Prevalence of stress in nursing students in Iran: a systematic review and meta-analysis

Abstract

Objective (s): Stress is a significant challenge in the lives of students, particularly those in nursing majors, as it can negatively impact their academic performance and mental health. This study aimed to determine the prevalence of stress among nursing students in Iran. Methods: This research was conducted as a systematic review and meta-analysis. All published scientific articles on the prevalence of stress among nursing students in Iran were searched in five databases using the Google Scholar search engine and their quality were evaluated. The I2 index was used to assess study heterogeneity, and a meta-regression model was employed to evaluate variables suspected of heterogeneity at a significance level of 0.05. Ultimately, 11 articles met the inclusion criteria and were analyzed using CMA software. Results: The prevalence of stress among nursing students in Iran was estimated to be 36.1 (95 CI: 23.3-51.4) based on a random-effects model. The highest prevalence was reported in Gilan Province, while the lowest was in Hamedan Province. A significant relationship was found between year, sample size, mean age, and stress prevalence (P < 0.05). Conclusion: The results indicate that the prevalence of stress in Iranian nursing students was 36.1. Therefore, policymakers and managers should implement serious measures to reduce stress. These measures could include stress management programs and educational interventions to enhance coping skills. © 2026, Iranian Institute for Health Sciences Research. All rights reserved.