Guofang Wei, Zhang Wei, Zhu Zhen
Rehabilitation Nursing Department, Rainbow Fish College of Rehabilitation Nursing, Hangzhou Vocational and Technical College, Hangzhou, 310000, China.
Nursing Department, Affiliated Hospital, Hangzhou Normal University, Hangzhou, 310015, China.
Iran J Public Health. 2024 Apr;53(4):818-827. doi: 10.18502/ijph.v53i4.15558.
COVID-19 infection is transmitted easily and quickly, exposing medical care workers, especially nursing workers, to tremendous stress. Therefore, identifying the factors influencing the sleep quality of nurses and implementing corresponding interventions are conducive to improving the sleep quality of nurses and enhancing their nursing quality.
Form September to December 2022, a survey-based evaluation was conducted on 1074 front-line clinical nurses randomly selected from three hospitals in Zhejiang Province, China. Based on the survey results, 152 nurses were selected and randomly divided into the experimental group and the control group, with 76 nurses in each group. A 2-month psychological intervention based on the self-transcendence theory was conducted, and the two groups were compared before and after the intervention.
The average PSQI score of nurses was 7.19±3.65, with 471 of them suffering from poor sleep (PSQI>7), accounting for 45.46%. In addition, 57.10% of the nurses were under excessive stress, whereas 62% of them had a Self-Rating Anxiety Scale score of ≥50. After the intervention, the PSQI score of the experimental group was significantly lower than that of the control group, with the difference being statistically significant (<0.05).
Clinical nurses in tertiary hospitals have poor sleep quality and more severe stress and anxiety problems during COVID-19 than during non-epidemic periods. Clinical interventions based on the self-transcendence theory can effectively improve the sleep quality of nurses. Results of this study provide reference for enhancing the sleep quality of nurses and ensuring their physical and mental health during epidemic.
新型冠状病毒肺炎(COVID-19)感染传播容易且迅速,使医护人员,尤其是护理人员面临巨大压力。因此,识别影响护士睡眠质量的因素并实施相应干预措施,有利于提高护士的睡眠质量并提升其护理质量。
2022年9月至12月,对从中国浙江省三家医院随机抽取的1074名一线临床护士进行了基于调查的评估。根据调查结果,选取152名护士并随机分为实验组和对照组,每组76名护士。进行了为期2个月的基于自我超越理论的心理干预,并在干预前后对两组进行比较。
护士的匹兹堡睡眠质量指数(PSQI)平均得分为7.19±3.65,其中471人睡眠质量差(PSQI>7),占45.46%。此外,57.10%的护士压力过大,而62%的护士自评焦虑量表得分≥50。干预后,实验组的PSQI得分显著低于对照组,差异具有统计学意义(<0.05)。
三级医院的临床护士在COVID-19期间的睡眠质量比非疫情期间更差,压力和焦虑问题更严重。基于自我超越理论的临床干预可以有效改善护士的睡眠质量。本研究结果为疫情期间提高护士睡眠质量、保障其身心健康提供了参考。