School of Medicine, Nankai University, Tianjin, 300071, China; Department of Neurology, The Secondary Medical Center, Sleep Medicine Research Center, Chinese PLA General Hospital, Beijing, 100853, China.
Department of Neurology, The Secondary Medical Center, Sleep Medicine Research Center, Chinese PLA General Hospital, Beijing, 100853, China.
Sleep Med. 2020 Aug;72:1-4. doi: 10.1016/j.sleep.2020.05.023. Epub 2020 May 23.
To evaluate sleep disturbances of Chinese frontline medical workers (FMW) under the outbreak of coronavirus disease 2019 (COVID-19), and make a comparison with non-FMW.
The medical workers from multiple hospitals in Hubei Province, China, volunteered to participate in this cross-sectional study. An online questionnaire, including Pittsburgh Sleep Quality Index (PSQI), Athens Insomnia Scale (AIS) and Visual Analogue Scale (VAS), was used to evaluate sleep disturbances and mental status. Sleep disturbances were defined as PSQI>6 points or/and AIS>6 points. We compared the scores of PSQI, AIS, anxiety and depression VAS, as well as prevalence of sleep disturbances between FMW and non-FMW.
A total of 1306 subjects (801 FMW and 505 non-FMW) were enrolled. Compared to non-FMW, FMW had significantly higher scores of PSQI (9.3 ± 3.8 vs 7.5 ± 3.7; P < 0.001; Cohen's d = 0.47), AIS (6.9 ± 4.3 vs 5.3 ± 3.8; P < 0.001; Cohen's d = 0.38), anxiety (4.9 ± 2.7 vs 4.3 ± 2.6; P < 0.001; Cohen's d = 0.22) and depression (4.1 ± 2.5 vs 3.6 ± 2.4; P = 0.001; Cohen's d = 0.21), as well as higher prevalence of sleep disturbances according to PSQI > 6 points (78.4% vs 61.0%; relative risk [RR] = 1.29; P < 0.001) and AIS > 6 points (51.7% vs 35.6%; RR = 1.45; P < 0.001).
FMW have higher prevalence of sleep disturbances and worse sleep quality than non-FMW. Further interventions should be administrated for FMW, aiming to maintain their healthy condition and guarantee their professional performance in the battle against COVID-19.
评估中国一线医务人员（FMW）在 2019 年冠状病毒病（COVID-19）爆发期间的睡眠障碍，并与非一线医务人员进行比较。
本研究采用横断面研究，来自湖北省多家医院的医务人员自愿参与。使用在线问卷评估睡眠障碍和精神状态，问卷包括匹兹堡睡眠质量指数（PSQI）、雅典失眠量表（AIS）和视觉模拟量表（VAS）。睡眠障碍定义为 PSQI>6 分或/和 AIS>6 分。我们比较了 FMW 和非 FMW 之间 PSQI、AIS、焦虑和抑郁 VAS 的评分以及睡眠障碍的发生率。
共纳入 1306 名受试者（801 名 FMW 和 505 名非 FMW）。与非 FMW 相比，FMW 的 PSQI（9.3±3.8 与 7.5±3.7；P<0.001；Cohen's d=0.47）、AIS（6.9±4.3 与 5.3±3.8；P<0.001；Cohen's d=0.38）、焦虑（4.9±2.7 与 4.3±2.6；P<0.001；Cohen's d=0.22）和抑郁（4.1±2.5 与 3.6±2.4；P=0.001；Cohen's d=0.21）评分显著较高，根据 PSQI>6 分（78.4%与 61.0%；相对风险 [RR]1.29；P<0.001）和 AIS>6 分（51.7%与 35.6%；RR 1.45；P<0.001）的睡眠障碍发生率也较高。
FMW 的睡眠障碍发生率和睡眠质量均高于非 FMW。应针对 FMW 采取进一步干预措施，以保持其健康状况并确保他们在抗击 COVID-19 的战斗中发挥专业作用。
