| Association of individual and work-related factors as well as fatigue and quality of life (QoL) with the occurrence
of mental health problems (MHPs) among 990 Iranian hospital nurses was investigated in this cross-sectional
study. A questionnaire was used to collect data on individual and work-related factors, MHPs (by the General
Health Questionnaire [GHQ–12]), fatigue (using the Multi-dimensional Fatigue Inventory [MFI–20]), and QoL
(using the World Health Organization Quality of Life–BREF [WHOQOL–BREF]). MHPs (26.2% had GHQ–12
score≥4), fatigue (particularly general, physical and mental fatigue), and poor QoL were frequent among
nurses. Multivariate logistic regression modelling indicated that job experience (years), total fatigue score of the
MFI–20 and its general fatigue and mental fatigue dimensions, as well as psychological health and social relationship
domains of the WHOQOL–BREF were independently associated with the presence of MHPs. The
findings add to the understand of the potential consequences of adverse working conditions of hospital nurses
and highlight the need for ergonomic and psychosocial interventions to improve fatigue, QoL and mental health
status in this occupational group. |