LEVEL OF STRESS, ANXIETY AND DEPRESSION AMONG NURSES WORKING AT HAYATABAD MEDICAL COMPLEX PESHAWAR PAKISTAN

Main Article Content

Anis Fatima
Sardar Ali
Nasreen Ghani
Bakhtyar Ali Shah

Abstract

OBJECTIVE: To determine the level of stress, anxiety and depression among nurses working at Hayatabad Medical Complex, Peshawar, Pakistan


METHODS: This descriptive cross-sectional study was conducted on registered nurses working in Inpatient departments of Hayatabad Medical Complex, Peshawar, Pakistan. Sample size was calculated through Raosoft Software and the calculated sample size was 109. A non-probability consecutive sampling technique was used for data collection. Data was collected through a validated questionnaire, Depression, Anxiety and Stress Scale (DASS-21). Study was approved by Institutional Ethical Review Committee of the hospital. Questionnaires were distributed among the participants and got 100 complete and nine incomplete questionnaires. Incomplete questionnaires were excluded from analysis.


RESULTS: Out of 100 participants, 74 (74%) were females, 71 (71%) aged ≤30 years, 56 (56%) were single, 65 (65%) were diploma holders & 61 (61%) had work experience of ≤5 years. The mean score of anxiety and depression was 19.9±3.5 while the mean score for stress was 13.5±1.8. Depression was found in 78% (severe/extremely severe=31%), anxiety in 78% (severe/extremely severe=40%) and stress in 54% (severe/extremely severe=13%) cases. Younger age (p=0.03), female gender (p<0.01), being married (p<0.01) and work experience ≤5 years (p<0.01) were associated with stress, anxiety and depression.


CONCLUSION: The level of stress, anxiety and depression were much higher among nurses working in a teaching hospital of Peshawar. Younger age, female gender, being married and work experience up to 5 years were significantly associated with stress, anxiety and depression.

Article Details

How to Cite
Fatima, A., S. Ali, N. Ghani, and B. Shah. “LEVEL OF STRESS, ANXIETY AND DEPRESSION AMONG NURSES WORKING AT HAYATABAD MEDICAL COMPLEX PESHAWAR PAKISTAN”. KHYBER MEDICAL UNIVERSITY JOURNAL, Vol. 12, no. 4, Dec. 2020, pp. 321-5, doi:10.35845/kmuj.2020.19214.
Section
Original Articles

