Medical Department, Shouguang People's Hospital, Shouguang, China 262700.
Occup Med (Lond). 2017 Oct 1;67(7):534-539. doi: 10.1093/occmed/kqx124.
Epidemiological data evaluating sleep problems in clinical nurses in mainland China are scarce and an association between sleep problems and occupational stress has not been investigated.
To assess the prevalence of sleep problems and associated factors and determine their association with occupational stress among clinical nurses in general hospitals.
Nurses were selected through random cluster sampling. They answered a self-administered questionnaire, which included sociodemographic and occupational variables, the Pittsburgh Sleep Quality Index (PSQI) scoring system and the Job Content Questionnaire for evaluating occupational stress. Logistic regression analysis was used to evaluate factors associated with sleep problems.
There were 5012 participants. Mean PSQI score of 4951 subjects included in the final analysis was 7.32 ± 3.24, with 2713 subjects having PSQI ≥8, accounting for 55% of participants. Female subjects in the intensive care unit and emergency departments were at higher risk of sleep problems. The following factors also presented a risk for sleep problems: multiple years of service, high monthly night shift frequency, primary and intermediate professional status, temporary employment status and high occupational stressors (including high psychological job demands, low job control and low workplace's social support).
The overall prevalence rate of sleep problems among clinical nurses in general hospitals in mainland China was high. Many factors could affect the sleep quality of nurses, although occupational stress facilitates development of sleep problems. Various risk factors associated with sleep problems among nurses should be studied extensively and measures for relieving occupational stress should be undertaken.
中国大陆临床护士睡眠问题的流行病学数据稀缺，睡眠问题与职业压力之间的关系尚未得到调查。
评估综合医院临床护士睡眠问题的患病率及相关因素，并确定其与职业压力的关系。
通过随机整群抽样选择护士。他们回答了一份自我管理问卷，其中包括社会人口统计学和职业变量、匹兹堡睡眠质量指数（PSQI）评分系统和评估职业压力的工作内容问卷。使用逻辑回归分析评估与睡眠问题相关的因素。
共有 5012 名参与者。最终分析中 4951 名受试者的平均 PSQI 得分为 7.32±3.24，2713 名受试者的 PSQI≥8，占参与者的 55%。重症监护病房和急诊科的女性受试者睡眠问题风险较高。以下因素也存在睡眠问题的风险：服务年限多、每月夜班频率高、初级和中级专业地位、临时就业状态和高职业压力源（包括高心理工作需求、低工作控制和低工作场所的社会支持）。
中国大陆综合医院临床护士的总体睡眠问题发生率较高。尽管职业压力会导致睡眠问题的发生，但许多因素会影响护士的睡眠质量。应广泛研究与护士睡眠问题相关的各种风险因素，并采取缓解职业压力的措施。
