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occupational stress

در نشریات گروه پزشکی
  • Azam Valian, Ahmad Najafi-Abrandabadi, Zahra Aber Ansari, Seyed Abdolmajid Bahreinian, Faezeh Maeghool, Leila Mohsenzadeh*
    Objectives

    Determining the job (occupational or work-related) stress of dental school faculty members is necessary for planning to improve the quality of dental education and the health and oral health status of people in society. This study aimed to determine the job stress of dental school faculty members in Tehran.

    Methods

    In this descriptive cross-sectional study, 167 faculty members of Islamic Azad, Tehran, Shahed, and Shahid Beheshti dental schools were selected by convenience sampling, and using Osipow’s Occupational Stress Inventory, their job stress in six fields was evaluated. Osipow’s Occupational Stress Inventory was scored on a 5-point Likert scale from 1 to 5. Each phrase was rated on a scale from 1 to 5, with 1 indicating 'never' and 5 indicating 'most of the time.' The data were analyzed using t-test, Kruskal-Wallis, and ANOVA.

    Results

    Most faculty members of dental schools in Tehran experienced low to moderate job stress across various fields. 60% had low-moderate job stress in the role workload, 75.3% in the role inadequacy,42.6% had low-moderate job stress in the role dichotomy, 59.4% had low-moderate job stress in the range of the job,73.2% had low-moderate job stress in the responsibility and 45% ad low-moderate job stress in all fields. A significant difference was between the age of faculty members and job stress in the range of jobs; with increasing age, job stress in this field was reduced. No significant difference was found in job stress scores according to gender and marital status, academic rank, or department of activity among faculty members of dental schools in Tehran.

    Conclusion

    Most faculty members of dental schools in Tehran reported low-moderate job stress in most fields. The highest job stress was observed in the role workload, and the lowest was in the physical environment.

    Keywords: Occupational Stress, Faculty, Dentalschools, Dental
  • پیام خانلری، لیلا سلیمانی، احمدعلی نوربالاتفتی، الهه عموزاده، سیدابوالفضل ذاکریان*
    مقدمه

    سلامت روان در محیط کار، نقش مهمی در رفاه کارکنان و بهره وری سازمانی دارد، اما حالاتی نظیر استرس، اضطراب، افسردگی و فرسودگی شغلی می توانند تاثیرات منفی بسیاری بر عملکرد شغلی و کیفیت زندگی افراد داشته باشند. ابزارهای متعددی برای ارزیابی سلامت روان توسعه یافته اند، اما اغلب برای محیط های کاری طراحی نشده یا به روز نیستند. این مطالعه ابزارهای موجود را مرور کرده و مناسب ترین روش ها برای غربالگری و ارزیابی حالات سلامت روان در کار را معرفی می کند.

    روش کار

    این مطالعه از روش مرور دامنه ای برای شناسایی ابزارهای ارزیابی سلامت روان در محیط کار استفاده کرده است. جستجو در پایگاه های اطلاعاتی PubMed، PsycINFO، Web of Science و Scopus با استفاده از کلمات کلیدی مرتبط با حالات سلامت روان شغلی انجام شد. مطالعات انتخاب شده شامل ابزارهایی بودند که پس از سال 2020 توسعه یافته و اعتبارسنجی شده بودند. داده ها توسط دو نویسنده استخراج و بررسی شده و ابزارها بر اساس کاربرد و ویژگی های خاص دسته بندی شدند.

    یافته ها

    از 746 سند اولیه، پس از حذف موارد غیرمرتبط و بازبینی معیارها، 12 مطالعه نهایی انتخاب شد. ابزارهای استخراج شده برای ارزیابی استرس، اضطراب، افسردگی و فرسودگی شغلی کاربرد داشتند. بیشتر این ابزارها برای عموم مشاغل طراحی شده اند، اما برخی کاربردهای خاص شغلی داشتند، مانند ابزارهای مرتبط با پرسنل نظامی، کارکنان مراقبت بهداشتی و امدادگران. ابزار فرسودگی شغلی بیشترین ارجاعات را به خود اختصاص داده است.

    نتیجه گیری

    نتایج این مطالعه نشان داد بیشتر ابزارها کاربرد عمومی و برخی برای محیط های کاری طراحی شده اند. ابزارهای جدیدتر، مانند غربالگر استرس شغلی، سیاهه افسردگی شغلی و ابزار ارزیابی فرسودگی، می توانند جایگزین ابزارهای قدیمی شوند. پیشنهاد می شود ابزارهای کوتاه و تخصصی ارزیابی اضطراب شغلی توسعه یابد و سازمان ها از ابزارهای متناسب با شرایط کاری کارکنان برای ارتقای سلامت روان و بهره وری استفاده کنند.
    کلمات کلیدی:  ابزارهای ارزیابی سلامت روان، استرس شغلی، افسردگی شغلی، فرسودگی شغلی، اضطراب شغلی

    کلید واژگان: ابزارهای ارزیابی سلامت روان، استرس شغلی، افسردگی شغلی، فرسودگی شغلی، اضطراب شغلی
    Payam Khanlari, Leila Soleimani, Ahmadali Noorbalatafti, Elahe Amouzadeh, Seyed Abolfazl Zakarian*
    Introduction

    Mental health in the workplace is a critical factor influencing both employee well-being and organizational productivity. However, issues such as stress, anxiety, depression, and burnout can significantly impair job performance and overall quality of life. While numerous tools have been developed to assess mental health, many are not specifically designed or updated for work environments. As the complexity of the workplace continues to increase, accurate identification and evaluation of these conditions become increasingly essential. This study aims to review available tools and identify the most proper methods for screening and assessing mental health issues in the workplace.

    Material and method

     A scoping review approach was used to identify mental health assessment tools applicable to workplace settings. The PubMed, PsycINFO, Web of Science, and Scopus databases were searched using keywords related to mental health at work. Studies published after 2020 were included, focusing on tools developed and validated in work environments. Two authors independently extracted and reviewed data from selected studies. Tools were categorized based on their aims and specific characteristics.

    Results

    After screening, 12 studies were selected from a primary set of 746 papers.. The extracted tools were designed to assess stress, anxiety, depression, and burnout. While most tools were developed for general settings or the public, some were appropriated to specific occupational groups, such as military personnel and healthcare workers. Burnout assessment tools were the most frequently referenced category.

    Conclusion

    Newer tools, such as the Work Stress Screener, Occupational Depression Inventory, and Burnout Assessment Tool, offer potential advantages over older instruments. Shorter, specialized tools are recommended to assess job anxiety effectively. Organizations should prioritize selecting tools that align with their employees' specific working conditions to promote mental health and productivity.

