Depressive symptoms among Chinese nurses: prevalence and the associated factors
Depressive symptoms among Chinese nurses: prevalence and the associated factors
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DOI：
10.1111/j.1365-2648.2011.05832.x
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发表时间：
2012-05-01
影响因子：
3.8
通讯作者：
Wang, Lie
中科院分区：
文献类型：
--
作者：
Gao, Yu-Qin;Pan, Bo-Chen;Wang, Lie
目的。本文是一份关于中国公立城市医院护士抑郁症状及其相关因素的调查报告。背景。众所周知，医院护士的工作环境对心理和体力要求很高，这可能会导致抑郁症状。然而，针对中国护士这一问题的研究却很少。方法。 2009年，随机抽取辽宁省7家城市医院进行横断面调查，采用中文版流行病学研究中心抑郁量表测量护士的抑郁症状。工作内容问卷和努力-回报失衡、人口特征、生活方式和工作条件作为相关因素进行测量。结果。共有1592名护士参与研究，有效率为79.5%。护士抑郁症状患病率为61.7%（n = 886），其中74.9%（n = 664）有轻度抑郁症状。多因素Logistic回归分析显示，较低的职级、较高的过度投入、饮酒、较差的护患关系和较高的教育背景与抑郁症状呈正相关，而主管支持、规律膳食、进行体育锻炼、较高的技能判断力和较高的工作满意度与抑郁症状呈负相关。结论。超过一半的中国护士有抑郁症状。由于抑郁症状可能会对生活质量和护理质量产生不利影响，因此向护士提供健康生活方式的咨询、工作压力应对技巧以及向管理人员提供改善工作环境的社会方面的建议可能有助于减少护士的抑郁症状。
Aim. This article is a report of exploration of depressive symptoms and the associated factors among Chinese nurses working at public city hospitals. Background. Hospital nurses are known to work in psychologically and physically demanding work environment, which may lead to depressive symptoms. However, little research has been done to address this problem in Chinese nurses. Methods. A cross-sectional survey was carried out in seven randomly selected city hospitals of Liaoning Province, northeast of China in 2009. Depressive symptoms of the nurses were measured with the Chinese version of the Center for Epidemiologic Studies Depression Scale. Job Content Questionnaire and the effort-reward imbalance, demographic features, life style and work conditions were measured as the related factors. Results. A total of 1592 nurses participated in the study and the effective response rate was 79.5%. The prevalence of depressive symptoms among the nurses was 61.7% (n = 886), of whom 74.9% (n = 664) had mild depressive symptoms. Multivariate logistic regression analysis showed that lower job rank, higher over commitment, alcohol consumption, worse nursepatient relationship and higher education background were positively associated with depressive symptoms, whereas supervisor support, taking regular meals, doing physical exercises, higher skill discretion and higher job satisfaction were negatively associated with depressive symptoms. Conclusion. More than half of the Chinese nurses had depressive symptoms. As depressive symptoms may adversely affect quality of life and quality of care, consultation for the nurses with healthy life styles, work stress coping techniques and advice to administrator to improve social aspects of the work environment might be helpful to reduce the depressive symptoms in nurses.