イランの看護師におけるCOVID-19後のうつ病の流行:体系的なレビューとメタ解析
Hamid Sharif-Nia1,2, Mohammad Heidari3, Mozhgan Moshtagh4
1Psychosomatic Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
BMJ open
|August 25, 2025
まとめ
COVID-19以降,イランの看護師の23%がうつ病を経験し,重大な精神的健康上の負担を強調しています. この重要な医療従事者を支援するには 標的を絞った介入が不可欠です
科学分野:
- 公衆衛生
- 精神 的 な 健康
- 流行病学について
背景:
- COVID-19 パンデミックは,世界的に医療システムに前例のないストレスを及ぼしています.
- 前線で働く看護師は 鬱を含む心理的苦痛に 特に脆弱です
- イランの看護師の間で,COVID-19後のうつ病の流行とリスク要因を理解することは,標的型支援に不可欠です.
研究 の 目的:
- COVID-19 パンデミックに続くイランの看護師のうつ病の集団的流行を体系的にレビューし,メタ分析する.
- 鬱病のリスクが高い人口と職業のサブグループを特定する.
- この集団におけるうつ病を緩和するための介入のための証拠に基づいた勧告を提供すること.
主な方法:
- PRISMAのガイドラインに沿った 体系的なレビューとメタ分析
- 2019年から2024年の研究のための国際的およびイランのデータベース (PubMed,Scopus,Web of Science,Google Scholar,SID) で実施された検索.
- ニューカッスル・オタワスケールを用いたデータ抽出と品質評価,ランダム効果モデルによる集団的流行推定.
主要な成果:
- イランの看護師を対象とした22の研究が含まれた.
- 鬱病の総罹患率は23% (95%CI19%から30%),重大な精神的負担を示しています.
- 高度な学位を持つ看護師と男性看護師は,うつ病のスコアが高く,中程度のうつ病が最も一般的であった (24%).
結論:
- イランの看護師の有意な割合は,COVID-19以降のうつ病を患っており,緊急の精神保健支援を必要としています.
- ストレス管理や アクセシブルなカウンセリングなどの 対応策が推奨されています
- 介護士の福祉と医療制度の回復力にとって 支援的な職場環境を育むための 構造的変化が不可欠です
関連する概念動画
Depression: Overview
332
Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
332
Depressive Disorders: Etiology
166
Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
166
Long-term Depression
31.4K
Long-term depression, or LTD, is one of the ways by which synaptic plasticity—changes in the strength of chemical synapses—can occur in the brain. LTD is the process of synaptic weakening that occurs over time between pre and postsynaptic neuronal connections. The synaptic weakening of LTD works in opposition to synaptic strengthening by long-term potentiation (LTP) and together are the main mechanisms that underlie learning and memory.
31.4K
Current Trends in Nursing II
1.4K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
1.4K
Current Trends in Nursing I
1.7K
Current trends in nursing include:
1.7K
Stress and Mental Health
211
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
211