    Keywords: Mental Health Assessment Tools, Occupational Stress, Occupational Depression, Job Burnout, Job Anxiety
  • Alireza Vazan *, Maryam Behnammoradi
    Background
    Work-related stress, as described in the literature on occupations, refers to the negative response of individuals when faced with high levels of pressure or other demands in the workplace. 
    Objectives
    The present study aimed to investigate the effectiveness of training in coping with occupational stress on emotion regulation, anxiety sensitivity, and resilience among Bank Mellat employees.
    Methods
    The research conducted was a quasi-experimental study that included a pretest-posttest design with a control group. A total of 670 employees at Bank Mellat in District 2 of Tehran participated in the study, selected from 53 branches using cluster random sampling during the spring of 2022. Out of the total participants, 36 employees were randomly chosen and assigned equally to two groups: an experimental group and a control group, each consisting of 18 participants. The experimental group underwent weekly training sessions for ten weeks, with each session lasting 120 minutes, aimed at managing occupational stress. The tools utilized in the study were the Job Stress Questionnaire, the Anxiety Sensitivity Index, and the Connor-Davidson Resilience Scale. Data analysis was carried out using SPSS software version 21, utilizing the multivariate analysis of covariance technique. 
    Results
    The study on coping with occupational stress at a 95% confidence level indicated a positive impact on the emotion regulation (P<0.05), anxiety sensitivity (P<0.05), and resilience (P<0.05) of Bank Mellat employees. 
    Conclusion
    Therefore, it can be concluded that training in coping with occupational stress had a significant positive effect on improving emotion regulation and resilience and reducing anxiety sensitivity in employees
    Keywords: Anxiety Sensitivity, Emotion Regulation, Occupational Stress, Resilience
  • Atefeh Mohammadinejad, Saied Yazdanirad, Alireza Dehdashti, Parviz Kakaei, Fatemeh Keshizadeh, Maryam Farokhzad*
    Background and Purpose

    The construction industry creates various health risks to workers, affecting their physical and mental well-being. This study aimed to investigate the relationship between sleep quality and job satisfaction in construction workers, focusing on the mediating role of job stress.

    Materials and Methods

    This cross-sectional study assesses 100 construction workers in Tehran City, Iran, in 2020. The study data were collected through a demographic questionnaire, the health and safety executive occupational stress, the Pittsburgh sleep quality index (PSQI), and Herzberg’s job satisfaction questionnaire. Structural equation modeling and path analysis were used for data analysis.

    Results

    Among 100 randomly selected construction workers, the Mean±SD scores for job stress, sleep quality, and job satisfaction were determined to be 3.43±0.59, 7.38±3.48, and 363.41±53.78, respectively. Sleep quality showed negative and positive correlations with job stress (r=-0.165, P<0.05) and job satisfaction (r=0.333, P<0.01), respectively. The direct effect of sleep quality on job satisfaction was not significant (0.136, P=0.257), while the direct effect of job stress on job satisfaction was significant (0.318, P=0.007). The indirect effect of sleep quality on job satisfaction through job stress was also not significant (-0.123, P=0.257). 

    Conclusion

    Construction workers experience moderate job stress and sleep quality but low job satisfaction. A significant negative correlation was observed between sleep quality, job stress, and job satisfaction. While job stress directly and significantly impacts job satisfaction, the direct effect of sleep quality on job satisfaction is not significant. Improving sleep quality may indirectly enhance job satisfaction by mitigating the adverse effects of job stress.

    Keywords: Sleep Quality, Job Satisfaction, Occupational Stress
  • Mahdi Khani, Fazlollah Ahmadi, Aliakbar Rasekhi, Yousef Mohammadpour
    Background

    Nurses are exposed to higher stress, anxiety, and depression due to the nature of their work. Considering the differences between specialized and general hospital units, this article focuses on comparing the levels of stress, anxiety, and depression among nurses in these two types of units.

    Materials and Methods

    This descriptive‑analytical study was conducted in 2023 on 135 nurses in specialized units and 219 nurses in general units selected through stratified random sampling out of 1681 nurses. For this study, 6 public hospitals in the West Azerbaijan province of Iran were selected. Data were collected through a demographic questionnaire and the Depression, Anxiety, Stress Scales‑21 (DASS‑21) and analyzed using SPSS software. A significance level of 0.05 was considered for this study.

    Results

    This study reported that stress, anxiety, and depression affected 72.04%, 46.33%, and 53.68% of nurses, respectively, with mild to extremely-severe intensity levels. No significant differences were observed in stress, anxiety, and depression between specialized and general units (p > 0.05). Among specialized units (ICU, CCU, and dialysis ward), dialysis unit nurses had significantly lower depression scores (p < 0.05). Additionally, a significant correlation existed between demographic variables and DASS‑21 constructs (p > 0.05).

    Conclusions

    The similarities among nurses in specialized and general units outweigh the observed differences. Given the high prevalence of stress, anxiety, and depression among nurses and the negative correlation with job satisfaction, managers should improve job satisfaction to support nurses’ mental health.

    Keywords: Anxiety, Depression, Hospital Units, Nurses, Occupational Stress
  • Zeinab Abbaszadeh, Saeed Bakhtiarpour, Sahar Safarzadeh, Parviz Asgari, Alireza Heidari
    Background

    Nurses face a significant burden of occupational stress, which can have detrimental effects on their physical and mental health. This is exacerbated by factors such as long working hours, heavy workloads, patient acuity, and exposure to traumatic events.

    Objectives

    The present study aimed to investigate the mediating role of job satisfaction in the relationship between occupational stress and life satisfaction among nurses.

    Methods

    This investigation employed a correlational design utilizing structural equation modeling (SEM) to examine the relationships between variables. A convenience sample of 182 nurses completed self-report questionnaires assessing life satisfaction, job satisfaction, and occupational stress. The collected data were subsequently analyzed using SEM techniques with SPSS-25 and AMOS-24 software.

    Results

    A significant and negative relationship was found between occupational stress and job satisfaction (β = -0.47, P < 0.001). The relationship between job satisfaction and life satisfaction was also positive and significant (β = 0.40, P < 0.001). The results indicated that the relationship between occupational stress and life satisfaction was not significant (β = -0.08, P = 0.311). Additionally, job satisfaction mediated the relationship between occupational stress and life satisfaction (P < 0.001). The model fit indices were satisfactory, indicating a good fit to the data: IFI = 0.95, CFI = 0.99, NFI = 0.98, GFI = 0.99, and RMSEA = 0.06.

    Conclusions

    The findings of this study underscore the importance of creating supportive work environments for nurses. Job satisfaction plays a critical role in mitigating the negative effects of occupational stress, highlighting the need for organizations to implement effective stress management programs, promote work-life balance, encourage open communication, and invest in professional development.

    Keywords: Job Satisfaction, Occupational Stress, Life Satisfaction, Nurses
  • یگانه اعتماد العلماء، سمانه خورشیدی کیا، احسان اله حبیبی*
    مقدمه

    با ظهور ویروس کووید 19 در سال 1398، پرستاران به عنوان خط مقدم مبارزه با این بیماری تحت تاثیر بار کاری زیادی قرار گرفتند. پژوهش حاضر با هدف بررسی اثرات روانی مراقبت از بیماران مبتلا به کووید 19 بر روی بروز خطای بالینی در بین پرستاران انجام شد.

