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    Please use this identifier to cite or link to this item: http://ir.cnu.edu.tw/handle/310902800/32270


    標題: Risks of treated anxiety, depression, and insomnia among nurses: A nationwide longitudinal cohort study
    作者: Huang, Charles Lung-Cheng
    Wu, Ming-Ping
    Ho, Chung-Han
    Wang, Jhi-Joung
    貢獻者: Chi Mei Med Ctr, Dept Psychiat
    Chia Nan Univ Pharm & Sci, Dept Social Work
    Chi Mei Med Ctr, Dept Obstet & Gynecol, Div Urogynecol & Pelv Floor Reconstruct
    Chia Nan Univ Pharm & Sci, Ctr Gen Educ
    Chi Mei Med Ctr, Dept Med Res
    Chia Nan Univ Pharm & Sci, Dept Hosp & Hlth Care Adm
    關鍵字: Health-Care
    Psychiatric-Nurses
    Female Nurses
    Work Stress
    Shift Work
    Symptoms
    Seeking
    Taiwan
    Somatization
    Disorder
    日期: 2018-09-25
    上傳時間: 2019-11-15 15:47:34 (UTC+8)
    出版者: PUBLIC LIBRARY SCIENCE
    摘要: The high level of occupational stress and burnout among nurses can lead to insomnia, anxiety, and depression. However, the actual risks for healthcare-seeking for these stress-related mental health problems among nurses are still unclear. The aim of this study was to explore the risks and influencing factors of treated anxiety, depression, and insomnia among nurses. We used claims data obtained from the 2010 National Health Insurance Research Database (NHIRD) in Taiwan. Hospital nurses who had at least 3 coded ambulatory care claims or 1 inpatient claim with a principal diagnosis of anxiety, depression, or insomnia were identified. A cohort of 46,120 nurses and 92,240 matched controls were included. All the study subjects were followed up until the onset of any of the aforementioned outcomes, death, or the end of 2012. Results showed that the adjusted hazard ratios (HRs) for treated anxiety, depression, and insomnia among all the nurses were 0.91 (95% CI, 0.88-0.95), 0.59 (95% CI, 0.55-0.63), and 1.43 (95% CI, 1.38-1.48), respectively. Furthermore, the risks of these psychiatric problems in healthcare-seeking nurses were affected by age, gender, hospital level, and job tenure. Our findings suggest that hospital nurses have lower hazards of treated anxiety and depression than the general population, although they have a higher hazard of treated insomnia. There may be undertreatment in some subgroups of nurses with different demographic and working characteristics.
    link: http://dx.doi.org/10.1371/journal.pone.0204224
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