The role of sleep quality and perceived stress on depressive symptoms among tertiary hospital nurses: a cross-sectional study

BMC Psychiatry

Research

Andy SK Cheng¹  Sha Wang²  Min Liu²  Yi Zhou³  Jianfei Xie³  Gang Gan³  Kewei Wang⁴  Ning Qin⁵  Chun Zhang⁵  Xiaofei Luo⁵ 

[1] Department of Rehabilitation Sciences, Hong Kong Polytechnic University, Hong Kong, China;Nursing Department, The Third Xiangya Hospital, Xiangya School of Nursing, Central South University, Central South University, Changsha, Hunan, China;Nursing Department, The Third Xiangya Hospital, Xiangya School of Nursing, Central South University, Central South University, Changsha, Hunan, China;Xiangya School of Nursing, Central South University, Changsha, Hunan, China;Pediatrics Research Institute of Hunan Province, Hunan Children’s Hospital, Changsha, Hunan, China;Xiangya School of Nursing, Central South University, Changsha, Hunan, China;

关键词: Depressive symptoms;    Sleep quality;    Mental health;    Nurse practitioner;   

DOI  :  10.1186/s12888-023-04936-0

 received in 2023-04-13, accepted in 2023-06-07,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundNurses 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.MethodsA 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.ResultsThe 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.ConclusionsMore 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.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

Fig. 1