Department of Biostatistics, School of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Sleep Disorders Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Global Health. 2020 Sep 29;16(1):92. doi: 10.1186/s12992-020-00620-0.
In all epidemics, healthcare staff are at the centre of risks and damages caused by pathogens. Today, nurses and physicians are faced with unprecedented work pressures in the face of the COVID-19 pandemic, resulting in several psychological disorders such as stress, anxiety and sleep disturbances. The aim of this study is to investigate the prevalence of sleep disturbances in hospital nurses and physicians facing the COVID-19 patients.
A systematic review and metanalysis was conducted in accordance with the PRISMA criteria. The PubMed, Scopus, Science direct, Web of science, CINHAL, Medline, and Google Scholar databases were searched with no lower time-limt and until 24 June 2020. The heterogeneity of the studies was measured using I test and the publication bias was assessed by the Egger's test at the significance level of 0.05.
The I test was used to evaluate the heterogeneity of the selected studies, based on the results of I test, the prevalence of sleep disturbances in nurses and physicians is I: 97.4% and I: 97.3% respectively. After following the systematic review processes, 7 cross-sectional studies were selected for meta-analysis. Six studies with the sample size of 3745 nurses were examined in and the prevalence of sleep disturbances was approximated to be 34.8% (95% CI: 24.8-46.4%). The prevalence of sleep disturbances in physicians was also measured in 5 studies with the sample size of 2123 physicians. According to the results, the prevalence of sleep disturbances in physicians caring for the COVID-19 patients was reported to be 41.6% (95% CI: 27.7-57%).
Healthcare workers, as the front line of the fight against COVID-19, are more vulnerable to the harmful effects of this disease than other groups in society. Increasing workplace stress increases sleep disturbances in the medical staff, especially nurses and physicians. In other words, increased stress due to the exposure to COVID-19 increases the prevalence of sleep disturbances in nurses and physicians. Therefore, it is important for health policymakers to provide solutions and interventions to reduce the workplace stress and pressures on medical staff.
在所有的传染病中，医护人员都是病原体造成的风险和损害的中心。如今，护士和医生在面对 COVID-19 大流行时面临着前所未有的工作压力，导致出现了一些心理障碍，如压力、焦虑和睡眠障碍。本研究的目的是调查面对 COVID-19 患者的医院护士和医生中睡眠障碍的患病率。
根据 PRISMA 标准进行系统回顾和荟萃分析。检索了 PubMed、Scopus、Science direct、Web of science、CINHAL、Medline 和 Google Scholar 数据库，没有下限时间限制，检索时间截至 2020 年 6 月 24 日。使用 I 检验测量研究的异质性，用 Egger 检验评估发表偏倚，显著性水平为 0.05。
使用 I 检验评估所选研究的异质性，根据 I 检验的结果，护士和医生的睡眠障碍患病率分别为 I：97.4%和 I：97.3%。经过系统评价过程，选择了 7 项横断面研究进行荟萃分析。对 6 项包含 3745 名护士的样本量的研究进行了检查，睡眠障碍的患病率近似为 34.8%（95% CI：24.8-46.4%）。还对 5 项包含 2123 名医生的样本量的研究测量了医生的睡眠障碍患病率。根据结果，报告称照顾 COVID-19 患者的医生的睡眠障碍患病率为 41.6%（95% CI：27.7-57%）。
医护人员作为抗击 COVID-19 的第一线人员，比社会其他群体更容易受到这种疾病的有害影响。工作场所压力的增加增加了医护人员的睡眠障碍，特别是护士和医生。换句话说，由于接触 COVID-19 而导致的压力增加，增加了护士和医生的睡眠障碍的患病率。因此，卫生政策制定者有必要提供解决方案和干预措施，以减轻医护人员的工作场所压力和压力。
