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中国护理专业人员心理健康和躯体健康症状的职业阶段差异:一项横断面研究。

Career stage variations in mental and somatic health symptoms among nursing professionals in China: a cross-sectional study.

作者信息

Mo Tiancheng, Wang Pengju, Liu Lixin, Wang Yujiao, Wang Rui

机构信息

Department of Mental Health, The First Hospital of Jilin University, No. 1, Xinmin Street, Chaoyang District, Changchun, Jilin Province, 130021, China.

Department of Nursing, The First Hospital of Jilin University, Changchun, 130021, China.

出版信息

BMC Nurs. 2025 Jun 6;24(1):647. doi: 10.1186/s12912-025-03251-1.

Abstract

OBJECTIVE

Nursing staff health status is pivotal to healthcare system resilience during global health crises. This study aims to comprehensively evaluate nurses' mental health profiles, focusing on the prevalence of depression, anxiety, and somatization symptoms and their associations with career development stages, to inform targeted health interventions.

METHODS

A cross-sectional assessment of 107 nurses from a tertiary hospital was conducted using validated scales: Patient Health Questionnaire-9 (PHQ-9) for depression, Generalized Anxiety Disorder-7 (GAD-7) for anxiety, and Patient Health Questionnaire-15 (PHQ-15) for somatization. Demographic variables included gender, age, education level, professional title, marital status, parenthood, and work experience. Multivariate logistic regression, chi-square tests, and Fisher's exact test were employed to analyze associations between education, age, professional title, and mental health outcomes.

RESULTS

Most nurses exhibited no significant depression (81.3%) or anxiety (75.7%) symptoms. However, higher education levels (OR = 2.1, p = 0.03) and younger age (OR = 1.9, p = 0.04) were linked to elevated depression and anxiety risks. Somatization symptoms were predominantly mild-to-moderate (68.2%), with professional title significantly correlating with severity (p = 0.01), suggesting career-stage-specific stress impacts physical health.

CONCLUSION

Career development stages critically influence nurses' psychological and somatic health. Tailored mental health interventions and occupational support strategies are essential to mitigate stress disparities across career phases, optimize nursing resources, and enhance healthcare efficacy.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

目的

在全球卫生危机期间,护理人员的健康状况对于医疗系统的恢复力至关重要。本研究旨在全面评估护士的心理健康状况,重点关注抑郁、焦虑和躯体化症状的患病率及其与职业发展阶段的关联,以为有针对性的健康干预提供依据。

方法

使用经过验证的量表对一家三级医院的107名护士进行横断面评估:用患者健康问卷-9(PHQ-9)评估抑郁,用广泛性焦虑障碍-7(GAD-7)评估焦虑,用患者健康问卷-15(PHQ-15)评估躯体化。人口统计学变量包括性别、年龄、教育水平、职称、婚姻状况、是否育有子女以及工作经验。采用多因素逻辑回归、卡方检验和费舍尔精确检验来分析教育、年龄、职称与心理健康结果之间的关联。

结果

大多数护士没有明显的抑郁(81.3%)或焦虑(75.7%)症状。然而,较高的教育水平(比值比[OR]=2.1,p=0.03)和较年轻的年龄(OR=1.9,p=0.04)与抑郁和焦虑风险升高有关。躯体化症状主要为轻度至中度(68.2%),职称与严重程度显著相关(p=0.01),表明职业阶段特定的压力会影响身体健康。

结论

职业发展阶段对护士的心理和身体健康有至关重要的影响。量身定制的心理健康干预措施和职业支持策略对于减轻不同职业阶段的压力差异、优化护理资源以及提高医疗效能至关重要。

临床试验编号

不适用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9460/12142912/c9c7a938cc28/12912_2025_3251_Fig1_HTML.jpg

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