    روش ها

    این مطالعه از نوع مورد- شاهدی بود و بر روی 120 نفر از پرستاران در دو گروه مورد و شاهد صورت گرفت. به منظور جمع آوری اطلاعات، از مقیاس استرس شغلی پرستاران (Extended nursing stress scale یا ENSS)، پرسش نامه نارسایی شناختی (Cognitive failures questionnaire یا CFQ)، ثبت فراوانی بروز خطاهای بالینی طی شش ماه گذشته و همچنین، آزمون ارگونومی شناختی استفاده گردید. در نهایت، داده ها در نرم افزار SPSS مورد تجزیه و تحلیل قرار گرفت.

    یافته ها

    میانگین سنی شرکت کنندگان، 23/7 ± 99/32 سال بود و از نظر بروز خطای بالینی طی شش ماه گذشته، دو گروه اختلاف معنی داری را نشان ندادند (609/0 = P). نتایج آزمون پرسش نامه های ENSS و CFQ بین دو گروه نشان داد که در هیچ یک از پرسش نامه ها، بین دو گروه اختلاف معنی داری وجود نداشت (ENSS برابر با 652/0 = P، CFQ برابر با 372/0 = P). در تست های اولیه آزمون Maze ثبات دیجیتال، اختلاف معنی داری بین دو گروه از نظر زمانی و تعداد خطا مشاهده گردید، اما با تکرار آزمون ها، اختلاف میان دو گروه فقط در مدت زمان انجام آزمون معنی دار بود.

    نتیجه گیری

    نارسایی شناختی و خطا در آزمون Maze ثبات بین پرستاران شاغل در بخش بستری بیماران مبتلا به کووید 19 کمتر از دیگر پرستارن بود. در واقع، بار کاری ناشی از برخی بیماری های ناشناخته پس از مدتی کاهش می یابد و شناخت بیشتر بیماری می تواند استرس را کاهش دهد، اما بار کاری و استرس در دیگر بخش ها به دلیل ثابت ماندن حجم کار و کاهش نیروها در اثر جابه جایی به دیگر بخش ها، منجر به افزایش استرس می شود.

    کلید واژگان: پرستاران، کووید 19، ارگونومی، خطاهای پزشکی، استرس شغلی
    Yeganeh Etemadol-Olama, Samane Khorshidikia, Ehsanollah Habibi*
    Background

    With the emergence of the coronavirus disease 2019 (COVID-19) virus in December 2019, nurses on
    the frontlines of the fight against this disease faced an immense burden. The present study was conducted to investigate the psychological effects of caring for patients with COVID-19 on the incidence of clinical errors among nurses.

    Methods

    This study was a case-control study conducted on 120 nurses divided into two groups: case and control. To carry out the research, we utilized the Expanded Nursing Stress Scale (ENSS), Cognitive Failures Questionnaire (CFQ), and a questionnaire to document the frequency of clinical errors over the past six months, in addition to a cognitive ergonomics test. Data analysis was performed using SPSS software.

    Findings

    The average age of the participants was 32.99 ± 7.23 years, and there was no significant difference between the two groups regarding the occurrence of clinical errors over the past six months (P = 0.609). The statistical analysis of the ENSS and CFQ indicated no significant differences between the two groups in any of the assessed areas (ENSS: P = 0.652, CFQ: P = 0.372). Additionally, in the initial trials of the digital stability maze test, a significant difference was observed between the two groups in terms of both time taken and the number of errors. However, after retesting, a significant difference was noted only in the duration of the test between the two groups.

    Conclusion

    Cognitive failures and errors in stability maze tests among nurses working in the inpatient ward for patients with COVID-19 were lower than those observed in other nurses. This finding may be attributed to the fact that the burden associated with certain unknown diseases diminishes over time, and increased knowledge about the disease can alleviate stress. In contrast, the burden and stress levels in other departments remain constant due to their workload. Additionally, the transfer of staff to other departments contributes to an increase in stress levels.

    Keywords: Nurses, COVID-19, Ergonomics, Medical Errors, Occupational Stress
  • سکینه طاهر پور، سید حمید حسینی*، سید مهدی سعادتی، فرشته عیدی، علی عابدی، فاطمه محمدی
    مقدمه

    کیفیت زندگی کاری پرستاران بر سلامت و رضایت شغلی آن ها و مستقیما بر خدمات مراقبت های بهداشتی ارائه شده به بیماران تاثیر می گذارد. این مطالعه باهدف تعیین وضعیت کیفیت زندگی کاری پرستاری و عوامل موثر بر آن در بین پرستاران بیمارستان امام خمینی (ره) اسفراین در سال 1398 انجام شد.

    روش کار

    در مطالعه توصیفی مقطعی حاضر، جامعه پژوهش کلیه پرستاران شاغل در بیمارستان امام خمینی (ره) اسفراین بین سال های 1399 - 1398 بودند. تعداد 100 پرستار به روش سرشماری و با توجه به معیارهای ورود به مطالعه انتخاب شدند. ابزار گردآوری اطلاعات، فرم ویژگی های فردی و پرسشنامه کیفیت زندگی کاری والتون بود. در مطالعه حاضر روایی محتوا و صوری به صورت کیفی با استفاده از نظرات تعدادی از متخصصین آموزشی و بالینی بررسی شد که هیچ گونه تغییری ازنظر سادگی و وضوح در آیتم ها ایجاد نشد. پایایی پرسشنامه  با استفاده از همبستگی درونی با ضریب آلفای کرونباخ 86/0 گزارش گردید که نشان دهنده پایایی قابل قبول این پرسشنامه است. داده ها با استفاده از آمار توصیفی (فراوانی، میانگین و انحراف معیار) و آزمون های تحلیلی تی مستقل و فیشر تحت نرم افزار SPSS نسخه 16 تجزیه وتحلیل شدند.

    یافته ها

    در این مطالعه 5/23% (23 نفر)، 3/ 64%(63 نفر) و 2/12% (12 نفر) افراد به ترتیب از کیفیت زندگی کاری پایین، متوسط و بالایی برخوردار بودند. بین پست سازمانی با محیط ایمن و بهداشتی (01/0=p)، فضای کلی زندگی (004/0=p) و توسعه قابلیت های انسانی (002/0=p)، همچنین بین وضعیت کلی کیفیت زندگی کاری با متغیرهای نوبت کاری (009/0=p)، پست سازمانی (006/0=p) ارتباط معنی داری وجود داشت.

