背景:三级医院的护士患抑郁症的风险很高。了解睡眠质量和感知压力可能有助于护士的心理健康和与健康相关的护理生产力。这项研究的目的是调查睡眠质量和感知压力对三级医院护士抑郁症状的作用。
方法:通过横断面调查,在中国23家三级医院招募了2,780名护士(总有效率=91.1%)。问卷包括抑郁自评量表,匹兹堡睡眠质量指数,和中国人感知压力量表。在卡方检验中显著的变量被进一步输入二元逻辑逐步回归。
结果:抑郁症状的患病率为60.3%(n=1,676),其中97.4%(n=1,633)是女性,77.8%年龄小于35岁(n=1,304)。患有中度疾病的护士,可怜的,严重的睡眠质量和不良的感知压力更容易抑郁。硕士学位,6-10年的工作,体力活动是保护因素,相反的情况是轮班工作和高度不满。
结论:在三级护理医院工作的护士中有一半以上报告有抑郁症状,较低的睡眠质量和较高的感知压力与此更相关。感知压力是一个有趣的概念,这可能为众所周知的观点提供了一个新的切入点,即睡眠质量差与抑郁之间存在关系。通过提供有关睡眠健康和缓解压力的信息,可以减少公立医院护士的抑郁症状。
Nurses in tertiary hospitals are at high risk for depression. Understanding sleep quality and perceived stress may contribute to nurses\' mental health and health-related nursing productivity. The aim of this study was to investigate the role of sleep quality and perceived stress on depressive symptoms among nurses in tertiary hospitals.
A total of 2,780 nurses (overall response rate = 91.1%) were recruited through a cross-sectional survey in 23 tertiary hospitals in
China. Questionnaires included the Self-Rating Depression Scale, the Pittsburgh Sleep Quality Index, and the Chinese Perceived Stress Scale. Variables that were significant in Chi-square tests were further entered into binary logistic stepwise regression.
The prevalence of depressive symptoms was 60.3% (n = 1,676), of which 97.4% (n = 1,633) were female, and 77.8% were younger than 35 years (n = 1,304). Nurses who had moderate, poor, severe sleep quality and poor perceived pressure were more likely to be depressed. Master\'s degree, 6-10 years of work, and physical activity were protective factors, while the opposite was the case for shift work and high dissatisfaction.
More than half of nurses working in tertiary care hospitals reported depressive symptoms, and lower sleep quality and higher perceived stress were more associated with this. Perceived stress is an interesting concept, which may provide a new entry point for the well-known idea that there is a relationship between poor sleep quality and depression. It is possible to reduce depressive symptoms among public hospital nurses by providing information on sleep health and stress relief.