医护人员自评的新冠大流行期间的健康和福祉主要指标是睡眠时长。
Sleep Duration as the Main Indicator of Self-Rated Wellness and Health among Healthcare Workers Involved in the COVID-19 Pandemic.
机构信息
Department of Internal Medicine, Qom University of Medical Science and Health Services, Qom 37169-65384, Iran.
Department of Surgery, Iran University of Medical Sciences, Tehran 14496-14535, Iran.
出版信息
Int J Environ Res Public Health. 2021 Dec 23;19(1):136. doi: 10.3390/ijerph19010136.
OBJECTIVE
This study was performed during the COVID-19 pandemic to better understand the indicators of self-rated wellness and health among healthcare workers.
METHODS
Sleep pattern, mood status, nutritional condition, physical activity, habits and the subjective wellness and health index of the healthcare workers of a university affiliated hospital were surveyed. Paired -tests were performed to compare the participants' quality of life before and after the outbreak of COVID-19. Multivariable linear regression models with a backward elimination stepwise process determined the parameters that significantly correlated with self-reported wellness and health.
RESULTS
Of the 200 healthcare workers who participated in this study, 119 (60%) were female and 81 (40%) were male, with a mean (SD) age of 28.8 (5.9) years. We found that the COVID-19 pandemic significantly changed many lifestyle factors compared to the pre-pandemic states. The scores of sleep quality, mood status, pre-planned physical activity and social activity were reduced by 30%, 40%, 50% and 70%, respectively. The average night sleep duration before the pandemic was 7 h and 22 min, whereas during the pandemic it decreased to 6 h and 44 min, a debt of 38 min in sleep duration every night. As found by multivariable regression modelling, self-reported wellness and health before the pandemic period was associated with wake-up time, mood status, physical activity and diet. During the pandemic period, in addition to these variables, night sleep duration (β = 0.049, = 0.049) and nap duration (β = 0.009, = 0.01) were left in the final multivariable model and correlated significantly with the wellness and health index.
CONCLUSION
COVID-19 has detrimentally affected healthcare workers' well-being and quality of life. Sleep duration was the main factor correlated with subjective wellness and health index during the current COVID-19 pandemic.
目的
本研究在 COVID-19 大流行期间进行，旨在更好地了解医护人员的自我评估健康状况指标。
方法
调查了一所附属医院医护人员的睡眠模式、情绪状态、营养状况、身体活动、习惯以及主观健康和健康指数。采用配对检验比较了 COVID-19 爆发前后参与者的生活质量。采用逐步后退的多变量线性回归模型确定与自我报告的健康状况显著相关的参数。
结果
在参与这项研究的 200 名医护人员中，119 名（60%）为女性，81 名（40%）为男性，平均（SD）年龄为 28.8（5.9）岁。我们发现，与大流行前相比，大流行显著改变了许多生活方式因素。睡眠质量、情绪状态、预先计划的身体活动和社会活动评分分别下降了 30%、40%、50%和 70%。大流行前的平均夜间睡眠时间为 7 小时 22 分钟，而大流行期间则减少到 6 小时 44 分钟，每晚睡眠时间减少 38 分钟。多变量回归模型发现，大流行前的自我报告健康状况与起床时间、情绪状态、身体活动和饮食有关。在大流行期间，除了这些变量外，夜间睡眠时间（β=0.049，=0.049）和午睡时间（β=0.009，=0.01）也留在最终的多变量模型中，与健康和健康指数显著相关。
结论
COVID-19 对医护人员的健康和生活质量产生了不利影响。在当前 COVID-19 大流行期间，睡眠时间是与主观健康和健康指数相关的主要因素。
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