    نتیجه گیری

    نتایج مطالعه نشان داد که پرستاران دارای نوبت کاری ثابت و پست سازمانی اداری از کیفیت زندگی بالاتری برخوردار بودند. آگاهی مدیران و برنامه ریزان از سطح کیفیت زندگی کاری پرستاران و انجام اقدامات اصولی جهت ارتقاء آن امری ضروری است تا شرایط لازم جهت بهبود کیفیت ارائه خدمات پرستاران را فراهم سازند.

    کلید واژگان: کیفیت زندگی کاری، پرستاران، عوامل مرتبط، رضایت شغلی، فشار کاری
    Sakineh Taherpoor, Seyyed Hamid Hoseini*, Seyed Medi Sadati, Fereshteh Eidy, Ali Abedi
    Introduction

    The Quality of Nursing Work life affects health and job satisfaction and directly impacts the healthcare services provided to patients. This study was conducted to determine the current status of the quality of nursing work life and identify the factors that influenced them among the nurses in Imam Khomeini Hospital in Esfarayen in 2019.

    Methods

     This cross-sectional study evaluated the quality of work life among nurses at Imam Khomeini Esfarayen Hospital (2019-2020). One hundred nurses were selected using census sampling that adhered to the stipulated inclusion criteria, and a questionnaire was completed about their characteristics and Walton's quality of work life. In the present study, content and face validity were qualitatively examined using the opinions of several educational and clinical specialists, and no changes were made regarding the simplicity and clarity of the items. The scale's reliability was determined using internal consistency, yielding a Cronbach's alpha coefficient of 0.86, indicating an acceptable reliability level for the questionnaire. After data collection, analysis ensued by applying descriptive statistics encompassing frequency, mean, and standard deviation in conjunction with independent tests and Fisher analytical tests utilizing SPSS version 16 software.

    Results

    In this investigation, 23.5% (23 individuals), 64.3% (63 individuals), and 12.2% (12 individuals) exhibited low, moderate, and high levels of work-life quality, respectively. There was a significant relationship between the organizational position and a secure and healthy work environment (p= 0/01), the general living environment (p=0/004), and the enhancement of human capabilities (p= 0/002), as well as between the overall state of work-life quality and working shift variables (p=0/009) and organizational position (p= 0/006).                                    

    Conclusion

     The study showed that nurses with fixed shifts and administrative positions had a higher quality of life. Managers and planners should note nurses' work-life balance and take appropriate measures to improve it. This will help create better conditions for nurses to provide high-quality care.

    Keywords: Quality Of Work Life, Nurses, Related Factors, Job Satisfaction, Occupational Stress
  • روح انگیز نوروزی نیا، رامین احمدزاده، سیما فیض الله زاده*
    مقدمه

    کارکنان نظام سلامت، خصوصا آنها که مانند کارکنان فوریت های پزشکی مستقیما با بیماران در تماس هستند، بیشتر در معرض خشونت محل کار قرار دارند. از عوارض خشونت محل کار استرس شغلی است. این مطالعه با هدف بررسی فراوانی خشونت محل کار و ارتباط آن با استرس شغلی در کارکنان فوریت های پزشکی استان البرز در سال 1401 انجام شد.

    روش کار

    این مطالعه توصیفی همبستگی روی 124 نفر از کارکنان فوریت های پزشکی پایگاه های جاده ای و شهری استان البرز، انجام شد. ابزارهای مورد استفاده، پرسشنامه فارسی، برگرفته از پرسشنامه استاندارد خشونت محل کار و پرسشنامه استرس شغلی موسسه سلامت و ایمنی انگلستان بود. تجزیه و تحلیل داده ها با آمار توصیفی و استنباطی و استفاده از نرم افزار SPSS.26 انجام شد.

    نتایج

    (62%) افراد مورد مطالعه، مورد خشونت فیزیکی و (90 %) مورد خشونت روانی قرار گرفته بودند. بیشترین زمان بروز خشونت فیزیکی (47/4%) و خشونت روانی (41/4%) در شیفت عصر و کمترین میزان در شیفت صبح رخ داده بود. میانگین استرس شغلی کارکنان پایگاه های شهری و جاده ای، در سطح بالا و به ترتیب 49/1 ± 120.4 و 76/16 بود. استرس شغلی با سابقه کار و سن کارکنان رابطه معنی داری داشت و با افزایش سن و سابقه استرس شغلی کمتربود.

    نتیجه گیری

    کارکنان فوریت پزشکی اغلب اولین درمانگرانی هستند که در شرایط پرتنش و اضطراب با بیمار و خانواده آن ها روبرو شده و اغلب با خشونت بیمار یا همراه وی روبرو میشوند که منجر به تجربه استرس شغلی بیشتری در آنان میگردد.

    کلید واژگان: خشونت محل کار، استرس شغلی، کارکنان فوریت های پزشکی
    Roohangiz Norouzinia, Ramin Ahmadzadeh, Sima Feizolahzadeh *
    Introduction

    Health system workers, especially those like emergency medical personnel who are in direct contact with patients, are highly susceptible to workplace violence. A significant consequence of such violence is occupational stress. This study aims to explore the prevalence of workplace violence and its association with occupational stress among emergency medical workers in Alborz province in the year 2022.

    Methods

    This descriptive correlational study was conducted with 124 emergency medical workers at road and urban bases in Alborz province. The research tools included a Persian-adapted standard workplace violence questionnaire and the occupational stress questionnaire from the Health and Safety Institute of England. Data were analyzed using descriptive and inferential statistics via SPSS software, version 26.

    Results

    The findings revealed that 62.1% of participants experienced physical violence, and 90% faced psychological violence. The highest incidence of physical (47.4%) and psychological (41.4%) violence occurred during the evening shift, while the morning shift saw the lowest rates. The average occupational stress levels for workers at road and urban bases were significantly high, measured at 120.5 ± 11.49 and 110.8 ± 16.76, respectively. Occupational stress was found to correlate negatively with the age and work experience of the employees, indicating lower stress levels with increasing age and experience.

    Conclusion

    Emergency medical workers often face highly stressful and anxious situations involving patients and their families. The nature of their work frequently exposes them to violence from patients or their companions, leading to heightened occupational stress.

    Keywords: Workplace Violence, Occupational Stress, Paramedical Workers
  • مقدمه

    مجموعه رو به رشدی از مرورهای سیستماتیک متمرکز بر مداخلاتی که به کارگران برای غلبه بر فرسودگی شغلی کمک می کند. هدف این بررسی اجمالی ترکیب نتایج مداخلات فرسودگی شغلی بود. 

    روش کار

    مرورهای سیستماتیک در پایگاه های اطلاعاتی PubMed، Web of Science، CINAHL، Embase، Google Scholar و Scopus) از ابتدا تا سال 2023 جستجو شدند و در صورت ذکر نتایج حداقل یک مداخله، جزئیات مربوط به مقالات بررسی شده، نمرات بالایی در مرحله ارزیابی کیفی دریافت کرده و متن کامل آنها به زبان انگلیسی موجود بود. 

