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首页> 外文期刊>International Journal of Mental Health Systems >Stress, anxiety and depression in clinical nurses in Vietnam: a cross-sectional survey and cluster analysis
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Stress, anxiety and depression in clinical nurses in Vietnam: a cross-sectional survey and cluster analysis

机译：越南临床护士的压力，焦虑和抑郁：横断面调查和聚类分析

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Background Hospital nurses are exposed to various work-related factors that may be associated with increased risk of developing different mental disorders. Empirical evidence on the prevalence and correlates of individual mental health problems such as stress, anxiety and depression is widely reported, while a combined pattern of these conditions is unknown. This study aims to examine the co-occurrence of stress, anxiety and depression among clinical nurses, and to explore socio-demographic characteristics of, and working conditions experienced by, nurses that may be associated with these three mental health conditions. Methods A cross-sectional study was implemented in one tertiary hospital in Hanoi city, Vietnam, from May to September 2015. A self-reported questionnaire including a short version of the Depression, Anxiety and Stress scale 21 items and questions on demographic and work-related characteristics was delivered to 787 registered nurses. 600 completed questionnaires was used in the final analysis (76.2% response rate). The two-step clustering analysis was performed to identify sub groups. Chi square test and post hoc ANOVA analysis with Bonferroni correction were used to examine differences in psychological status, demographic characteristics and working conditions among the clusters (two-tailed p??0.05). Results The prevalence of self-reported stress, anxiety and depression were 18.5%, 39.8% and 13.2%, respectively. 45.3% participants reported symptoms of at least one mental disorder, 7.3% had all three. Nurses in the first cluster (high prevalence of mental disorders), had high task demand and conflict at work with low job control and reward. The second cluster nurses (moderate percentage of mental strain) were significantly older and in marital relationship, high task demand and job control, and presence of chronic diseases. The lowest proportion of self-perceived mental disorders were observed in the cluster three who were younger and had fewer years of services, moderate task demand and low job control and better physical health in comparison with those in the other two clusters (p??0.05). Conclusions Stress, anxiety and depression were prevalent among clinical nurses. Heterogeneity in demographic characteristics and working conditions were observed across clusters with different patterns of mental disorders. Institutional effort should be emphasized to support nurses in their career development to reduce psychological strains.
机译：背景技术医院护士面临各种与工作有关的因素，这些因素可能与患不同精神障碍的风险增加有关。关于个体心理健康问题（例如压力，焦虑和抑郁）的患病率和相关性的经验证据已得到广泛报道，而这些情况的综合模式尚不清楚。这项研究旨在检查临床护士中压力，焦虑和抑郁的同时发生，并探讨可能与这三种心理健康状况相关的护士的社会人口统计学特征以及所经历的工作条件。方法横断面研究于2015年5月至2015年9月在越南河内市的一家三级医院中进行。一份自我报告的问卷，包括抑郁，焦虑和压力量表的简短版本21项，以及有关人口统计学和工作的问题。相关特征已提供给787名注册护士。最终分析中使用了600份完整的问卷（76.2％的答复率）。进行了两步聚类分析以识别子组。卡方检验和事后方差分析（采用Bonferroni校正）用于检验集群之间的心理状态，人口统计学特征和工作条件的差异（两尾p <0.05）。结果自我报告的压力，焦虑和抑郁的患病率分别为18.5％，39.8％和13.2％。 45.3％的参与者报告至少有一种精神障碍的症状，7.3％的人同时患有这三种疾病。第一类（精神障碍患病率很高）中的护士，任务要求高，工作冲突，工作控制和奖励低。第二群护士（中等精神压力百分比）年龄较大，婚姻关系密切，任务需求和工作控制较高，并且患有慢性病。与其他两个组相比，在三个年轻人中，自我感知的精神障碍所占的比例最低，这三个组较年轻，服务年限较短，任务需求适中，工作控制力低，身体健康较好（p？<？ 0.05）。结论临床护士普遍存在压力，焦虑和抑郁。在具有不同精神障碍模式的人群中观察到人口学特征和工作条件的异质性。应强调机构上的努力，以支持护士的职业发展，以减少心理压力。

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