Association between long working hours and mental health among nurses in China under COVID-19 pandemic: based on a large cross-sectional study.

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  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 100968559 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-244X (Electronic) Linking ISSN: 1471244X NLM ISO Abbreviation: BMC Psychiatry Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BioMed Central, [2001-
    • Subject Terms:
      COVID-19*/epidemiology ; Nurses*; Humans ; Mental Health ; Cross-Sectional Studies ; Pandemics ; SARS-CoV-2 ; Anxiety/epidemiology ; China/epidemiology ; Depression/psychology
    • Abstract:
      Objective: Nurses were more likely to experience mental disorders due to long working hours and irregular schedules. However, studies addressing this issue are scarce; therefore, we aimed to investigate the association between long working hours and mental health in Chinese nurses during the coronavirus disease pandemic.
      Methods: A cross-sectional study was conducted with 2,811 nurses at a tertiary hospital in China from March to April 2022. We collected data on demographic, psychological characteristics, dietary habits, life, and work-related factors using a self-reported questionnaire and measured mental health using Patient Health Questionnaire-9 and General Anxiety Disorder-7. Binary logistic regression to determine adjusted odds ratios and 95% confidence intervals.
      Results: The effective response rates were 81.48%, 7.80% (219), and 6.70% (189) of the respondents who reported depression and anxiety, respectively. We categorized the weekly working hours by quartiles. Compared with the lowest quartile, the odds ratios and 95% confidence intervals across the quartiles for depression after adjustment were 0.98 (0.69, 1.40), 10.58 (2.78, 40.32), and 1.79 (0.81, 3.97) respectively, the P for trend was 0.002. The odds ratios across the quartiles for anxiety after adjustment were 0.87 (0.59, 1.30), 8.69 (2.13, 35.46), and 2.67 (1.26, 5.62), respectively, and the P for trend was 0.008.
      Conclusions: This study demonstrated that extended working hours increased the risk of mental disorders among nurses during the coronavirus disease pandemic, particularly in those who worked more than 60 h per week. These findings enrich the literature on mental disorders and demonstrate a critical need for additional studies investigating intervention strategies.
      (© 2023. The Author(s).)
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    • Contributed Indexing:
      Keywords: Anxiety; COVID-19; Depression; Nurses; Working hours
    • Publication Date:
      Date Created: 20230407 Date Completed: 20230411 Latest Revision: 20230415
    • Publication Date:
      20240829
    • Accession Number:
      PMC10080503
    • Accession Number:
      10.1186/s12888-023-04722-y
    • Accession Number:
      37029359