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新冠疫情期间影响护理人员睡眠障碍的选定因素评估

Evaluation of selected factors influencing sleep disorders in paramedics during the COVID-19 pandemic.

作者信息

Marczewski Kamil Piotr, Piegza Magdalena, Gospodarczyk Natalia Justyna, Gospodarczyk Alicja Zofia, Marcinek Mateusz, Tkocz Michał, Sosada Krystyn

机构信息

Department of Emergency Medicine, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland.

Department of Psychiatry, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Zabrze, Poland.

出版信息

Arch Med Sci. 2023 Sep 22;20(1):86-93. doi: 10.5114/aoms/169909. eCollection 2024.

Abstract

INTRODUCTION

Sleep disorders can develop as a result of exposure to stressors. The outbreak of the COVID-19 pandemic was an additional source of stress for paramedics, due to the fear of the unknown nature of the new pathogen. The main aim of this study was to identify factors influencing the development of sleep disorders among paramedics working during the COVID-19 pandemic.

MATERIAL AND METHODS

This was a cross-sectional, anonymous, voluntary, online survey conducted on social networks among paramedics working during the COVID-19 pandemic in Poland from 10/11/2020 to 14/01/2021. The survey included 387 participants, the majority of whom were men (72.35%). A proprietary questionnaire and standardized scales were used to identify risk factors: Athens Insomnia Scale (AIS) and Epworth Sleepiness Scale.

RESULTS

Among all participants, there were 107 (27.65%) women and 280 (72.35%) men. Significantly higher scores of the analyzed scales were observed in the female gender. Based on the AIS scale, mild sleep disorders were found in 3.6% of women and 2.9% of men. Excessive sleepiness on the Epworth scale was assessed in more than 70% of women and 58.8% of men working in Emergency Medical Teams (EMTs).

CONCLUSIONS

The main factors influencing the development of sleep disorders were female gender, use of sleep aids and not having a life partner. In contrast, older age and longer job tenure, being married, and having good relationships with family members had a protective effect.

摘要

引言

睡眠障碍可能因接触压力源而产生。新冠疫情的爆发是护理人员额外的压力来源,这是由于对这种新型病原体未知性质的恐惧。本研究的主要目的是确定在新冠疫情期间工作的护理人员中影响睡眠障碍发生的因素。

材料与方法

这是一项横断面、匿名、自愿的在线调查,于2020年11月10日至2021年1月14日在波兰社交网络上对新冠疫情期间工作的护理人员进行。该调查包括387名参与者,其中大多数为男性(72.35%)。使用一份专有问卷和标准化量表来确定风险因素:雅典失眠量表(AIS)和爱泼华嗜睡量表。

结果

在所有参与者中,有107名女性(27.65%)和280名男性(72.35%)。在女性中观察到分析量表的得分显著更高。根据AIS量表,3.6%的女性和2.9%的男性存在轻度睡眠障碍。在急诊医疗队工作的女性中,超过70%、男性中58.8%的人在爱泼华量表上被评估为过度嗜睡。

结论

影响睡眠障碍发生的主要因素是女性性别、使用助眠药物以及没有生活伴侣。相比之下,年龄较大、工作年限较长、已婚以及与家庭成员关系良好具有保护作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6a0/10895942/263906ec8c98/AMS-20-1-169909-g001.jpg

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