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COVID-19 大流行对巴西医务人员睡眠质量的影响。

Impact of COVID-19 pandemic on the sleep quality of medical professionals in Brazil.

机构信息

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.

出版信息

Arq Neuropsiquiatr. 2021 Feb;79(2):149-155. doi: 10.1590/0004-282X-anp-2020-0449.


DOI:10.1590/0004-282X-anp-2020-0449
PMID:33759982
Abstract

INTRODUCTION: 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. OBJECTIVES: 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. METHODS: 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). RESULTS: 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%. CONCLUSION: 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.

摘要

简介: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。

目的: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。

方法: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)。

结果: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。

结论: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。

相似文献

[1]
Impact of COVID-19 pandemic on the sleep quality of medical professionals in Brazil.

Arq Neuropsiquiatr. 2021-2

[2]
Prevalence of and Risk Factors Associated With Mental Health Symptoms Among the General Population in China During the Coronavirus Disease 2019 Pandemic.

JAMA Netw Open. 2020-7-1

[3]
[Stress, anxiety, depression and insomnia in adults outside Hubei province during the COVID-19 pandemic].

Zhonghua Yi Xue Za Zhi. 2020-11-24

[4]
Sleep problems among Chinese adolescents and young adults during the coronavirus-2019 pandemic.

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[5]
Mental Health in Frontline Medical Workers during the 2019 Novel Coronavirus Disease Epidemic in China: A Comparison with the General Population.

Int J Environ Res Public Health. 2020-9-9

[6]
Psychological distress and sleep problems when people are under interpersonal isolation during an epidemic: A nationwide multicenter cross-sectional study.

Eur Psychiatry. 2020-8-28

[7]
Status and influential factors of anxiety depression and insomnia symptoms in the work resumption period of COVID-19 epidemic: A multicenter cross-sectional study.

J Psychosom Res. 2020-9-18

[8]
Public mental health under the long-term influence of COVID-19 in China: Geographical and temporal distribution.

J Affect Disord. 2020-8-24

[9]
The impact of COVID-19 on subthreshold depressive symptoms: a longitudinal study.

Epidemiol Psychiatr Sci. 2021-2-15

[10]
Insomnia, anxiety, and depression during the COVID-19 pandemic: an international collaborative study.

Sleep Med. 2021-11

引用本文的文献

[1]
The Unseen Toll: Impact of COVID-19 on Professional Quality of Life of Healthcare Workers.

Cureus. 2025-7-23

[2]
Indicators associated with job morale of physicians in low- and middle-income countries during the COVID- 19 pandemic: a systematic review and meta-analysis.

BMC Health Serv Res. 2025-5-9

[3]
Professional Quality of Life and Psychological Impact on Frontline Healthcare Worker during the Fourth Wave of COVID-19.

J Nurs Manag. 2024-1-2

[4]
The impact of the COVID-19 pandemic on the quality of sleep of medical residents in a tertiary care hospital.

J Clin Sleep Med. 2025-1-1

[5]
Factors Associated With Poor Sleep Quality Among Primary Healthcare Workers During the SARS-CoV-2 Pandemic.

Cureus. 2024-3-19

[6]
Sleep quality and associated factors in the context of COVID-19, among prehospital emergency personnel, in North-Eastern Greece.

Hippokratia. 2021

[7]
Investigation of Psychological Stress and Sleep Quality of Emergency Medical Technicians in Taiwan Fire Department during the COVID-19 Pandemic.

Int J Environ Res Public Health. 2022-12-22

[8]
Impact of Anxiety on Health-Related Quality of Life and Symptoms of Burnout in Multi-Professional Residents in Brazil During the COVID-19 Pandemic.

Appl Res Qual Life. 2023

[9]
Anxiety, insomnia, and depression during COVID-19 lockdown in elite individual and team sport athletes.

Psicol Reflex Crit. 2022-10-10

[10]
Covid-19 Social Distancing, Lifestyle and Health Outcomes Among Persons Living with HIV (PLWH): A Web-based Survey.

AIDS Behav. 2022-12

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