    یافته ها

    ده مرور سیستماتیک شناسایی شد که حدود 303 مقاله منحصر به فرد را بررسی کردند. حداقل 29 نوع مداخله با استفاده از روش سنتز روایی و تحلیل موضوعی شناسایی و دسته بندی شد. مداخلات را می توان در سه موضوع اصلی طبقه بندی کرد: مداخله متمرکز بر تسریع، تمرکز بر حالت عاطفی و مداخله متمرکز بر پیامد. هر موضوع بیشتر به مداخلات مبتنی بر تغییر یا پذیرش تقسیم می شود. 

    نتیجه گیری

    یافته ها نشان می دهد که اغلب مداخلات بر تغییر موقعیت هایی که باعث فرسودگی شغلی می شوند یا منجر به فرسودگی شغلی می شوند، متمرکز بوده اند. با این حال، مداخلاتی که بر پذیرش جنبه های عاطفی فرسودگی شغلی متمرکز بودند، موثرترین برنامه ها بودند. هنوز نتایج غیرقطعی در مورد چندین مداخله وجود دارد و برخی از شکاف های تحقیقاتی که نیاز به توجه دارند مورد بحث قرار گرفت.

    کلید واژگان: استرس شغلی، سلامت روان، فرسودگی شغلی، مرور سیستماتیک
    Ghazale Darvishi, Mohammad Reza Abedi *, Azam Naghavi
    Introduction

    A growing body of systematic reviews focused on interventions that help workers to overcome job burnout. This overview aimed to synthesize the results of the job burnout interventions. 

    Materials and Methods

    Systematic reviews were searched in databases) PubMed, Web of Science, CINAHL, Embase, Google Scholar, and Scopus) from inception to 2023, and included if they mentioned the results of at least one intervention, provided the details of the reviewed articles, received high scores in the quality assessment stage, and their full-text in English were available. 

    Results

    Ten systematic reviews were identified that reviewed around 303 unique articles. At least 29 types of interventions were identified and categorized using narrative synthesis and thematic analysis methods. The interventions could be categorized into three main themes: precipitating-focused, emotional state-focused, and consequence-focused intervention. Each theme is further divided into change or acceptance-based interventions. 

    Conclusion

    Findings show that most interventions focused on changing the situations that cause or lead to job burnout. However, the interventions that focused on accepting emotional aspects of job burnout were the most effective programs. There are still some inconclusive results about several interventions, and some research gaps that need attention were discussed.

    Keywords: Burnout, Mental Health, Occupational Stress, Systematic Review
  • محمدعلی گل*، محمدرضا محامد، منصوره شاهین مهر، عباس سپهرمنصوری
    زمینه و هدف

    استرس شغلی با بیماری عروق کرونر قلب، فشار خون بالا، اختلالات اسکلتی عضلانی، سرطان و علائم روان تنی مرتبط است. یکی از محیط های کاری پر استرس، محیط های کاری مربوط امور حقوقی از جمله دفاتر اسناد رسمی است. این مطالعه با هدف تعیین ارتباط بین استرس شغلی و برخی عوامل خطر بیماری های قلبی عروقی در سردفتران و دفتریاران استان قم در سال 1402 انجام شد. 

    روش بررسی

    این مطالعه مقطعی و توصیفی- تحلیلی در سال 1402 روی 147 نفر از سردفتران و دفتریاران استان قم به صورت سرشماری انجام شد. علاوه بر اطلاعات دموگرافیک، قد، وزن، BMI، دور کمر و فشار خون شرکت کنندگان نیز اندازه گیری و نمونه خون آنها گرفته و ثبت گردید. داده های استرس شغلی با استفاده از پرسشنامه استرس شغلی Osipow جمع آوری و از آزمون کای دو و من ویتنی برای تحلیل نتایج استفاده شد. 

    یافته ها

    میانگین کل نمره استرس شغلی 176.88 از 300 با انحراف معیار 25.83 به دست آمد. از نظر فاکتورهای بیوشیمیایی، %26.8 مبتلا به فشار خون بالا بودند. 21.1% دچار قند خون بالای 126 میلی گرم در دسی لیتر بودند.  65.3%، مبتلا به کلسترول خون بالای 200 میلی گروم در دسی لیتر بودند. همچنین 48.9% دارای تری گلیسرید بالاتر از 150 میلی گرم در دسی لیتر بودند. رابطه معنی داری بین جنسیت و وضعیت تاهل با استرس شغلی مشاهده شد. آزمون Mann-Whitney U ارتباط معناداری را بین دوگروه کم استرس و پر استرس از نظر عوامل خطر بیماری های قلبی عروقی نشان نداد.

    نتیجه گیری

    اکثریت سردفتران و دفتریاران از سطح بالایی از استرس شغلی رنج می برند. با وجود بالا بودن سطح استرس شغلی، بین استرس ناشی از کار و عوامل خطر بیماری های قلبی عروقی رابطه معنی داری وجود ندارد. از نظر عوامل دموگرافیک، جنسیت و وضعیت تاهل، با استرس شغلی در ارتباط بودند.

    کلید واژگان: استرس شغلی، عوامل خطر، بیماری های قلبی عروقی
    Mohammad Aligol*, Mohammadreza Mahamed, Mansoureh Shahinmehr, Abbas Sepehrmansoury
    Background and aims

    Occupational stress is related to coronary heart disease, high blood pressure, musculoskeletal disorders, cancer and psychosomatic symptoms. One of the most stressful environments, is the work environments related to legal matters, including notary offices. This study was conducted with the aim of determining the relationship between job stress and some risk factors of cardiovascular diseases in notary administrators and office assistants in Qom province in 2023.

    Methods

    This cross-sectional and descriptive-analytical study was conducted in 2023 on 147 notary administrators and office assistants in Qom province in the form of a census. In addition to demographic information, participants' height, weight, waist circumference and blood pressure were also measured and recorded and their blood samples were taken. Job stress data was collected using Osipow job stress questionnaire and chi-square and U Mann-Whitney tests were used to analyze the results.

    Results

    The average total job stress score was 176.88 out of 300 with a standard deviation of 25.83. In terms of biochemical factors, 28.6% had high blood pressure. 21.1% had blood sugar above 126 mg/dL. 65.3% had blood cholesterol above 200 mg/dL. Also, 48.9% had triglycerides above 150 mg/dL. A significant relationship was observed between gender, and marital status, with occupational stress. The Mann-Whitney U test did not show a significant diference between the low-stress and high-stress groups in terms of cardiovascular disease risk factors.

    Conclusions

    The majority of notary administrators and office assistants suffer from a high level of job stress. Despite the high level of occupational stress, the results of this study showed that there is no significant relationship between occupational stress and cardiovascular disease risk factors. In terms of demographic factors, gender and marital status, were related to occupational stress.

