Lee Soomi, Gonzalez Brian D, Small Brent J
School of Aging Studies, University of South Florida, USA.
Department of Health Outcomes and Behavior, Moffitt Cancer Center, USA.
Ind Health. 2020 Dec 5. doi: 10.2486/indhealth.2020-0291.
Potential insomnia in healthcare workers is a public health concern as it may degrade the quality of patient care. We examined the prevalence of insomnia symptoms in healthcare workers and their perceived need for a sleep intervention. Participants were 62 nurses working full-time at a U.S. hospital. These nurses were asked about background characteristics, perceived stress, sleep concerns, and need for a sleep intervention. They also participated in 14-day ecological momentary assessment (EMA) and actigraphy sleep study. A qualitative analysis showed that the majority (92%) of participants reported at least one sleep concern with insomnia-related concerns being most prevalent (68%). Quantitative analyses indicated that those with insomnia-related concerns had higher perceived stress overall and lower EMA sleep sufficiency and sleep quality. Moreover, participants with insomnia concerns had shorter actigraphy-measured nap duration prior to non-workdays than those without. Nearly all (95%) expressed interest in participating in a sleep intervention; an online format and mindfulness contents were most preferred. Our results suggest a high prevalence of insomnia symptoms and a high interest in a sleep intervention in nurses. Information obtained from this study could be used to deliver a tailored sleep intervention for nurses whose role in public health is essential.
医护人员潜在的失眠问题是一个公共卫生问题，因为它可能会降低患者护理的质量。我们调查了医护人员失眠症状的患病率以及他们对睡眠干预的感知需求。研究参与者为美国一家医院的62名全职护士。这些护士被问及背景特征、感知到的压力、睡眠问题以及对睡眠干预的需求。他们还参与了为期14天的生态瞬时评估（EMA）和活动记录仪睡眠研究。定性分析表明，大多数（92%）参与者报告了至少一个睡眠问题，其中与失眠相关的问题最为普遍（68%）。定量分析表明，有失眠相关问题的人总体上感知到的压力更高，EMA睡眠充足率和睡眠质量更低。此外，有失眠问题的参与者在非工作日之前通过活动记录仪测量的午睡时间比没有失眠问题的参与者更短。几乎所有（95%）的人都表示有兴趣参与睡眠干预；他们最喜欢的是在线形式和正念内容。我们的结果表明，护士中失眠症状的患病率很高，并且对睡眠干预的兴趣也很高。从这项研究中获得的信息可用于为在公共卫生中发挥重要作用的护士提供量身定制的睡眠干预。
