参与儿童忽视相关虐待案件的公共卫生护士的抑郁及相关因素

IF 3.1 3区医学 Q1 NURSING

International Journal of Nursing Sciences Pub Date : 2025-09-01 DOI:10.1016/j.ijnss.2025.08.006

Ayano Ogata , Ayako Ide-Okochi

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引用次数: 0

摘要

目的了解从事儿童忽视相关虐待案件的公共卫生护士抑郁的发生情况及其相关因素。方法考虑到地理多样性和主要城市地区，于2023年1月至3月在日本7个地区中选择的13个县的所有市对从事妇幼保健或儿童和家庭福利并从事与儿童忽视有关的虐待案件的初级保健护士进行了横断面研究。患者健康问卷-2用于筛查抑郁症。统计分析包括卡方检验、Mann-Whitney U检验和logistic回归分析。结果共有359人提供有效回复。其中，11.4%的人患有抑郁症。与抑郁相关的显著个体因素为管理阶段护士（OR = 6.27, 95% CI: 1.63 ~ 24.18）、无残疾福利经历（OR = 3.49, 95% CI: 1.05 ~ 11.55）、过去一年内被分配为高危病例（OR = 8.28, 95% CI: 2.07 ~ 33.08）和较低的工作控制（OR = 0.53, 95% CI: 0.32 ~ 0.86）。工作场所环境因素是较低的感知和工作场所内的关系（OR = 0.43, 95% CI: 0.29-0.65）和感知人力不安全（OR = 9.07, 95% CI: 1.17-70.40）。结论护理人员的心理健康措施应包括：加强工作负荷管理和减轻负担，重视管理护理人员的负担，促进沟通和相互支持，并提供从事残疾人福利工作的机会。

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Depression and related factors among public health nurses engaged in cases of child neglect-related abuse

Objectives

To evaluate the occurrence of depression and its related factors among public health nurses (PHNs) engaged in child neglect-related abuse cases.

Methods

A cross-sectional study of PHNs involved in maternal and child health or child and family welfare, and engaged in cases of child neglect-related abuse was conducted from January to March 2023 in all municipalities of 13 prefectures selected from Japan’s seven regions, considering geographic diversity and major urban areas. The Patient Health Questionnaire-2 was used to screen for depression. Statistical analyses included the Chi-square test, Mann–Whitney U test, and logistic regression analysis.

Results

A total of 359 provided valid responses. Among them, 11.4 % screened positive for depression. Significant individual factors related depression were management-stage nurses (OR = 6.27, 95 %CI: 1.63–24.18), no disability welfare experience (OR = 3.49, 95 %CI: 1.05–11.55), being assignment of high-risk cases within the past year (OR = 8.28, 95 %CI: 2.07–33.08), and lower work control (OR = 0.53, 95 %CI: 0.32–0.86). Workplace environment factors were lower perceptions and relationships within the workplace (OR = 0.43, 95 %CI: 0.29–0.65) and perceiving manpower as not secured (OR = 9.07, 95 %CI: 1.17–70.40).

Conclusions

Mental health measures for PHNs should include workload management and reduced burdens through workforce enhancement, attention to burdens on managerial PHNs, promoting communication and mutual support, and opportunities to engage in disability welfare work.

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来源期刊

International Journal of Nursing Sciences Nursing-Nursing (all)

CiteScore

6.10

自引率

2.60%

发文量

408

审稿时长

25 days

期刊介绍： This journal aims to promote excellence in nursing and health care through the dissemination of the latest, evidence-based, peer-reviewed clinical information and original research, providing an international platform for exchanging knowledge, research findings and nursing practice experience. This journal covers a wide range of nursing topics such as advanced nursing practice, bio-psychosocial issues related to health, cultural perspectives, lifestyle change as a component of health promotion, chronic disease, including end-of-life care, family care giving. IJNSS publishes four issues per year in Jan/Apr/Jul/Oct. IJNSS intended readership includes practicing nurses in all spheres and at all levels who are committed to advancing practice and professional development on the basis of new knowledge and evidence; managers and senior members of the nursing; nurse educators and nursing students etc. IJNSS seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Contributions are welcomed from other health professions on issues that have a direct impact on nursing practice.