Universidade de Pernambuco, Hospital Universitário Oswaldo Cruz, Departamento de Neurologia, Recife PE, Brazil.
Universidade Federal de Pernambuco, Unidade de Neurologia e Neurocirurgia, Departamento de Neuropsiquiatria, Recife PE, Brazil.
Arq Neuropsiquiatr. 2021 Feb;79(2):149-155. doi: 10.1590/0004-282X-anp-2020-0449.
Coronavirus pandemic began in China in 2019 (COVID-19), causing not only public health problems but also great psychological distress, especially for physicians involved in coping with the virus or those of the risk group in social isolation, and this represents a challenge for the psychological resilience in the world population. Studies showed that health professionals had psychological symptoms such as depression, anxiety, insomnia, stress, among others.
To investigate the quality of sleep and the prevalence rate of sleeping disorders among physicians during COVID-19 pandemic, and identify the psychological and social factors associated with the condition.
A cross-sectional study of an online questionnaire was applied for physicians in Brazil. Among the 332 participants included, 227 were women. Sociodemographic assessment was used in the questionnaire, as well as the scale of impact on the events of modifications caused by COVID-19, assessment on sleep quality (PSQI), presence and severity of insomnia (ISI), depressive symptoms (PHQ-9), and anxiety (GAD-7).
Most physicians (65.6%) had changes in sleep. Poor sleep quality was reported by 73.1%, depressive symptoms were present in 75.8%, and anxiety in 73.4%.
Our study found that more than 70% of the physicians assessed had impaired sleep quality, characterizing insomnia symptoms during COVID-19 outbreak. Related factors included an environment of isolation, concerns about COVID-19 outbreak and symptoms of anxiety and depression. Special interventions are needed to promote health professionals' mental well-being and implement changes in this scenario.
2019 年（COVID-19）在中国爆发了冠状病毒大流行，不仅造成了公共卫生问题，还造成了巨大的心理困扰，尤其是对于参与应对病毒的医生或处于社会隔离的风险群体中的医生来说，这对世界人口的心理弹性构成了挑战。研究表明，卫生专业人员有抑郁、焦虑、失眠、压力等心理症状。
调查 COVID-19 大流行期间医生的睡眠质量和睡眠障碍患病率，并确定与该状况相关的心理和社会因素。
对巴西的医生进行了横断面的在线问卷调查研究。在纳入的 332 名参与者中，有 227 名女性。问卷中进行了社会人口学评估，以及评估 COVID-19 导致的事件变化的影响的量表、睡眠质量评估（PSQI）、失眠的存在和严重程度（ISI）、抑郁症状（PHQ-9）和焦虑（GAD-7）。
大多数医生（65.6%）的睡眠发生了变化。73.1%的人报告睡眠质量差，75.8%的人有抑郁症状，73.4%的人有焦虑症状。
我们的研究发现，评估的医生中超过 70%的人睡眠质量受损，在 COVID-19 爆发期间出现失眠症状。相关因素包括隔离环境、对 COVID-19 爆发的担忧以及焦虑和抑郁症状。需要采取特别干预措施来促进卫生专业人员的心理健康，并在这种情况下进行变革。
