新冠疫情期间福建省援鄂医护人员睡眠障碍及相关危险因素的研究
Research on sleep disorders and related risk factors among healthcare workers from Fujian province supporting Hubei province during the COVID-19 pandemic.
作者信息
Yongxi Wu, Zexin Lin, Yiqi Lin, Qianwen Lin, Xiaoliang Xie, Shichao Wei
机构信息
Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical University, Fuzhou, Fujian, China.
Fuzhou University Affiliated Provincial Hospital, Fuzhou, Fujian, China.
出版信息
Front Psychol. 2024 Jul 31;15:1390410. doi: 10.3389/fpsyg.2024.1390410. eCollection 2024.
OBJECTIVE
To explore the impact of COVID-19 on the sleep of healthcare workers from Fujian Province supporting Hubei Province and its related risk factors.
METHODS
A cross-sectional, anonymous, self-reported online questionnaire survey was conducted among all participants. The questionnaire consisted of five parts: sociodemographic characteristics and COVID-19 epidemic-related factors, Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), Morningness-Eveningness Questionnaire-5 (MEQ-5), and 12-item General Health Questionnaire (GHQ-12).
RESULTS
Among 552 participants, 203 (36.8%) had a PSQI score > 7, indicating the presence of sleep disorders. regression analysis revealed that sleep disorders were independently associated with a history of previously diagnosed sleep disorders (OR 6.074, 95% 2.626-14.049, < 0.001), rotating night shifts > 3 times per week (OR 3.089, 95% 1.650-5.781, < 0.001), using electronic devices before sleep >1 h (OR 1.685, 95% 1.131-2.511, = 0.010), concern about contracting COVID-19 (OR 1.116, 95% 1.034-1.204, = 0.005), perception of societal support for supporting healthcare workers in Hubei (OR 0.861,95% 0.744-0.998, = 0.047) (OR 0.861, 95% 0.744-0.998, = 0.047), non-medical staff (OR 0.257, 95% 0.067-0.987, = 0.048), ESS score (OR 1.068, 95% 1.018-1.121, = 0.007), and GHQ-12 score (OR 1.511, 95% 1.281-1.782, < 0.001).
CONCLUSION
Sleep disorders were highly prevalent among healthcare workers from Fujian Province supporting Hubei Province during the COVID-19 pandemic. Risk factors for sleep disorders included a history of previously diagnosed sleep disorders, rotating night shifts > 3 times per week, using electronic devices before sleep >1 h, excessive concern about contracting COVID-19, and poorer psychological health. Higher perceived societal support and understanding of support for healthcare workers supporting Hubei were associated with a reduced risk of sleep disorders, as was being non-medical staff. Providing more sleep hygiene education and psychological health services for frontline healthcare workers is necessary.
目的
探讨新型冠状病毒肺炎（COVID-19）对福建省支援湖北省医护人员睡眠的影响及其相关危险因素。
方法
对所有参与者进行一项横断面、匿名、自填式在线问卷调查。问卷包括五个部分：社会人口学特征和COVID-19疫情相关因素、匹兹堡睡眠质量指数（PSQI）、爱泼华嗜睡量表（ESS）、晨型-夜型问卷-5（MEQ-5）和12项一般健康问卷（GHQ-12）。
结果
在552名参与者中，203名（36.8%）PSQI得分>7，表明存在睡眠障碍。回归分析显示，睡眠障碍与既往诊断的睡眠障碍史（比值比[OR]6.074，95%置信区间[CI]2.626-14.049，P<0.001）、每周>3次的轮班夜班（OR 3.089，95%CI 1.650-5.781，P<0.001）、睡前使用电子设备>1小时（OR 1.685，95%CI 1.131-2.511，P=0.010）、担心感染COVID-19（OR 1.116，95%CI 1.034-1.204，P=0.005）、对社会支持支援湖北医护人员的感知（OR 0.861，95%CI 0.744-0.998，P=0.047）、非医务人员（OR 0.257，95%CI 0.067-0.987，P=0.048）、ESS得分（OR 1.068，95%CI 1.018-1.121，P=0.007）和GHQ-得分（OR 1.511，95%CI 1.281-1.782，P<0.001）独立相关。
结论
在COVID-19大流行期间，福建省支援湖北省的医护人员中睡眠障碍非常普遍。睡眠障碍的危险因素包括既往诊断的睡眠障碍史、每周>3次的轮班夜班、睡前使用电子设备>1小时、过度担心感染COVID-19以及心理健康较差。较高的社会支持感知和对支援湖北医护人员的支持理解与睡眠障碍风险降低相关，非医务人员也是如此。有必要为一线医护人员提供更多的睡眠卫生教育和心理健康服务。
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