مجله دانشگاه علوم پزشکی سبزوار

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بررسی نقش میانجی سلامت معنوی بر ارتباط بین بار کاری ذهنی و خستگی در پرستاران شاغل در بخش های اورژانس شهرستان سبزوار سال ۱۴۰۳-۱۴۰۴

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی پرستاری، کمیته تحقیقات دانشجویی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران

2 دانشیار، گروه بهداشت حرفه‌ای و ایمنی کار، دانشکده بهداشت، مرکز تحقیقات بیماری‌های غیرواگیر، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران

3 استادیار، اپیدمیولوژی، گروه پزشکی اجتماعی، دانشکده پزشکی، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران

4 استاد، گروه پرستاری، دانشکده پرستاری و مامایی، مرکز تحقیقات سلامت سالمندان، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران

چکیده

زمینه و هدف بخش اورژانس یکی از پراسترس‌ترین محیط‌های بیمارستانی است. پرستاران شاغل در اورژانس به دلیل حجم کاری بالا و تصمیم‌گیری‌های سریع، در معرض بار کاری ذهنی و خستگی قرار دارند که می‌تواند کیفیت مراقبت و سلامت شغلی آنان را تحت تأثیر قرار دهد. در این میان، سلامت معنوی به‌عنوان یک عامل بالقوه محافظتی کمتر مورد توجه قرار گرفته است. این پژوهش با هدف بررسی نقش میانجی سلامت معنوی در ارتباط بین بار کاری ذهنی و خستگی پرستاران اورژانس شهرستان سبزوار در سال ۱۴۰4-۱۴۰3انجام شد.
مواد و روش­ها: این مطالعه توصیفی-تحلیلی و مقطعی بر روی ۱۵۷ پرستار شاغل در بخش‌های اورژانس بیمارستان‌های شهرستان سبزوار انجام شد. داده‌ها با استفاده از شاخص بارکاری ذهنی ناسا، پرسش‌نامه خستگی چندبعدی، پرسش‌نامه سلامت معنوی پولوتزین و الیسون و فرم اطلاعات دموگرافیک جمع‌آوری و با نرم‌افزار SPSS نسخه 26 تحلیل شد. آزمون‌های آماری شامل t مستقل، آنالیز واریانس، من-ویتنی، کروسکال-والیس و رگرسیون خطی بود.
یافته­ها: میانگین بارکاری ذهنی 28/14± 35/54 ، خستگی کلی 35/8± 09/60 و سلامت معنوی 43/12 ± 96/72 بود. بارکاری ذهنی با خستگی عمومی، ذهنی و کلی رابطه منفی و معنادار داشت (05/0>P). تمامی ابعاد خستگی با سلامت وجودی و به جز خستگی عمومی، با سلامت معنوی رابطه مثبت و معنادار نشان دادند (001/0>P). بین بارکاری ذهنی و سلامت معنوی ارتباط معناداری مشاهده نشد و نقش میانجی سلامت معنوی تأیید نگردید.
نتیجه‌گیری: در این مطالعه، سلامت معنوی نقش میانجی بین بارکاری ذهنی و خستگی پرستاران اورژانس ایفا نکرد. بررسی سایر متغیرهای میانجی بالقوه در مطالعات آینده توصیه می شود.

تازه های تحقیق

https://scholar.google.ch/citations?user=vbw82MMAAAAJ&hl=vi

https://www.ncbi.nlm.nih.gov/myncbi/collections/mybibliography

https://scholar.google.com/citations?user=uiuvd_sAAAAJ&hl=en

https://pubmed.ncbi.nlm.nih.gov/?term=Fallahi+M&cauthor_id=39214550

https://scholar.google.com/citations?hl=en&user=6gXceXoAAAAJ

https://pubmed.ncbi.nlm.nih.gov/?term=Rajabzadeh+R&cauthor_id=41089629

https://scholar.google.com/citations?user=aaBUOKkAAAAJ&hl=en

https://www.ncbi.nlm.nih.gov/myncbi/mostafa.rad.1/bibliography/public/

 

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Investigating the Mediating Role of Spiritual health in the Relationship Between Mental Workload and Fatigue Among Nurses Working in the Emergency Departments of Sabzevar City (2024-2025)

نویسندگان [English]

  • Razieh Kaghazi 1
  • Majid Fallahi 2
  • Rezvan Rajabzadeh 3
  • Mostafa Rad 4

1 Student Research Committee, School of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran

2 Associate Professor of Occupational Health Engineering, Department of Occupational Health, School of Health, Sabzevar University of Medical Sciences, Sabzevar, Iran.

3 Assistant Professor of Epidemiology, Department of Community Medicine, School of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran

4 Professor, Department of Nursing, School of Nursing and Midwifery, Iranian Research Center of Healthy Aging, Sabzevar University of Medical Sciences, Sabzevar, Iran

چکیده [English]

Background and Objective: The emergency department is among the most stressful hospital environments. Emergency nurses face intense workloads and rapid decision-making demands, leading to high mental workload and fatigue, which can compromise care quality and their own well-being. Despite its potential as a protective factor, spiritual health has received little attention in this context. This study aimed to investigate the mediating role of spiritual health in the relationship between mental workload and fatigue among emergency nurses in Sabzevar, Iran in 2024-2025.
Materials and Methods: A descriptive-analytical cross-sectional design was used, involving 157 emergency nurses from hospitals affiliated with Sabzevar University of Medical Sciences. Data were collected using the NASA Task Load Index, the Multidimensional Fatigue Inventory, the Paloutzian and Ellison Spiritual Health Scale, and a demographic questionnaire. Data analysis was performed in SPSS 26 using independent t-tests, ANOVA, Mann-Whitney, Kruskal-Wallis, and linear regression.
Results: The mean mental workload was 54.35 ± 14.28, overall fatigue was 60.09 ± 8.35, and spiritual health was 72.96 ± 12.4. Mental workload showed a significant negative correlation with general, mental, and overall fatigue (p < 0.05). All fatigue dimensions were positively related with existential health and spiritual health (except general fatigue) (p < 0.001). However, no significant association was found between mental workload and spiritual health, so the hypothesized mediating role was not confirmed.
Conclusion: The findings of the present study suggest that spiritual health does not mediate the impact of mental workload on fatigue in this population. Future research should explore other potential mediators in this complex relationship.

کلیدواژه‌ها [English]

  • Mental Workload
  • Fatigue
  • Emergency Department
  • Spiritual Well-being
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مجله دانشگاه علوم پزشکی سبزوار
دوره 33، شماره 3
مرداد و شهریور 1405
صفحه 1144-1155
فایل ها
سابقه مقاله
  • تاریخ دریافت: 16 دی 1404
  • تاریخ بازنگری: 07 اسفند 1404
  • تاریخ پذیرش: 14 اردیبهشت 1405
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