Ramadan Elrefaey Samah, Hamdy Sameer H, Abdelrahman Mohammed, Nageeb Shaimaa Mohamed, Abobaker Randa Mohamed, Alhusinat Mohmmad, Assiry Reem Aied, Mohamed Amal H, Eltaher Hamed Abdulrahman Elsadig, Mohammed Fatma Abdelaziz
Department of Psychiatric and Mental Health Nursing, Faculty of Nursing, Benha University, Benha, EGY.
Department of Community and Mental Health Nursing, Faculty of Nursing, Najran University, Najran, SAU.
Cureus. 2024 Jul 19;16(7):e64889. doi: 10.7759/cureus.64889. eCollection 2024 Jul.
Introduction Critical care nurses must maintain optimal work performance. Fatigue and sleep disturbance can limit safe practice and cause negative patient outcomes. This study aimed to explore fatigue and sleep quality among critical care nurses in the war zone in Najran City, Saudi Arabia. Methods A cross-sectional research design was used and a convenience sample was applied to include 352 nurses working in critical units at various hospitals in Najran City, Saudi Arabia. A self-administered questionnaire containing three parts was used: demographic characteristics, the Pittsburgh Sleep Quality Index (PSQI), and the Fatigue Severity Scale (FSS). Results The study revealed that 232 nurses (65.9%) reported poor sleep quality. Regarding fatigue levels, 89 nurses (25.2%) reported severe fatigue and 113 (32.1%) reported moderate fatigue. Notably, caring for war-related injuries exhibited a significant positive correlation (r = 0.62, p = 0.0001). Experience correlated negatively (r = -0.47, p = 0.003) with sleep quality and fatigue scores. Most significantly, involvement in caring for war-related injuries showed a strong positive correlation (r = 0.71, p = 0.00001) with FSS scores. Conclusions Poor sleep quality was significantly widespread among the studied nurses. The results indicated that about one-quarter of the studied nurses reported severe fatigue, which was alarmingly prevalent among nurses. Nurses involved in caring for war-related injuries exhibited a strong positive correlation with both PSQI and FSS scores. Recommendations The authors recommend developing and implementing counseling and stress management programs to address the unique challenges faced by nurses caring for war-related injuries.
引言 重症护理护士必须保持最佳工作表现。疲劳和睡眠障碍会限制安全操作并导致不良患者结局。本研究旨在探讨沙特阿拉伯奈季兰市战区重症护理护士的疲劳和睡眠质量。方法 采用横断面研究设计，并运用便利抽样法纳入了沙特阿拉伯奈季兰市各医院重症监护病房工作的352名护士。使用了一份包含三个部分的自填式问卷：人口统计学特征、匹兹堡睡眠质量指数（PSQI）和疲劳严重程度量表（FSS）。结果 研究显示，232名护士（65.9%）报告睡眠质量差。关于疲劳程度，89名护士（25.2%）报告有严重疲劳，113名护士（32.1%）报告有中度疲劳。值得注意的是，护理与战争相关的伤病呈现出显著正相关（r = 0.62，p = 0.0001）。工作经验与睡眠质量和疲劳得分呈负相关（r = -0.47，p = 0.003）。最显著的是，参与护理与战争相关的伤病与FSS得分呈现出强正相关（r = 0.71，p = 0.00001）。结论 在所研究的护士中，睡眠质量差的情况非常普遍。结果表明，约四分之一的被研究护士报告有严重疲劳，这在护士中极为普遍，令人担忧。参与护理与战争相关伤病的护士与PSQI和FSS得分均呈现出强正相关。建议 作者建议制定并实施咨询和压力管理项目，以应对护理与战争相关伤病的护士所面临的独特挑战。
