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COVID-19 大流行期间医护人员睡眠障碍和睡眠质量的影响因素：系统评价和荟萃分析。

Influencing factors of sleep disorders and sleep quality in healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis.

机构信息

Teaching and Research Department, 900TH Hospital of Joint Logistics Support Force, Fuzhou, China.

Department of Equipment, Chenggong Hospital of Xiamen University (the 73th Group Military Hospital of People's Liberation Army), Xiamen, China.

出版信息

Nurs Open. 2023 Sep;10(9):5887-5899. doi: 10.1002/nop2.1871. Epub 2023 Jun 6.

DOI:10.1002/nop2.1871
PMID:37282352
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10415978/
Abstract

AIM

The aim of this study was to identify the influencing factors of sleep disorders and sleep quality in healthcare workers during the COVID-19 pandemic.

DESIGN

Systematic review and meta-analysis of observational research.

METHODS

The databases of the Cochrane Library, Web of Science, PubMed, Embase, SinoMed database, CNKI, Wanfang Data, and VIP were systematically searched. The quality of studies was assessed using the Agency for Healthcare Research and Quality evaluation criteria and the Newcastle-Ottawa scale.

RESULTS

A total of 29 studies were included, of which 20 were cross-sectional studies, eight were cohort studies, and 1 was a case-control study; 17 influencing factors were finally identified. Greater risk of sleep disturbance was associated with female gender, single relationship status, chronic disease, insomnia history, less exercise, lack of social support, frontline work, days served in frontline work, department of service, night shift, years of work experience, anxiety, depression, stress, received psychological assistance, worried about being infected, and degree of fear with COVID-19.

CONCLUSIONS

During the COVID-19 pandemic, healthcare workers did have worse sleep quality than the general population. The influencing factors of sleep disorders and sleep quality in healthcare workers are multifaceted. Identification and timely intervention of resolvable influencing factors are particularly important for preventing sleep disorders and improving sleep.

PATIENT OR PUBLIC CONTRIBUTION

This is a meta-analysis of previously published studies so there was no patient or public contribution.

摘要

目的

本研究旨在确定 COVID-19 大流行期间医护人员睡眠障碍和睡眠质量的影响因素。

设计

观察性研究的系统评价和荟萃分析。

方法

系统检索 Cochrane 图书馆、Web of Science、PubMed、Embase、SinoMed 数据库、CNKI、万方数据和 VIP 数据库。使用美国医疗保健研究与质量局评估标准和纽卡斯尔-渥太华量表评估研究质量。

结果

共纳入 29 项研究，其中 20 项为横断面研究，8 项为队列研究，1 项为病例对照研究；最终确定了 17 个影响因素。女性、单身关系状态、慢性疾病、失眠史、运动较少、缺乏社会支持、一线工作、一线工作天数、服务部门、夜班、工作年限、焦虑、抑郁、压力、接受心理援助、担心感染和对 COVID-19 的恐惧程度较高与睡眠障碍风险增加相关。

结论

在 COVID-19 大流行期间，医护人员的睡眠质量确实比一般人群差。医护人员睡眠障碍和睡眠质量的影响因素是多方面的。识别和及时干预可解决的影响因素对于预防睡眠障碍和改善睡眠尤为重要。

患者或公众参与

这是对先前发表的研究的荟萃分析，因此没有患者或公众参与。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e35/10415978/ce43418ab07f/NOP2-10-5887-g007.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e35/10415978/ab93a5136c49/NOP2-10-5887-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e35/10415978/ce43418ab07f/NOP2-10-5887-g007.jpg

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