies aimed at enhancing the overall stability and performance of the healthcare sector.
护士属于经常经历抑郁和压力的专业群体。本研究的目的是检验护士客观身体活动（PA）与抑郁和压力之间的相关性，特别关注心理韧性的中介作用。
本研究采用描述性相关方法。2023年，采用便利抽样法从土耳其比特利斯省医院工作的127名护士（76名女性）中选取研究对象。分别使用ActiGraph GT3X - BT加速度计、贝克抑郁量表、感知压力量表和康纳 - 戴维森心理韧性量表来测量身体活动、抑郁、压力和心理韧性。使用Pearson相关检验和结构方程模型进行数据分析。
护士，尤其是女性，经历了中度的抑郁和压力。此外，日班的步数明显高于夜班。总体而言，本研究中的护士，尤其是女性，其身体活动水平显著低于国际成人指南（p<0.001）。此外，较高强度的身体活动（即中度身体活动[MPA]和剧烈身体活动[VPA]）与较低的抑郁水平（β分别为 - 0.528和 - 0.410）和压力水平（β分别为 - 0.605和 - 0.531）相关。最后，心理韧性被确定为MPA和VPA与抑郁和压力之间相关性的显著中介因素（p<0.05）。
这些发现具有重要意义，因为它们证明了心理韧性和身体活动对护士心理健康的积极影响。医疗保健当局宜制定旨在提高医疗保健部门整体稳定性和绩效的政策和策略。
