Turabi Nafisa, Tomar Shashi Prabha, Anyagwa Onyekachi E, Durganaudu Hanusha, Ishwarya V, Kivan Husam, Kras Magdalena M, Samouti Paraskevi, Khaled Eman, Ramesh N Nishitha, Krishnegowda Amruth S, Shabani Moshi Moshi, Palacios-Garay Miguel A, Ambriz-Salas Fernanda, Aigbonoga Daniel Ehis, Bassiony Mahmoud
Department of Medicine, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, India.
Department of Community Medicine, NSCBMC, Jabalpur, Madhya Pradesh, India.
Indian J Community Med. 2023 Sep-Oct;48(5):676-683. doi: 10.4103/ijcm.ijcm_690_22. Epub 2023 Sep 7.
Since the coronavirus (COVID-19) pandemic began, several studies were published on the possible prevention and treatment of the disease caused by severe acute respiratory syndrome coronavirus (SARSCoV-2), and its complications. However, one aspect that was overlooked is the impact on the mental health of the caregivers of COVID-19 patients. The current study endeavors to investigate sleep quality disturbances in the caregivers of COVID-19 patients in different countries.
This cross-sectional multi-center study was performed between August 1, 2021, and August 30, 2022, across 11 countries. A total of 2411 responses meeting the inclusion criteria (being a family member or caregiver involved in patient care) were collected. The sleep quality was assessed using the self-reported Pittsburgh Sleep Quality Index (PSQI) 12. Total scores ranged from 0 to 21. A ≥5 indicated poor sleep quality with 89.6% sensitivity and 86.5% specificity.
A total of 2411 responses meeting the inclusion criteria showed that mean PSQI scores ( = 0.3604) were higher in caregivers of hospitalized patients than in patients isolated at home. Approximately 62.4% of caregivers reported sleep quality problems while caring for their patients.
The results showed that the majority of caregivers of patients with COVID-19 reported disturbances in sleep quality and impaired sleep was more common among caregivers of hospitalized patients, perhaps because hospitalization is associated with a more severe course of the disease. There is a pressing need to take measures to improve the mental health of these caregivers. There should be treatment programs set up to reverse sleep disturbances in this population sufficiently.
自冠状病毒病（COVID-19）大流行开始以来，已发表了多项关于严重急性呼吸综合征冠状病毒2（SARS-CoV-2）所致疾病的可能预防和治疗及其并发症的研究。然而，一个被忽视的方面是COVID-19患者护理人员的心理健康受到的影响。本研究旨在调查不同国家COVID-19患者护理人员的睡眠质量障碍情况。
这项横断面多中心研究于2021年8月1日至2022年8月30日在11个国家进行。共收集了2411份符合纳入标准（为参与患者护理的家庭成员或护理人员）的回复。使用自我报告的匹兹堡睡眠质量指数（PSQI）12对睡眠质量进行评估。总分范围为0至21分。≥5分表明睡眠质量差，敏感性为89.6%，特异性为86.5%。
共2411份符合纳入标准的回复显示，住院患者护理人员的PSQI平均得分（ = 0.3604）高于居家隔离患者的护理人员。约62.4%的护理人员报告在照顾患者时存在睡眠质量问题。
结果表明，大多数COVID-19患者的护理人员报告存在睡眠质量障碍，且睡眠受损在住院患者护理人员中更为常见，这可能是因为住院与更严重的病程相关。迫切需要采取措施改善这些护理人员的心理健康。应设立治疗项目，以充分扭转该人群的睡眠障碍。
