Author/Authors :
Saeedi Shahri, Sahar Sadat Student Research Committee - School of Health Management and Information Sciences Branch - Iran University of Medical Sciences, Tehran, Iran , Ghashghaee, Ahmad Student Research Committee - School of Health Management and Information Sciences Branch - Iran University of Medical Sciences, Tehran, Iran , Behzadifar, Masoud Health Management and Economics Research Center - Iran University of Medical Sciences, Tehran, Iran , Bragazzi, Nicola Luigi School of Public Health - Department of Health Sciences (DISSAL) - University of Genoa, Genoa, Italy , Behzadifar, Meysam Social Determinants of Health Research Center - Lorestan University of Medical Sciences, Khorramabad, Iran , Mousavinejad, Nasrin Department of Epidemiology - Faculty of Health & Nutrition - Lorestan University of Medical Sciences, Khorramabad, Iran , Ghaemmohamadi, Mozhgan Sadat Student Research Committee - School of Health Management and Information Sciences Branch - Iran University of Medical Sciences, Tehran, Iran , Ebadi, Faezeh Student Research Committee - School of Health Management and Information Sciences Branch - Iran University of Medical Sciences, Tehran, Iran , Seyedin, Hesam Department of Health Services Management - School of Health Management and Information Sciences - Iran University of Medical Sciences, Tehran, Iran
Abstract :
Background: Depression is one of the most commonly diagnosed mental disorders. Nurses and other hospital service providers are a
group at high risk for developing depression. Thus, knowing the prevalence of depression among nurses can help the health care decisionmakers
to plan ad hoc prevention programs to control depression in this group. This study was conducted to quantitatively assess the
prevalence of depression in nurses by performing a systematic review and meta-analysis.
Methods: ISI/Web of Science (WoS), PubMed/MEDLINE via Ovid, PsychInfo, and Embase, as well as Iranian databases such as
Irandoc, SID, and Magiran were searched from January 2000 to March 2017. To calculate the pooled prevalence rate, the random effects
model based on the DerSimonian-Laird approach was used. I2 and the Q tests were used to examine heterogeneity among studies. To
investigate the causes and sources of heterogeneity, the impact of such variables as quality, sample size, geographic region, and criteria
used to diagnose depression was analyzed performing subgroup analyses. The quality of reviewed studies was assessed according to the
22-item STROBE checklist. Sensitivity analysis was performed to investigate the stability and robustness of the obtained results. All
data were analyzed using the “meta” package included in the R Software Version 3.4.0.
Results: A total of 30 studies were retained in the current investigation. The overall prevalence of depression was 22% [95%CI 19-
27] among nurses, with a high statistically significant heterogeneity (I2= 94% and Q-test= 479.87).
Conclusion: This rate was higher than the prevalence of depression among the general population in Iran. Presence of happy nurses
with good mental state at hospitals is essential for promoting the care provided to patients.
Keywords :
Meta-analysis , Systematic Review , Iran , Nurses , Depression
