Lianyungang Maternal and Child Health Hospital, Lianyungang, China.
Department of Nursing, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
Front Public Health. 2024 Aug 29;12:1423216. doi: 10.3389/fpubh.2024.1423216. eCollection 2024.
Insomnia symptoms are prevalent among healthcare workers and represent a potential public health problem. However, there is currently insufficient evidence on insomnia symptoms among doctors and nurses under the context of high prevalence of multiple infectious diseases after the pandemic in China. The purpose of this study was to analyze the prevalence of insomnia symptoms among doctors and nurses in third-grade class-A general hospitals under the context of high prevalence of multiple infectious diseases, and to explore the influence of demographic characteristics, work-related factors, health and lifestyle-related factors on insomnia symptoms.
An institution-based cross-sectional survey was conducted among doctors and nurses in two third-grade class-A general hospitals. A structured questionnaire was used to collect information on demographic characteristics, work-related factors, health and lifestyle-related factors, and insomnia symptoms among doctors and nurses. Multivariate logistics regression analysis was applied to identify factors significantly associated with insomnia symptoms among doctors and nurses, respectively.
A total of 1,004 participants were included in this study, including 503 doctors and 501 nurses. The prevalence of insomnia symptoms in doctors and nurses was 47.7 and 51.3%, respectively. Multivariate logistics regression analysis showed that workplace violence (: 1.631, 95% : 1.050-2.532), doctor-patient relationship (: 1.603, 95% : 1.049-2.450), chronic pain (: 4.134, 95% : 2.579-6.625), chronic disease (: 1.825, 95% : 1.164-2.861), and anxiety symptoms (: 2.273, 95% : 1.357-3.807) were associated factors with insomnia symptoms in doctors. Education (: 0.301, 95% : 0.106-0.851), service years (: 1.978, 95% : 1.304-3.002), weekly working hours (: 1.694, 95% : 1.061-2.705), chronic pain (: 5.359, 95% : 3.241-8.860), and anxiety symptoms (: 2.472, 95% : 1.478-4.136) were associated factors with insomnia symptoms in nurses.
The prevalence of insomnia symptoms among doctors and nurses was high, and affected by many factors. This information can inform tailored interventions to insomnia symptoms by doctors and nurses who play an important role in public health.
失眠症状在医护人员中普遍存在，是一个潜在的公共卫生问题。然而，目前在中国大流行后多种传染病高发的背景下，关于医生和护士失眠症状的证据还不够充分。本研究旨在分析三级甲等综合医院医生和护士在多种传染病高发背景下的失眠症状发生率，并探讨人口统计学特征、与工作相关的因素、与健康和生活方式相关的因素对失眠症状的影响。
采用基于机构的横断面调查方法，对两所三级甲等综合医院的医生和护士进行调查。使用结构化问卷收集医生和护士的人口统计学特征、与工作相关的因素、与健康和生活方式相关的因素以及失眠症状信息。采用多因素逻辑回归分析分别识别与医生和护士失眠症状显著相关的因素。
本研究共纳入 1004 名参与者，包括 503 名医生和 501 名护士。医生和护士失眠症状的发生率分别为 47.7%和 51.3%。多因素逻辑回归分析显示，工作场所暴力（OR=1.631，95%CI：1.050-2.532）、医患关系（OR=1.603，95%CI：1.049-2.450）、慢性疼痛（OR=4.134，95%CI：2.579-6.625）、慢性病（OR=1.825，95%CI：1.164-2.861）和焦虑症状（OR=2.273，95%CI：1.357-3.807）是医生失眠症状的相关因素。教育程度（OR=0.301，95%CI：0.106-0.851）、工作年限（OR=1.978，95%CI：1.304-3.002）、每周工作小时数（OR=1.694，95%CI：1.061-2.705）、慢性疼痛（OR=5.359，95%CI：3.241-8.860）和焦虑症状（OR=2.472，95%CI：1.478-4.136）是护士失眠症状的相关因素。
医生和护士失眠症状的发生率较高，受多种因素影响。这些信息可以为在公共卫生中发挥重要作用的医生和护士的失眠症状提供有针对性的干预措施。