    Keywords: : Occupational Stress, Risk Factors, Cardiovascular Diseases
  • ارتباط استرس شغلی و گرایش به فرزند آوری در پرستاران زن مراکز آموزشی درمانی شهر همدان
    محمد آخوندی، عفت صادقیان*، عرفان ایوبی
    مقدمه

    پرستاری یکی از مشاغل استرس زا است و استرس شغلی می تواند بر جنبه های مختلف زندگی از جمله گرایش به فرزندآوری تاثیرگذار باشد. در حالی که سیاست های جمعیتی کشور به سمت تشویق به فرزندآوری رفته است. از آنجایی که بیشتر جامعه پرستاری را زنان تشکیل می دهند و بیشترین بار فرزندآوری بر دوش زنان است؛ مطالعه حاضر با هدف تعیین ارتباط استرس شغلی پرستاری و گرایش به فرزندآوری در پرستاران زن صورت گرفت.

    روش بررسی

    در این مطالعه توصیفی همبستگی 220 نفر از پرستاران زن شاغل در مراکز آموزشی درمانی شهر همدان سال 1402 که به روش نمونه گیری در دسترس انتخاب شدند. داده ها با استفاده از سه پرسشنامه اطلاعات دموگرافیک، مقیاس استرس پرستاری و پرسشنامه گرایش به باروری در زنان به روش خودگزارشی جمع آوری شدند. تجزیه و تحلیل داده ها با استفاده از آزمون های آماری توصیفی و استنباطی با SPSS-22 انجام شد.

    یافته ها

    میانگین نمره استرس شغلی پرستاری (23/21±11/85) و گرایش به فرزندآوری (81/15±00/43) در محدوده متوسط بود. بین استرس شغلی پرستاری و گرایش به فرزندآوری همبستگی معکوس معنی داری وجود داشت (001/0>p، 081/0-=r). تعداد زیاد شیفت شب، سابقه کاری کم، وضعیت استخدامی ناپایدار و تحصیلات کارشناسی ارشد به طور معنی داری با افزایش استرس شغلی و کاهش گرایش به فرزندآوری مرتبط بودند (001/0>p).

    نتیجه گیری

    نتایج نشان داد با افزایش استرس شغلی پرستاری، گرایش به فرزندآوری در پرستاران زن کاهش می یابد. بنابراین به منظور تشویق جامعه پرستاری به فرزندآوری پیشنهاد می شود تمهیداتی جهت کاهش استرس های شغلی آنان اتخاذ شود.

    کلید واژگان: استرس شغلی، استرس پرستاری، گرایش به فرزندآوری، پرستاران زن
    Relationship between occupational stress of nursing and tendency to fertility in female nurses working in health education centers in Hamadan
    Mohammad Akhoondi, Efat Sadeghian*, Erfan Aubi
    Introduction

    Nursing is one of the most stressful jobs, and occupational stress can affect various aspects of life, including fertility. While the country's population policies have aimed to encourage childbearing, it is important to note that the nursing community is predominantly composed of women, who bear the burden of childbirth. This study aims to investigate the relationship between nursing occupational stress and the tendency to fertility in female nurses.

    Methods and Materials:

     This is a descriptive correlational study involving 220 working female nurses in medical training centers in Hamadan in 2023. The participants were selected through convenience sampling. Data was collected using three questionnaires: a demographic information questionnaire, the nursing stress scale, and the fertility tendency questionnaire for women. Data analysis was conducted using descriptive and inferential statistical tests in SPSS-22 software.

    Results

    The mean scores for nursing occupational stress (85.21±11.23) and tendency to fertility (43.00±15.81) fell within the average range. There was a significant inverse correlation between nursing occupational stress and tendency to fertility (r=-0.81, p<0.001). A high number of night shifts, limited work experience, unstable employment, and a master's education were significantly associated with increased occupational stress and decreased tendency to fertility (p<0.001).

    Conclusion

    The results indicate that an increase in nursing occupational stress is associated with a decrease in the tendency to fertility among female nurses. To encourage fertility within the nursing community, it is recommended to implement measures aimed at reducing their occupational stress.

    Keywords: Occupational Stress, Nursing Stress, Tendency To Childbearing, Female Nurses
  • فضه صداقتی، ملیحه عباسی، نادیا کلبادی نژاد*
    پیش زمینه و هدف

    یکی از مولفه های مهم و موثر بر کنترل استرس شغلی پرستاران توجه به بعد معنوی سلامت و نگرش و اعتقادات مذهبی است که در این مطالعه به تعیین ارتباط سلامت معنوی و مقابله مذهبی با استرس شغلی در بین پرستاران شاغل در بیمارستان شهدای شهر بندرگز در سال 1402 پرداخته است.

    مواد و روش کار

    پژوهش حاضر یک مطالعه توصیفی از نوع مقطعی- همبستگی است که بر روی 128 نفر از پرستاران شاغل در بیمارستان شهدا بندرگز به صورت تمام شماری وارد مطالعه شدند انجام شد. جمع آوری داده ها از طریق پرسشنامه های سلامت معنوی پولوتزین والیسون، مقابله مذهبی پارگامنت و استرس شغلی گری تافت و اندرسون انجام شد. داده ها با استفاده از آمار توصیفی و تحلیلی و با کمک نرم افزار SPSS نسخه 22 مورد تجزیه تحلیل قرار گرفت.

    یافته ها

    وضعیت استرس شغلی پرستاران (84/8± 55/133) در حد بالا ارزیابی شد. نتایج نشان داد که بین سلامت معنوی (163/0-) و مقابله مذهبی (322/0-) با استرس شغلی همبستگی معکوس و معنی داری وجود دارد. (p<0/01)

    نتیجه گیری

    با توجه به نقش سلامت معنوی و مقابله مذهبی بر استرس شغلی پرستاران، تامین و ارتقای سلامت روانی و معنوی با به کارگیری راهبردهای مقابله مذهبی و نگرش خوش بینانه کادر پرستاری به آن، از طریق افزایش آگاهی بیشتر در این خصوص و تاثیر آن بر عملکرد بهتر شغلی و در جهت کاهش عوامل استرس زا جز تصمیم گیری های نظامت سلامت قرار گیرد..

    کلید واژگان: پرستاران، استرس شغلی، مقابله مذهبی، سلامت معنوی
    Fezeh Sedaghati, Maliheh Abbasi, Nadia Kolbadinezhad*
    Background & Aim

    One important and effective component of controlling nurses' occupational stress is paying attention to the spiritual dimension of health and religious attitudes and beliefs. This study aimed to determine the relationship between spiritual health and religious coping with occupational stress among nurses working in Bandargaz Hospital in 2023.

    Materials & Methods

    The present research is a descriptive cross-sectional correlation study. One hundred twenty-eight nurses working in Bandargaz Hospital were included in the study. Data was collected through Poltzin Wallison's spiritual health questionnaire, Pargament's religious coping questionnaire, and Gary Taft and Anderson's job stress questionnaires. The data was analyzed using descriptive and analytical statistics in SPSS software ver.22.0.

