Department of Anesthesiology, Critical Care and Emergency, University of Medicine and Pharmacy, Hue University, Hue City, Vietnam.
Institute of Public Health, Ministry of Health, Ho Chi Minh City, Vietnam.
J Prev Med Public Health. 2023 Jul;56(4):319-326. doi: 10.3961/jpmph.22.528. Epub 2023 May 31.
The coronavirus disease 2019 (COVID-19) pandemic has increased the workload of healthcare workers (HCWs), impacting their health. This study aimed to assess sleep quality using the Pittsburgh Sleep Quality Index (PSQI) and identify factors associated with poor sleep among HCWs in Vietnam during the COVID-19 pandemic.
In this cross-sectional study, 1000 frontline HCWs were recruited from various healthcare facilities in Vietnam between October 2021 and November 2021. Data were collected using a 3-part self-administered questionnaire, which covered demographics, sleep quality, and factors related to poor sleep. Poor sleep quality was defined as a total PSQI score of 5 or higher.
Participants' mean age was 33.20±6.81 years (range, 20.0-61.0), and 63.0% were women. The median work experience was 8.54±6.30 years. Approximately 6.3% had chronic comorbidities, such as hypertension and diabetes mellitus. About 59.5% were directly responsible for patient care and treatment, while 7.1% worked in tracing and sampling. A total of 73.8% reported poor sleep quality. Multivariate logistic regression revealed significant associations between poor sleep quality and the presence of chronic comorbidities (odds ratio [OR], 2.34; 95% confidence interval [CI], 1.17 to 5.24), being a frontline HCW directly involved in patient care and treatment (OR, 1.59; 95% CI, 1.16 to 2.16), increased working hours (OR, 1.84; 95% CI,1.37 to 2.48), and a higher frequency of encountering critically ill and dying patients (OR, 1.42; 95% CI, 1.03 to 1.95).
The high prevalence of poor sleep among HCWs in Vietnam during the COVID-19 pandemic was similar to that in other countries. Working conditions should be adjusted to improve sleep quality among this population.
2019 年冠状病毒病（COVID-19）大流行增加了医护人员（HCWs）的工作量，影响了他们的健康。本研究旨在使用匹兹堡睡眠质量指数（PSQI）评估 COVID-19 大流行期间越南 HCWs 的睡眠质量，并确定与睡眠质量差相关的因素。
在这项横断面研究中，2021 年 10 月至 2021 年 11 月，从越南各医疗机构招募了 1000 名一线 HCWs。使用三部分自我管理问卷收集数据，涵盖人口统计学、睡眠质量和与睡眠质量差相关的因素。睡眠质量差定义为 PSQI 总分≥5。
参与者的平均年龄为 33.20±6.81 岁（范围：20.0-61.0），63.0%为女性。中位工作经验为 8.54±6.30 年。约 6.3%有高血压和糖尿病等慢性合并症。约 59.5%直接负责患者的护理和治疗，7.1%从事追踪和采样工作。共有 73.8%报告睡眠质量差。多变量逻辑回归显示，睡眠质量差与慢性合并症的存在（比值比[OR]，2.34；95%置信区间[CI]，1.17-5.24）、作为一线 HCW 直接参与患者护理和治疗（OR，1.59；95%CI，1.16-2.16）、工作时间增加（OR，1.84；95%CI，1.37-2.48）和遇到危重和死亡患者的频率较高（OR，1.42；95%CI，1.03-1.95）显著相关。
COVID-19 大流行期间越南 HCWs 睡眠质量差的发生率与其他国家相似。应调整工作条件以提高该人群的睡眠质量。
