Depression among Iranian nurses: A systematic review and meta-analysis

Shahri, Sahar Sadat Saeedi; Ghashghaee, Ahmad; Behzadifar, Masoud; Bragazzi, Nicola Luigi; Behzadifar, Meysam; Mousavinejad, Nasrin; Ghaemmohamadi, Mozhgan Sadat; Ebadi, Faezeh; Seyedin, Hesam

doi:10.14196/mjiri.31.130

Cited by 19 publications

(12 citation statements)

References 32 publications

(32 reference statements)

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“…It has been reported that the psychological wellbeing of nurses plays a significant role in nursing care and prevention of the spread of disease in patients during pandemics such as COVID-19 (35). Accordingly, special attention to nurses and psychological support is felt strongly for promoting the care provided to patients (36).…”

Section: Discussionmentioning

confidence: 99%

Depression, Death Anxiety, and the Related Factors in Nurses Caring for COVID-19 Patients at Kosar Hospital, Semnan, Iran

Nobahar

Talebi

Amaniyan

et al. 2021

Int J Health Life Sci

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Background: The high incidence of COVID-19 has provided a challenge for healthcare systems in Iran, and may result in some psychological problems. Objectives: The study aims at describing depression, death anxiety, and the related factors in nurses caring for COVID-19 Patients at Kosar Hospital, Semnan, Iran. Methods: In this cross-sectional study, 89 nurses caring for COVID-19 patients were selected in October 2020 via the census method. A demographic questionnaire, Beck’s Depression inventory, and Templer Death Anxiety scale were used to collect the required data. The collected data were analyzed using SPSS software version 20. Results: The mean scores of death anxiety and depression among nurses were 7.32 ± 1.75 and 10.82 ± 8.50 respectively. The results of the Pearson’s correlation-coefficient showed a significant positive correlation between death anxiety and depression (P = 0.05), death anxiety and nurses’ age (P < 0.05), death anxiety, and nurses’ work experience (P < 0.05). Conclusions: The findings of the study revealed that nurses caring for COVID-19 patients are at high risk of death anxiety and depression. Thus, there is a need to identify these problems to prevent or reduce them with effective interventions.

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Section: Discussionmentioning

confidence: 99%

Depression, Death Anxiety, and the Related Factors in Nurses Caring for COVID-19 Patients at Kosar Hospital, Semnan, Iran

Nobahar

Talebi

Amaniyan

et al. 2021

Int J Health Life Sci

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“…We may see that both student and professional nurses, especially in Asia, have a very high prevalence of depression; this prevalence is higher than even that of older patients with diseases such as stroke, hypertension, diabetes and coronary heart disease [ 47 ], and is similar to that of empty-nest elderly individuals [ 48 ]. In addition, the prevalence of depression among Chinese nurses is higher than that of nurses in Iran [ 49 ] and Chinese Hong Kong [ 50 , 51 ], Australian midwives [ 52 ], and Hungarian [ 53 ] and Australian [ 54 ] nurses. However, to our surprise, only 13.2% of nurses in Vietnam have depression [ 55 ], as well as 24.9% of Iranian nurses working in military hospitals [ 56 ].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of depressive symptoms among nurses in China: A systematic review and meta-analysis

Xie

Yan

Wang³

et al. 2020

PLoS ONE

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Background Depression is one of the most common mental disorders, profoundly impacting an individual's performance and quality of life. Due to their unique working conditions, nursing is counted among the occupational groups at high risk for developing depression. Because of the shortage of nursing resources in China, Chinese nurses suffer from heavy daily workloads more than those in many other countries. Therefore, this study aimed to evaluate the overall prevalence of depressive symptoms and analyse the potential risk factors of depressive symptoms in Chinese nurses. Methods A systematic literature search in PubMed, EMBASE, Web of Science, the Chinese BioMedical Literature Database (CBM), the China National Knowledge Infrastructure (CNKI), and the Weipu and Wanfang databases up to Dec 31st, 2019 was performed regarding the prevalence of depressive symptoms in Chinese nurses. Eligibility assessment and data extraction were performed independently by 2 researchers, and meta-analysis was used to synthesize the data. Heterogeneity was evaluated using Cochran's Q test and quantified using the I 2 statistic. To explore the potential source of heterogeneity, subgroup analyses were also performed. In addition, both funnel plot and Egger's tests were adopted to assess publication bias. Results A total of 102 studies published from 1996 to 2019 covering 22 provinces were included for further analysis. The total number of participants was 52,592, with a range of 46 to 7205 per study. The overall prevalence of depressive symptoms in Chinese nurses was 43.83% (95% CI: 40.26%-47.42%), and 31.12% (95%CI: 27.30%-35.07%) were classified as mild degrees of depressive symptoms. The prevalence of depressive symptoms may be significantly affected by region, province or municipality and department marital status. Moreover, an increasing trend in the prevalence of depressive symptoms was observed in recent years.

