Lifestyles, Depression, Anxiety, and Stress as Risk Factors in Nursing Apprentices: A Logistic Regression Analysis of 1193 Students in Lima, Peru

Abstract

Currently, it is considered that mental disorders are related to different types of chronic pathologies; for this reason, efforts to improve general health should also focus on preserving mental health. Therefore, the objective of this study was to determine through logistic regression if the independent variables (risk factors) such as (X1) age, (X2) sex, (X3) marital status, (X4) number of children, and (X5) occupation have influence on the dependent variables such as lifestyles, depression, anxiety, and stress in Peruvian nursing students. The research study was descriptive, transversal, and prospective; 1193 nursing students from Chorrillos, Ica, and Chincha were evaluated, which constituted the total population for the 2018 semester. The Health Promoting Life Profile-II (HPLP-II) and the Depression and Anxiety Stress Scale-21 (DASS-21) were used as instruments. 53.9% of nursing students had unhealthy lifestyles; however, they presented moderate (19.7%), slight (14.2%), severe (2.5%), and extremely severe (2.4%) anxiety. With respect to depression, it was found that 61.2% and 59.9% of affected students were stressed. A significant association was found only between depression and age (p=0.040) and OR = 2.0 (95% CI 1.3–3.1), anxiety and marital status (p=0.043) and OR = 1.7 (95% CI 1.0–2.6), and lifestyles and sex of the students (p=0.003) and OR = 1.1 (95% CI 1.1–2.3). Finally, it is concluded that Peruvian nursing students showed levels of anxiety ranging from moderate to extremely severe, while most of them had “normal” states of depression and stress and also showed unhealthy lifestyles.

Effect of Reflex Therapy on Stress and Blood Pressure among Older Adults with Hypertension

“…The chi-square test in this study reveals that there was a significant association found between stress level and marital status, and duration of hypertension physical activity (P<.05). However, a study was carried out by Diaz-Godino, et al evidenced that there was a significant association between anxiety and marital status (P=0.043) [21]. Also, there was a significant association found between systolic BP and education, family type, and physical activity (P<.05) in this present research.…”

Avaliação da ansiedade em estudantes de Enfermagem: revisão integrativa da literatura

“…Em 44 (95,6%) dos estudos selecionados, tal avaliação ocorreu por meio de algum instrumento (Akca, Arslan, Baser, & Kuzucu, 2015;Alshammari, 2019;Amr, El-Gilany, El-Moafee, Salama, & Jimenez, 2011;Baksi, Gumus, & Zengin, 2017;Cheung et al, 2016;Diaz-Godiño et al, 2019;El-Bilsha, 2012;Hollenbach, 2016;Hsiung, Tsai, Chiang, & Ma, 2019;Khawaja, Chan, & Stein, 2017;Maghaminejad et al, 2020;Marchi et al, 2013;Messineo et al, 2015;Mohamadkhani, Alipor, & Hasanzadeh, 2013;Mojarrab, Bazrafkan, & Jaberi, 2020;Plaiti et al, 2016;Samson, 2019;Savitsky, Findling, Ereli, & Hendel, 2020;Silva, Chaves, Duarte, Amaral, & Ferreira, 2016;Son, So, & Kim, 2019;Souto et al, 2012;Sun et al, 2020;Teixeira et al, 2014;Turan et al, 2019).…”

“…Já a DASS-21 avalia respostas de acordo com a semana anterior ao dia em que o instrumento é aplicado. Este subdivide-se em três subescalas: depressão (DASS-D), ansiedade (DASS-A) e estresse (DASS-S), com quatro opções de respostas entre 0 (nada se aplica a mim) e 3 (aplica-se muito a mim e a maior parte do tempo) (Barraza et al, 2015;Cheung et al, 2016;Diaz-Godiño et al, 2019;Rathnayake & Ekanayaka, 2016;Walailak et al, 2018).…”

The predictive role of nursing students' individual characteristics and psychological resilience in psychological distress

“…In a study conducted with a large student population in the United States, female nursing students expressed higher levels of anxiety symptoms than female students in other professions 26 . In a study conducted with 1193 nursing students in Peru, ages between 20 and 29 years were a risk factor for both depression and anxiety, and being a woman was a risk factor for anxiety 27 . Considering the rates of mental illness in the world, women are more affected by depression than men 28 .…”