Zheng Yahua, Wang Lili, Feng Lingfei, Ye Lingxiao, Zhang Aiping, Fan Rui
Nursing Department, Ningbo Medical Center Lihuili Hospital, Ningbo, 315040 Zhejiang China.
Neurosurgery Department, Ningbo Medical Center Lihuili Hospital, Ningbo, 315040 Zhejiang China.
Sleep Biol Rhythms. 2021;19(2):173-180. doi: 10.1007/s41105-020-00304-7. Epub 2021 Jan 10.
The purpose of this study is to assess the sleep quality, mental health status, and associated factors among medical workers during the coronavirus disease 2019 (COVID-19) pandemic. A cross-sectional study was conducted and medical workers in Ningbo, China were recruited. Sleep quality was evaluated by Pittsburgh Sleep Quality Index (PSQI). Mental health status was evaluated by Symptom Checklist 90 (SCL-90). Logistic regression and generalized multi-factor dimensionality reduction (GMDR) analysis were utilized to explore the risk factors and their interactions on sleep quality and mental health status. 207 participants were surveyed, and 34.30% were found with poor sleep quality (total PSQI score > 10), mainly manifested as sleep disturbance (92.75%). 27.05% were found with mental symptoms (Global severity index > 1.50), mainly manifested as obsessive-compulsive (25.60%). Multivariate logistic analysis showed that male (OR 3.89, 95% CI 1.06-14.24, = 0.04), working years > 15 years (OR 4.51, 95% CI 1.56-13.00, = 0.01), nurse (OR 5.64, 95% CI 1.35-23.63, = 0.02), more night shifts (OR 3.10, 95% CI 1.31-7.34, = 0.01), and supporting Wuhan (OR 3.41, 95% CI 1.12-10.40, = 0.03) were associated with poor sleep quality. GMDR analysis showed that there was a two-factor interaction between working years and working shifts ( = 0.01). No significant factors and interactions were found associated with mental symptoms. In conclusions, about one-third of medical workers suffered from sleep and mental problems during the COVID-19 pandemic in the current study. Interventions for sleep and mental problems among medical workers were needed based on related factors.
本研究旨在评估2019冠状病毒病（COVID-19）大流行期间医务人员的睡眠质量、心理健康状况及相关因素。开展了一项横断面研究，并招募了中国宁波的医务人员。采用匹兹堡睡眠质量指数（PSQI）评估睡眠质量。采用症状自评量表90（SCL-90）评估心理健康状况。利用逻辑回归和广义多因素降维（GMDR）分析来探讨睡眠质量和心理健康状况的危险因素及其相互作用。共调查了207名参与者，发现34.30%的人睡眠质量较差（PSQI总分>10），主要表现为睡眠障碍（92.75%）。发现27.05%的人有精神症状（总体严重程度指数>1.50），主要表现为强迫症（25.60%）。多因素逻辑分析显示，男性（OR 3.89，95%CI 1.06-14.24，P = 0.04）、工作年限>15年（OR 4.51，95%CI 1.56-13.00，P = 0.01）、护士（OR 5.64，95%CI 1.35-23.63，P = 0.02）、夜班次数较多（OR 3.10，95%CI 1.31-7.34，P = 0.01）以及支援武汉（OR 3.41，95%CI 1.12-10.40，P = 0.03）与睡眠质量差有关。GMDR分析显示，工作年限和工作班次之间存在双因素相互作用（P = 0.01）。未发现与精神症状相关的显著因素和相互作用。总之，在本研究中，约三分之一的医务人员在COVID-19大流行期间存在睡眠和心理问题。需要根据相关因素对医务人员的睡眠和心理问题进行干预。
