Date of Award

12-2023

Degree Type

Thesis

Degree Name

MS in Epidemiology & Biostatistics

First Advisor

Dr. Masood Kadir

Second Advisor

Mr. Iqbal Azam

Third Advisor

Dr. Wajeeha

Department

Community Health Sciences

Abstract

Background: Mental health is defined as the state of wellbeing of a person while he/she deals with the pressures of life and can give input to his/her community productively. Depression and anxiety disorders are the leading problems in mental health with stress being their precursor. In Pakistan the prevalence of depression and anxiety ranges from 20% to 60% which makes it a public health concern particularly in the health sector itself.
Aim: To assess depression, anxiety and stress and its association with shift duties among nurses at a tertiary care hospital and to assess quality of life and family function among these nurses.
Setting and Design: An analytical cross-sectional study was conducted at a tertiary care hospital in Karachi Pakistan.
Methods: Total 295 nurses were part of this study from different wards of the hospital. A self-administered questionnaire was used in which DASS-21, WHOQOL BREF and Family Function APGAR tools were used, after assessing their eligibility and signing of the consent forms. A Multinomial Logistic Regression analysis was carried out on STATA version.
Results: Out of 295 nurses 46(15.6%) of nurses were working fixed duties while 249(84.4%) were assigned shifts(rotational). Among nurses performing fixed duties 30.4% reported symptoms of depression, while 36.9% reported anxiety and 34.7% reported having symptoms of stress. Whereas among the nurses assigned rotational(shift) 50.6% reported symptoms of depression, while 54.6% reported anxiety and 57.8% reported having symptoms of stress. The rotational (shift) duties remained significant along with quality-of-life as the explanatory variables for depression, anxiety and stress among nurses. The odds of rotational shift were 2.6 (1.80-6.67) among nurses with depression, anxiety and stress compared to others, while controlling for quality-of-life.
Conclusion: We can conclude that depression anxiety and stress is prevalent among the registered nurses of the Hospital. Moreover, rotational shifts and perception of quality of life remain significant predictors of depression anxiety and stress.

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