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Abstract：
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 (R2 = 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.
摘要：
职业压力是一个复杂的概念，由人员之间的相互作用而产生。工作环境,和文化背景。它会导致心理健康问题，包括临床精神障碍,以及抑郁等情绪挑战，焦虑,认知困难，感到悲伤。作为弱势群体,医疗保健专业人员,尤其是护士,经历很高的职业压力率。因此,我们的目的是研究职业压力之间的关系，心理健康问题,护理人群的自我效能感。在Qazvin三级医院通过两阶段抽样过程选择的365名护士中进行了横断面研究，伊朗,2022年7月至9月。研究变量包括通过健康与安全执行管理标准修订指标工具（MS-RIT）的波斯版本测量的职业压力，一般健康问卷包含28个问题，测量躯体和焦虑症状的四个主要领域的心理困扰，睡眠障碍,社会功能障碍,和抑郁症[GHQ-28]，和一般自我效能感[GSE-10]。上述变量和一些护士的人口统计特征，包括年龄,性别,教育,和工作经验,使用适度多元回归进行分析，描述性统计，和皮尔逊相关系数。Pearson相关分析显示,自我效能感与职业紧张(r=0.62,P=0.000)、自我效能感与心理健康(r=0.67,P=0.01)之间存在显著相关性。回归分析显示,职业紧张占心理健康变异的42%(R2=0.42,P<0.01)。结果还表明，自我效能感调节了职业紧张与心理健康之间的关系，显效(P<0.01)。护士中职业压力的患病率升高和精神健康状况的关注凸显了实施干预计划的必要性。包括通过组织更好的工作班次在工作场所预防压力的策略，以及提高护士的自我效能和他们有效参与旨在改善护士工作条件的工作相关任务。
