Dos Santos Fernanda Thaysa Avelino Rocha, Bizari Fernandes do Prado Lucila, Bizari Coin de Carvalho Luciane, do Prado Gilmar Fernandes
Department of Neurology, Federal University of São Paulo, São Paulo, Brazil.
J Clin Sleep Med. 2025 Jan 1;21(1):17-22. doi: 10.5664/jcsm.11338.
The COVID-19 pandemic has created unprecedented levels of stress and anxiety, which has a profound effect on sleep quality. However, limited data are available on the sleep quality of medical residents who work directly with patients infected with SARS-CoV-2. As sleep is a crucial brain state, our goal is to know the sleep quality of these medical residents.
This study evaluated sleep quality among medical residents caring for patients with COVID-19 at Hospital São Paulo, São Paulo, Brazil. It used a validated questionnaire and assessed sleep habits and sociodemographic variables. The study focused on sleep latency, bedtime changes, early awakening, and discouragement.
A total of 150 resident physicians participated, 93 females and 57 males. We observed poor sleep quality in 72.7%, discouragement complaints in 91.33%, what was moderate or intense in 52.0%. Discouragement was associated with sleep fragmentation and awakening early in the morning; sleeping pill users had a greater sleep latency ( < .00001). Poor sleep quality was linked to changes in bedtime and use of sleeping medications during social isolation in 2020 ( = .037 and < .001, respectively).
During the COVID-19 pandemic, more than two-thirds of resident physicians experienced poor sleep quality. They changed their bedtime, increased sleep latency, the use of hypnotics, feelings of discouragement, fragmented sleep, and early awakening in the morning. These findings should serve as a wake-up call for everyone, especially those in administrative roles. They are a matter of concern for medical residents, chief residents, supervising physicians, medical directors, and faculties.
dos Santos FTAR, Bizari Fernandes do Prado L, Bizari Coin de Carvalho L, do Prado GF. The impact of the COVID-19 pandemic on the quality of sleep of medical residents in a tertiary care hospital. . 2025;21(1):17-22.
新型冠状病毒肺炎（COVID-19）大流行造成了前所未有的压力和焦虑水平，这对睡眠质量产生了深远影响。然而，关于直接接触感染严重急性呼吸综合征冠状病毒2（SARS-CoV-2）患者的住院医师睡眠质量的数据有限。由于睡眠是一种关键的脑状态，我们的目标是了解这些住院医师的睡眠质量。
本研究评估了巴西圣保罗圣保罗医院照顾COVID-19患者的住院医师的睡眠质量。研究使用了一份经过验证的问卷，并评估了睡眠习惯和社会人口统计学变量。该研究重点关注睡眠潜伏期、就寝时间变化、早醒和沮丧情绪。
共有150名住院医师参与，其中93名女性和57名男性。我们观察到72.7%的人睡眠质量差，91.33%的人有沮丧情绪抱怨，其中52.0%为中度或重度。沮丧情绪与睡眠碎片化和清晨早醒有关；使用安眠药的人睡眠潜伏期更长（P<0.00001）。睡眠质量差与2020年社交隔离期间就寝时间的变化和使用睡眠药物有关（分别为P=0.037和P<0.001）。
在COVID-19大流行期间，超过三分之二的住院医师睡眠质量差。他们改变了就寝时间，延长了睡眠潜伏期，增加了催眠药物的使用，出现了沮丧情绪、睡眠碎片化和清晨早醒。这些发现应该给每个人敲响警钟，尤其是那些担任行政职务的人。它们是住院医师、总住院医师、指导医师、医疗主任和教职员工关注的问题。
dos Santos FTAR, Bizari Fernandes do Prado L, Bizari Coin de Carvalho L, do Prado GF. COVID-19大流行对三级医院住院医师睡眠质量的影响。[期刊名称]. 2025;21(1):17-22.
