压力与睡眠：基于可穿戴睡眠追踪器对新冠疫情期间武汉医护人员的一项调查
Stress and sleep: a survey based on wearable sleep trackers among medical and nursing staff in Wuhan during the COVID-19 pandemic.
作者信息
Zhuo Kaiming, Gao Cunyou, Wang Xiaohui, Zhang Chen, Wang Zhen
机构信息
Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Shanghai Psychological First Aid Team for Wuhan, Shanghai, China.
出版信息
Gen Psychiatr. 2020 Jun 16;33(3):e100260. doi: 10.1136/gpsych-2020-100260. eCollection 2020.
BACKGROUD
COVID-19 pandemic has significantly affected the sleep health of local medical and nursing staff.
AIM
We used wearable pulse oximeters to monitor and screen the medical and nursing staff working in hospitals designated for COVID-19 in the Wuhan area. This study aimed to establish a reliable basis to provide sleep intervention for the medical and nursing staff.
METHODS
Thirty medical and nursing staff members with symptoms of insomnia were instructed to wear medical ring-shaped pulse oximeters to monitor their sleep overnight. We also used the Insomnia Severity Index (ISI) and the Chinese version of the Self-Reporting Questionnaire (SRQ-20) to evaluate the severity of insomnia and mental health status, respectively, for each participant.
RESULTS
Among the 30 participants, only 26 completed the screening. Ten cases (38.5%) demonstrated moderate to severe sleep apnoea-hypopnea syndrome (SAHS) when using an oxygen desaturation index ≥15 times/hour as the cut-off value. Participants with comorbid moderate to severe SAHS had significantly higher ISI and SRQ scores (p values 0.034 and 0.016, respectively) than those in the insomnia group. Correlation analysis revealed that ISI was positively correlated with total sleep time (TST) (r=0.435, p=0.026), and negatively correlated with deep sleep (r=-0.495, p=0.010); furthermore, patient SRQ scores were positively correlated with TST, sleep efficiency (SE) and REM (rapid eyes movement) sleep % (r=0.454 and 0.389, 0.512; p=0.020, 0.050 and 0.008, respectively). Stepwise logistic regression indicated that SRQ-20 and sex were risk factors for insomnia with comorbid SAHS, and their OR values were 1.516 and 11.56 (95% CI 1.053 to 2.180 and 1.037 to 128.9), respectively.
CONCLUSION
Medical and nursing staff with insomnia showed clear signs of comorbid sleep apnoea attributable to stress. The wearable pulse oximeters accurately monitored the participants' breathing when asleep.
背景
新型冠状病毒肺炎疫情严重影响了当地医护人员的睡眠健康。
目的
我们使用可穿戴式脉搏血氧仪对武汉地区新冠肺炎定点医院的医护人员进行监测和筛查。本研究旨在为医护人员的睡眠干预建立可靠依据。
方法
30名有失眠症状的医护人员被要求佩戴医用环形脉搏血氧仪进行夜间睡眠监测。我们还分别使用失眠严重程度指数（ISI）和中文版自评问卷（SRQ-20）评估每位参与者的失眠严重程度和心理健康状况。
结果
30名参与者中，仅26人完成筛查。以氧饱和度下降指数≥15次/小时为界值，10例（38.5%）表现为中度至重度睡眠呼吸暂停低通气综合征（SAHS）。合并中度至重度SAHS的参与者的ISI和SRQ得分显著高于失眠组（p值分别为0.034和0.016）。相关性分析显示，ISI与总睡眠时间（TST）呈正相关（r = 0.435，p = 0.026），与深度睡眠呈负相关（r = -0.495，p = 并分别与总睡眠时间、睡眠效率和快速眼动睡眠百分比呈正相关（r = 0.454、0.389、0.512；p = 0.020、0.050、0.008）。逐步逻辑回归表明，SRQ-20和性别是合并SAHS失眠的危险因素，其OR值分别为1.516和11.56（95%CI 1.053至2.180和1.037至128.9）。
结论
有失眠症状的医护人员表现出明显的因压力导致的合并睡眠呼吸暂停迹象。可穿戴式脉搏血氧仪可准确监测参与者睡眠时的呼吸情况。
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