    Results

    The job stress level of nurses (133.55 ± 8.84) was determined to be high. The study revealed a significant negative correlation between spiritual health (-0.163) and religious coping (-0.322) with occupational stress (p<0.01).

    Conclusion

    Considering the role of spiritual health and religious coping on nurses' occupational stress, the health system should consider providing and promoting mental and spiritual health by using religious coping strategies and the optimistic attitude of the nursing staff towards it. This should be done by increasing awareness and its impact on better job performance and reducing stressful factors..

    Keywords: Nurses, Occupational Stress, Religious Coping, Spiritual Health
  • Shirin Garavand, Sajad Sedighyzade, Maryam Mahdavi, Arezou Esmaeilzadeh, Rajab Rashidi *
    Background

     Today, one of the most important factors threatening everyone is stress.

    Objectives

     Considering the problems caused by stress in people’s careers and the fact that dentistry has been introduced as a stressful profession, the purpose of this research was to investigate the relationship between occupational stress and demographic variables among dentists in Khorramabad, Iran, in 2022.

    Methods

     The current research is a cross-sectional analytical study. Of the 120 working dentists, 92 were enrolled in the study according to the inclusion criteria. Of these, 28.3% were women and 71.7% were men. The data collection instrument was Osipow’s Occupational Stress Inventory. The researcher completed the questionnaires by referring to dentists’ offices. All statistical tests were performed using SPSS version 25, with P < 0.05 as the significance level.

    Results

     The findings showed that the average occupational stress in dentists was 184.01 ± 9.88, showing that 89.1% of dentists had moderate to severe stress and 10.9% had severe stress. The average occupational stress was 180.42 ± 6.35 in women and 185.42 ± 10.68 in men. Thus, the level of occupational stress in men was significantly higher than that of women (P = 0.007). In addition, 2 variables (age and workplace) had a significant relationship with the level of occupational stress of dentists (P < 0.05).

    Conclusions

     Since most dentists participating in this study had moderate to severe stress, knowing the sources of stress and ways to deal with them can help reduce fatigue and increase job performance among dentists.

    Keywords: Occupational Stress, Dentists, Osipow’s Occupational Stress Inventory
  • جعفر شهباز پور، لیلا قنبری افرا*، منیره قنبری افرا، لیلا طاهری
    زمینه و هدف

    پرسنل پیش بیمارستانی در شرایط کاری غیرقابل پیش بینی و با مسئولیت بالا کار می کنند. بنابراین استرس های بالقوه ای را متحمل می شوند که می تواند اثرات منفی بر کیفیت خدمات درمانی و کار تیمی انها بگذارد. لذا مطالعه حاضر با هدف بررسی استرس شغلی پرسنل پیش بیمارستانی در سال 1402 در دانشگاه علوم پزشکی قم انجام شد.

    روش کار

    مطالعه حاضر به صورت مقطعی بر روی 200 نفر از پرسنل پیش بیمارستانی دانشگاه علوم پزشکی قم (1402) انجام شد. نمونه گیری به روش تصادفی ساده انجام شد. ابزار جمع آوری اطلاعات در این مطالعه پرسشنامه "استرس شغلی" بود.  تجزیه تحلیل داده ها با کمک نرم افزار spss23 و با استفاده از ازمون های توصیفی، تی تست مستقل، انوا و رگرسیون خطی انجام شد.

    یافته ها

    متوسط نمره استرس شغلی (در محدوده 35-175) 13.38 112.48± بود. بر اساس نتایج حاصل از آزمون رگرسیون چند متغیره، متغیرهای سطح تحصیلات، وضعیت استخدام، نوع شیفت و داشتن شغل دوم قریب 35 درصد از تغییرات واریانس استرس شغلی پرسنل پیش بیمارستانی را تبیین می کند (R= 0.596 , R2= 0.355, p=0.001).

    نتیجه گیری

    استرس شغلی در پرسنل پیش بیمارستانی در دوران پسا کرونا در سطح متوسط بود. همچنین متغیر های  سطح تحصیلات، وضعیت استخدام، نوع شیفت و داشتن شغل دوم از عوامل پیش بینی کننده استرس شغلی در دوران پسا کرونا بودند. لذا پیشنهاد می شود به پرسنل پیش بیمارستانی طرحی، با کارشناسی ارشد، شیفت درگردش، شغل دوم، ارزیابی ها و مشاوره های روانشناسی بیشتری ارائه شود.

    کلید واژگان: استرس شغلی، تکنسین فوریت های پزشکی، پساکرونا، ایران
    Jafar Shahbazpour, Leila Ghanbari-Afra*, Monireh Ghanbari-Afra, Leila Taheri
    Background and purpose

    Pre-hospital staff work in unpredictable working conditions and with high responsibility. Therefore, they suffer potential stress that can have negative effects on the quality of medical services and their teamwork. Therefore, the aim of this study was evaluated the occupational stress of pre-hospital satff in Qom University of Medical Sciences, in the post- covid-19 era.

    Methods

    This cross-sectional study was conducted on 200 Pre-hospital staff of Qom University of Medical Sciences (2023). Sampling was done by simple random method. The data collection tool in this study was " of occupational stress" questionnaire. Data analysis was done by spss23 and using descriptive tests, independent t-test, ANOVA and linear regression.

    Results

    The mean score of occupational stress was 112.48±13.38 (range of 35-175). Based on the results of the multivariate regression test, the variable of educational level, Employment status, shift and Having a second job, explains 35% of the variance shift in pre-hospital staff (R= 0.596, R2= 0.355, p=0.001).

    Conclusion

    occupational stress in pre-hospital staff was at a moderate level in the post-covid19 era. Also, the variable of educational level, Employment status, shift and Having a second job, were predictive factors of occupational stress in the post-covid19 era. Therefore, it is suggested that design people, Master's degree, Rotating shift, and Having a second job, should be offered more psychological evaluations and consultations.

