Lu Li, Lok Ka-In, Zhang Qinge, Zhang Ling, Xiang Yifan, Ungvari Gabor S, Hall Brian J, An Feng-Rong, Xiang Yu-Tao
Center for Cognition and Brain Sciences, University of Macau, Macau SAR, China.
Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao SAR, China.
PeerJ. 2021 Feb 17;9:e10659. doi: 10.7717/peerj.10659. eCollection 2021.
Sleep disturbance is associated with a number of negative adverse outcomes. This study examined the prevalence of sleep disturbance and its association with demographic and clinical characteristics and quality of life (QOL) in psychiatric nurses in China.
This is a multi-center, cross-sectional study involving 11 psychiatric hospitals in China. Three types of sleep disturbance (difficulty initiating sleep (DIS), difficulty maintaining sleep (DMS) and early-morning awakening (EMA)) and QOL were measured by standardized questions or instruments.
A total of 1,847 psychiatric nurses participated. The overall prevalence of at least one type of sleep disturbance was 71.5% (95% CI [69.3-73.5]); the prevalence of DIS, DMS and EMA was 58.5% (95% CI [56.2-60.8]), 53.7% (95% CI [51.4-56.0]) and 54.6% (95% CI [52.3-56.9]), respectively. Nurses with sleep disturbance had significantly lower QOL in physical ( = 219.12, < 0.001), psychological ( = 72.18, < 0.001), social ( = 37.57, < 0.001) and environmental domains ( = 95.45, < 0.001). Multivariable logistic regression analyses revealed that shift work (DIS, OR = 1.6, 95% CI [1.28-1.98]; DMS, OR = 1.2, 95% CI [1.001-1.54]; EMA, OR = 1.3, 95% CI [1.02-1.58]) and alcohol use (DIS, OR = 1.8, 95% CI [1.46-2.32]; DMS, OR = 1.8, 95% CI [1.43-2.23]; EMA, OR = 1.7, 95% CI [1.33-2.07]) were positively associated with sleep disturbance, while higher monthly income (DIS, OR = 0.5, 95% CI [0.38-0.75]; DMS, OR = 0.7, 95% CI [0.51-0.98]) was negatively associated with sleep disturbance.
Sleep disturbance was common among nurses in psychiatric hospitals in China, particularly those on shifts and having alcohol use. Health authorities should develop effective measures to reduce risk of sleep disturbance in this population.
睡眠障碍与许多负面不良后果相关。本研究调查了中国精神科护士睡眠障碍的患病率及其与人口统计学、临床特征和生活质量（QOL）的关联。
这是一项多中心横断面研究，涉及中国11家精神病医院。通过标准化问题或工具测量三种类型的睡眠障碍（入睡困难（DIS）、维持睡眠困难（DMS）和早醒（EMA））及生活质量。
共有1847名精神科护士参与。至少有一种睡眠障碍的总体患病率为71.5%（95%CI[69.3 - 73.5]）；DIS、DMS和EMA的患病率分别为58.5%（95%CI[56.2 - 60.8]）、53.7%（95%CI[51.4 - 56.0]）和54.6%（95%CI[52.3 - 56.9]）。有睡眠障碍的护士在身体（ = 219.12， < 0.001）、心理（ = 72.18， < 0.001）、社会（ = 37.57， < 0.001）和环境领域（ = 95.45， < 0.001）的生活质量显著较低。多变量逻辑回归分析显示，轮班工作（DIS，OR = 1.6，95%CI[1.28 - 1.98]；DMS，OR = 1.2，95%CI[1.001 - 1.54]；EMA，OR = 1.3，95%CI[1.02 - 1.58]）和饮酒（DIS，OR = 1.8，95%CI[1.46 - 2.32]；DMS，OR = 1.8，95%CI[1.43 - 2.23]；EMA，OR = 1.7，95%CI[1.33 - 2.07]）与睡眠障碍呈正相关，而较高的月收入（DIS，OR = 0.5，95%CI[0.38 - 0.75]；DMS，OR = 0.7，95%CI[0.51 - 0.98]）与睡眠障碍呈负相关。
睡眠障碍在中国精神病医院护士中很常见，尤其是那些轮班和饮酒的护士。卫生当局应制定有效措施以降低该人群睡眠障碍的风险。