References

1. Maharaj S, Lees T, Lal S. Prevalence and risk factors of depression, anxiety, and stress in a cohort of Australian nurses. Int J Environ Res Public Health 2018 Dec 27;16(1):61. DOI: 10.3390/ijerph16010061.
2. Gong Y, Han T, Yin X, Yang G, Zhuang R, Chen Y, Lu Z. Prevalence of depressive symptoms and work-related risk factors among nurses in public hospitals in southern China: A cross-sectional study. Sci Rep 2014 Nov 27;4:7109. DOI: 10.1038/srep07109.
3. Atindanbila S, Abasimi E, Anim MT. A Study of Work Related Depression, Anxiety and Stress of Nurses at Pantang Hospital in Ghana. Res Human Soc Sci 2012;2(09).
4. Khan S, Khan RA. Chronic stress leads to anxiety and depression. Ann Psychiatry Ment Health 2017 Jan;5(1):1091.
5. Yau YH, Potenza MN. Stress and eating behaviors. Minerva Endocrinol 2013 Sep;38(3):255-67.
6. Welsh D. Predictors of depressive symptoms in female medical-surgical hospital nurses. Issues Ment Health Nurs 2009 May;30(5):320-6. DOI: 10.1080/01612840902754537.
7. Zandi A, Sayari R, Ebadi A, Sanainasab H. Frequency of depression, anxiety and stress in military Nurses. Iranian J Mil Med 2011;13(2):103-8.
8. Cheung T, Yip PS. Depression, anxiety and symptoms of stress among Hong Kong nurses: a cross-sectional study. Int J Environ Res Public Health 2015 Sep 7;12(9):11072-100.
9. World Health Organization. Depression and other common mental disorders: global health estimates. [Accessed on: April 02, 2019]. Available from URL: https://minoritynurse.com/depression-in-nurses-the-unspoken-epidemic/
10. Lampert L. Depression in Nurses: The Unspoken Epidemic. Minority, Nursing Stress Managemen 2016. [Accessed on: April 02, 2019]. Available from URL: https://minoritynurse.com/depression-in-nurses-the-unspoken-epidemic
11. Gao YQ, Pan BC, Sun W, Wu H, Wang JN, Wang L. Anxiety symptoms among Chinese nurses and the associated factors: a cross sectional study. BMC Psychiatry 2012 Dec; 12(1):141. DOI: 10.1186/1471-244X-12-141.
12. WHO Department of Mental Health and Substance Abuse. DEPRESSION A Global Public Health Concern. World Health Organization. Geneva.2014.p6-8. [Accessed on: April 02, 2019]. Available from URL: http://www.who.int/mental_health/management/depression/whopaperdepressionwfmh
13. Khodadadi E, Hosseinzadeh M, Azimzadeh R, Fooladi M. The relation of depression, anxiety and stress with personal characteristics of nurses in hospitals of Tabriz, Iran. Int J Med Res Health Sci 2016;5(5):140-8.
14. Opie T, Lenthall S, Wakerman J, Dollard M, MacLeod M, Knight S, et al. Occupational stress in the Australian nursing workforce: a comparison between hospital-based nurses and nurses working in very remote communities. Aust J Adv Nurs 2011 Jun 1;28(4):36-43.
15. Subih M, Alamer R, Al Hadid L, Alsatari M. Stressors Amongst Jordanian Nurses Working in Different Types of Hospitals and the Effect of Selected Demographic Factors: A Descriptive Explorative Study. Jordan Med J 2011 Dec;171(781):1-20.
16. Al-Makhaita HM, Sabra AA, Hafez AS. Predictors of work-related stress among nurses working in primary and secondary health care levels in Dammam, Eastern Saudi Arabia. J Family Community Med 2014 May; 21(2):79-84. DOI: 10.4103/2230-8229.134762
17. Khan N, Anwar H, Sayed M. Prevalence of Stress Factors in Nurses in Leady Reading Hospital (LRH), Khyber Teaching Hospital (KTH) and Hayatabad Medical Complex (HMC) Hospitals, Peshawar, KPK. Int J Innov Res Dev 2015;4(4).
18. Kibria, MG. Prevalence of Stress and Coping Mechanism Among Staff Nurses of Intensive Care Unit in a Selected Hospital. Int J Neurosurg 2018;2(1):8–12. DOI: 10.11648/j.ijn.20180201.12.
19. National Institute of Mental Health. Depression; NIMH: Bethesda, MD, USA, 2009.
20. Letvak S, Ruhm CJ, McCoy T. Depression in hospital-employed nurses. Clin Nurse Specialist 2012 May 1;26(3):177-82. DOI: 10.1097/NUR.0b013e3182503ef0.
21. Tabrizi KN, Kavari SH. A study of depression prevalence in nurses and its effective factors in shiraz namazi hospital. Eur Psychiatr 2011, 26, 640. DOI: 10.1016/S0924-9338(11)72346-X.
22. DASS Scoring Instruction. [Accessed on: April 04, 2019]. Available from https://serene.me.uk/tests/dass-score-guide.pdf
23. Lovibond SH, Lovibond PF. Manual for the Depression Anxiety & Stress Scales. 2nd Ed. Sydney: Psychology Foundation. 1995.
24. Ardekani ZZ, Kakooei H, Ayattollahi SM, Choobineh A, Seraji GN. Prevalence of mental disorders among shift work hospital nurses in Shiraz, Iran. Pak J Biological Sci 2008 Jun;11(12):1605-9.
25. Li S, Li L, Zhu X, Wang Y, Zhang J, Zhao L, et al. Comparison of characteristics of anxiety sensitivity across career stages and its relationship with nursing stress among female nurses in Hunan, China. BMJ 2016 May 1;6(5):e010829. DOI: 10.1136/bmjopen-2015-010829.