评估护士焦虑和抑郁症的验证工具:系统性审查
Gabriel Reyes Rodríguez1, Leticia Cuellar-Pompa2, Natalia Rodríguez Novo3
1Nursing Department, Hospital Universitario Nuestra Señora de la Candelaria, 38010 Santa Cruz de Tenerife, Spain.
International journal of environmental research and public health
|November 27, 2025
概括
护士经常经历焦虑和抑郁症. 这次审查确定了像PHQ-9和GAD-7这样的常见查工具,但强调了在护理人群中需要更好的验证.
科学领域:
- 护理研究 护理研究
- 心理健康评估 心理健康评估
- 心理测量验证 心理测量验证
背景情况:
- 护士报告高焦虑和抑郁率.
- 经过验证的仪器对于评估护士的这些情况至关重要.
- 这项研究旨在确定现有的护士心理健康评估工具.
研究的目的:
- 系统地审查和识别用于评估护士焦虑和抑郁症的仪器.
- 评估目前使用的工具的特性和局限性.
主要方法:
- 进行了2014-2024年间发表的定量研究的系统审查.
- 在 MEDLINE,Embase,CINAHL 和 PsycINFO 数据库中进行了搜索.
- 从22项涉及10,710名护士的研究中提取数据,使用JBI检查清单评估质量.
主要成果:
- 22项研究符合纳入标准,主要使用具有中度至高偏差风险的横截面设计.
- 最常用的工具是患者健康问卷 (PHQ-9),全局焦虑障碍7项量表 (GAD-7),一般健康问卷 (GHQ-28) 和贝克抑郁 inventory (BDI).
- PHQ (包括PHQ-2和PHQ-9) 是最常见的衡量标准;由于异质性,元分析是不可行的.
结论:
- 现有的工具可以支持护士的常规心理健康查.
- 限制包括依赖自我报告措施和缺乏正式的跨文化验证在执业护士.
- 未来的选计划应该将自我报告工具与客观指标和标准化协议相结合,优先考虑上下文验证和纵向设计.
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