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“…Mental ill-health is a serious concern in the nursing profession [19][20][21][22]; it is one of the leading causes of sickness absence in the UK National Health Service (NHS), incurring a significant financial burden to healthcare services [11]. Rates of work-related stress, emotional exhaustion and burnout are high [23,24], and the prevalence of depression may be higher in nurses than in the general population [25]. There are many complex organisational issues that may impact on nurses' mental wellbeing and care quality (e.g., staffing shortages and workload, turnover, failure to retain staff, and shift patterns).…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Lifestyle Health Promotion Interventions for Nurses: A Systematic Review

Stanulewicz

Knox

Narayanasamy

et al. 2019

IJERPH

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Background: Prior research has investigated various strategies to improve health, wellbeing and the job-related outcomes of nurses. However, the scope of this evidence is not clear and the types of intervention most likely to have positive outcomes are unknown. Objective: To provide an overview and synthesis of the effectiveness of interventions conducted with the goal of improving health, wellbeing and the job-related outcomes of nurses. Methods: A systematic database search was conducted from January 2000 to December 2018, with pre-defined criteria (Cochrane Central Register of Controlled Trials; MEDLINE and PubMed; EMBASE; CINAHL; PsycINFO; and BioMed Central). In total, 136 intervention studies with a total sample of 16,129 participants (range 9–3381) were included and evaluated. Data extraction, quality assessment and risk of bias analyses were performed. Results: Studies included randomised controlled trials (RCTs; n = 52, 38%), randomised crossover design studies (n = 2, 1.5%) and non-randomised pre-post studies with a control group (n = 31, 23%) and without a control group (n = 51, 37.5%). The majority of interventions focused on education, physical activity, mindfulness, or relaxation. Thirty-seven (27%) studies had a multimodal intervention approach. On average, studies had relatively small samples (median = 61; mode = 30) and were conducted predominantly in North America (USA/Canada, n = 53). The findings were mixed overall, with some studies reporting benefits and others finding no effects. Dietary habits was the most successfully improved outcome (8/9), followed by indices of body composition (20/24), physical activity (PA) (11/14), and stress (49/66), with >70% of relevant studies in each of these categories reporting improvements. The lowest success rate was for work-related outcomes (16/32). Separate analysis of RCTs indicated that interventions that focus solely on education might be less likely to result in positive outcomes than interventions targeting behavioural change. Conclusions: Interventions targeting diet, body composition, PA, or stress are most likely to have positive outcomes for nurses’ health and/or wellbeing. The methodologically strongest evidence (RCTs) is available for body composition and stress. Interventions relying solely on educational approaches are least likely to be effective. Organisational outcomes appear to be more challenging to change with lifestyle intervention, likely requiring more complex solutions including changes to the work environment. There is a need for more high-quality evidence since many studies had moderate or high risk of bias and low reporting quality.

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Depression among Iranian nurses: A systematic review and meta-analysis

Cited by 19 publications

References 32 publications

Depression, Death Anxiety, and the Related Factors in Nurses Caring for COVID-19 Patients at Kosar Hospital, Semnan, Iran

Depression, Death Anxiety, and the Related Factors in Nurses Caring for COVID-19 Patients at Kosar Hospital, Semnan, Iran

Prevalence of depressive symptoms among nurses in China: A systematic review and meta-analysis

Effectiveness of Lifestyle Health Promotion Interventions for Nurses: A Systematic Review

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