    Keywords: Occupational Stress, Emergency Medical Technicians, Post-Covid19, Iran
  • Majid Akhshabi *, Nahid Namjoo, Homa Khakbaz
    Background
    The aim of this study was to investigate if listening to music can help reduce stress for women who work in an electric car parts factory in Mashhad. 
    Methods
    Out of 200 people in this study, 32 were chosen at random and split into two groups: one for the experiment and one for comparison. To gather information, we used a job stress questionnaire and a music therapy plan that consisted of 30 sessions, which lasted for one month. In this study, we played the music that the participants liked 4 times during each session. Each time, we played the music for 15 minutes, while they were taking a break or before they started working.
    Results
    There were 16 participants in the group we tested. The people in the control group followed their normal way of doing things and did not use this procedure. The research found that music intervention helps decrease the occupational stress in women more than the traditional work schedule method. The effect size of the music intervention was 0.809, which means it had approximately an 81% impact on reducing stress. 
    Conclusion
    The results of the pre-tests and post-tests indicated that the stress levels of women in the experiment group decreased significantly after listening to music. Based on these findings, it can be concluded that listening to music while taking breaks at work helps to lower job stress.
    Keywords: female, Music, Music Therapy, Occupational Stress
  • Morteza Mehraeein, Marjan Faghih, Hassan Joulaei, Seyed Ahmad Seyed Alinaghi, Farzane Pirmadah, Wali Amini, Parvin Afsar Kazerooni, Fariba Qhiasi, Soloman Yeilaghi, Marjan Meshkati, Nasim Nasiri Moghadam, Farzane Hosseini, Mohammad Reza Miri, Zahra Heydari, Mohammadreza Heydari*
    Background

    Job burnout is more frequent in stressful and high-risk jobs. Healthcare workers, especially Voluntary Counseling and Testing (VCT) workers and therapists, are more exposed to job burnout. This study aimed to compare the burnout rate among the staff and therapists working in behavioral disease counseling centers and health centers in 9 provinces of Iran.

    Material and Method

    This cross-sectional study was conducted in 9 provinces of Iran from January 2020 to March 2020. For this research, 94 VCT workers as the experimental group, and 103 public clinic workers participated as the available sampling group. To collect the data, the Meslesh questionnaire was used and descriptive statistics (frequency, percentage, mean, etc.) and inferential methods were applied for statistical analysis (t-test, one-way analysis of variance and Tukey post hoc test, chi - square test and Spearman correlation test). (P< 0.05)

    Results

    Our finding showed that 33% of health center workers and 32% of VCT workers had burnout, but the difference was not statistically significant. Most Health Center (HC) workers who showed burnout were working in the southern province of Iran (Bushehr and Bandar Abbas), and the most VCT workers who showed burnout were working in the western province of Iran (Kermanshah and Kurdistan).

    Conclusion

    Although the rate of burnout in the staff of these two centers is very similar, it can be concluded that due to the small number of people referred to AIDS centers compared to the large number of patients in health centers, working with people with HIV/AIDS is so difficult.

    Keywords: Burnout, Psychological, Occupational Stress, Acquired Immunodeficiency Syndrome, Iran
  • Yasamin Barakian, Samira Hajisadeghi, Elham Keykha, Abolfazl Mohammadbeigi, Alireza Karimi*
    Background and Aim

    The present study aimed to investigate the relationship between stress and temporomandibular disorders (TMDs) by quantification of occupational stress using the Dental Environment Stress (DES) questionnaire as well as measuring the stress markers in the saliva, including cortisol and immunoglobulin A (IgA), in fourth to sixth-year dental students of Qom Dental School.

    Materials and Methods

    In the present study, 60 students were included. A clinical examination was first performed using the Research Diagnostic Criteria/Temporomandibular Disorder (RDC/TMD) criteria in order to determine the temporomandibular joint (TMJ) status, and then the DES questionnaire was completed in order to determine the occupational stress level of dental students. Finally, saliva samples were obtained from the students, and the levels of salivary cortisol and IgA were measured using enzyme-linked immunosorbent assay (ELISA). Independent t-test, ANOVA, Chi-square test, and Pearson's correlation coefficient were used for data analysis (alpha=0.05).

    Results

    The mean salivary levels of cortisol and IgA were found to be 4.74 ± 2.80 ng/mL and 220.26 ± 121.22 µg/mL, respectively. The mean DES score was 2.48 ± 0.58. Of all students, 24 (40%) suffered from TMDs. There was no correlation between cortisol and IgA levels and the DES score (P>0.05). No significant relationship was found between TMD and salivary cortisol, salivary IgA, or DES score (P>0.05).

    Conclusion

    Stress is one of the most important causes of TMDs. Although salivary biomarkers are known as useful markers for detection of stress in patients with TMDs, this issue was not confirmed in the present study.

    Keywords: Occupational Stress, Temporomandibular Joint Disorders, Saliva, Cortisol, Immunoglobulin A, Secretory
  • Eisa Sheikhi, Mohammad Kamali, Seyed Hassan Saneii, Mahtab Roohi-Azizi*
    Background and Objectives

    The present study was conducted with the aim of investigating and estimating the relationship between anxiety and occupational stress with the self-efficacy of therapists in rehabilitation centers in Tehran in 2022.

    Methods

    This research was applied in terms of purpose and descriptive-survey in terms of execution. The statistical population including 122 therapists of rehabilitation centers was done by multi-stage classification method. The research tools included standard questionnaires: Beck’s anxiety questionnaire (1991), Osipow’s job stress questionnaire (1987) and Riggs and Knight’s job self-efficacy questionnaire (1994).Their analysis was done by SPSS software, version 26 at two descriptive and analytical levels.

    Results

    The results showed that there is a significant inverse effect between anxiety and self-efficacy, as well as occupational stress and self-efficacy of therapists (P<0.001). There is also a significant relationship between job stress, anxiety, self-efficacy and demographic characteristics.

    Conclusion

    The results of this study showed that anxiety increases the level of occupational stress and has a negative effect on therapists’ self-efficacy.

    Keywords: Anxiety, Occupational Stress, Self-Efficacy, Therapists Of Rehabilitation Centers
  • Seyedeh Zahra Khorrami, Hasan Jafari, Reyhane Sefidkar, Mohammadkazem Rahimi*
    Background

    One of the global challenges in the management of infectious diseases has been the management of the coronavirus, which has put considerable pressure on health care and medical systems.  Nurses have borne the brunt of these pressures as the most important human resource in these organizations. Therefore, the present study aimed to investigate the relationship between occupational stress and the general health among nurses affiliated to Shahid Sadoughi as the teaching hospital of Yazd city during the COVID-19 pandemic in 2022.

    Methods

    The current investigation is a descriptive-correlational study conducted on 160 nurses working at Shahid Sadoughi hospital of Yazd city. Two standard questionnaires were utilized to collect data, including the Parker and DeCotiis Occupational Stress Questionnaire and the Goldberger and Hiller General Health Questionnaire. Data analysis was performed using T-test, Mann-Whitney, and Pearson correlation tests in SPSS26 software .

    Results

    There was a positive correlation between job stress and the general health of nurses (r=0.515, P-Value=0.001). The findings revealed a significant and positive correlation between occupational stress and general health dimensions in nurses. Additionally, the results proved a significant positive correlation between time pressure and anxiety in the Occupational Stress Questionnaire with physical symptoms, anxiety and insomnia, and depression dimensions in the General Health Questionnaire.

    Conclusion

    The results of this research suggest that an increase in occupational stress scores leads to a rise in general health scores. Therefore, the findings indicate that higher levels of occupational stress in nurses result in a less favorable general health status. Consequently, several nurses might struggle to provide effective and high-quality care to patients, which can endanger the overall health of the community.

    Keywords: Public Health, Occupational Stress, COVID-19, Nurse
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