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中国2019年冠状病毒病疫情期间医务人员的睡眠质量:一项基于网络的横断面研究。

Sleep Quality in Medical Staffs During the Outbreak of Coronavirus Disease 2019 in China: A Web-Based Cross-Sectional Study.

作者信息

Jiang Furong, Xiao Yi, Dong Huixi, Liu Siyu, Guo Feng, Gong Zhicheng, Xiao Shuiyuan, Shen Minxue, Zhou Qiuhong, Li Jianling

机构信息

Department of Mental Health Center, Xiangya Hospital, Central South University, Changsha, China.

Department of Social Medicine and Health Administration, Xiangya School of Public Health, Central South University, Changsha, China.

出版信息

Front Psychiatry. 2021 Jun 9;12:630330. doi: 10.3389/fpsyt.2021.630330. eCollection 2021.

Abstract

The aim of this study was to describe the sleep quality and its influencing factors among medical workers of different working statuses and staff types during the coronavirus disease 2019 (COVID-19) epidemic. Through an online questionnaire survey, all medical staffs in Xiangya Hospital were invited to complete sections on general information, the Self-Rating Scale of Sleep (SRSS), the Depression, Anxiety and Stress Scale (DASS-21), the Social Support Rating Scale (SSRS), and the Simplified Coping Style Questionnaire (CSQ). A total of 4,245 respondents completed the survey. Among them, 38.7% had sleep disturbance. After matching, the SRSS scores in the staffs who were assigned to the intensive care unit (ICU) of Union Hospital in Wuhan and working in the epidemic area of Xiangya Hospital were not significantly different ( > 0.05); the SRSS scores in the battlefront staffs were significantly higher than ( < 0.05) those who were not treating patients infected with COVID-19. The SRSS scores of nurses were significantly higher than those of doctors and hospital administrators ( < 0.01). Anxiety, depression, and coping style were associated with sleep disturbance. The sleep quality of the medical staffs has been impaired during the epidemic period, especially among nurses, doctors, and administrators who are working on the front line. Medical institutions should strengthen psychological services and coping strategies for medical staffs.

摘要

本研究旨在描述2019年冠状病毒病(COVID-19)疫情期间不同工作状态和人员类型的医务人员的睡眠质量及其影响因素。通过在线问卷调查,邀请湘雅医院所有医务人员完成一般信息、睡眠自评量表(SRSS)、抑郁、焦虑和压力量表(DASS-21)、社会支持评定量表(SSRS)以及简易应对方式问卷(CSQ)等部分内容。共有4245名受访者完成了调查。其中,38.7%的人存在睡眠障碍。匹配后,被派往武汉协和医院重症监护病房(ICU)且在湘雅医院疫区工作的人员的SRSS评分无显著差异(>0.05);一线工作人员的SRSS评分显著高于未治疗COVID-19感染患者的人员(<0.05)。护士的SRSS评分显著高于医生和医院管理人员(<0.01)。焦虑、抑郁和应对方式与睡眠障碍有关。疫情期间医务人员的睡眠质量受到损害,尤其是在一线工作的护士、医生和管理人员。医疗机构应加强对医务人员的心理服务和应对策略。

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