Gu Kaini, Chen Huigang, Shi Hong, Hua Cui
Ningbo Medical Center Li Huili Hospital, Ningbo, China.
Nursing College, Zhangjiakou University, Zhangjiakou, China.
Int Nurs Rev. 2025 Mar;72(1):e13087. doi: 10.1111/inr.13087.
Nurses face significant risks of excessive daytime sleepiness (EDS), which adversely affects workplace safety and productivity. Yet, the extent of EDS in this workforce remains inadequately characterized.
The aims of this systematic review were to assess the pooled prevalence of EDS among nurses.
We systematically searched PubMed, Embase, Scopus, and ISI Web of Science for observational studies reporting the prevalence of EDS, as measured by the Epworth Sleepiness Scale (ESS), from database inception to May 1, 2024, with no language restrictions. Study quality was evaluated using JBI's critical appraisal tool. Pooled estimates were calculated through random-effects meta-analysis, with subgroup and meta-regression analyses assessing associations between EDS prevalence and study-level factors. Linear regression modeling was used to assess time trends. This study was registered with PROSPERO (CRD42024535109).
We included 36 unique studies encompassing 2677 nurses from 20 countries. EDS occurred in 14.0%-55.6% of nurses. The results of the meta-analysis showed a pooled prevalence of EDS of 32.2% (95% confidence interval [CI]: 28.5-36.1; I= 92.6). Prevalence estimate did not vary substantially in terms of study-level data (i.e., region, country income, pre/post covid era, hospital type, proportion of female nurse, average nursing experience, or proportion of married nurses). The prevalence of EDS in nurses has remained unchanged over time.
This meta-analysis identifies a high global prevalence of EDS among nurses, affecting nearly one-third of this workforce. The findings underscore the urgent need for targeted interventions to mitigate EDS across diverse geographic and economic contexts.
This study highlights the pervasive issue of EDS among nurses worldwide, necessitating comprehensive strategies to address this challenge across all regions, income levels, hospital settings, and demographic groups.
护士面临日间过度嗜睡（EDS）的重大风险，这对工作场所安全和生产力产生不利影响。然而，这一职业群体中EDS的程度仍未得到充分描述。
本系统评价的目的是评估护士中EDS的合并患病率。
我们系统检索了PubMed、Embase、Scopus和ISI科学网，以查找从数据库建立至2024年5月1日期间报告EDS患病率（通过爱泼沃斯嗜睡量表（ESS）测量）的观察性研究，无语言限制。使用JBI的批判性评价工具评估研究质量。通过随机效应荟萃分析计算合并估计值，亚组分析和元回归分析评估EDS患病率与研究水平因素之间的关联。使用线性回归模型评估时间趋势。本研究已在国际前瞻性系统评价注册库（PROSPERO）注册（注册号：CRD42024535109）。
我们纳入了36项独特研究，涵盖来自20个国家的2677名护士。14.0% - 55.6%的护士存在EDS。荟萃分析结果显示，EDS的合并患病率为32.2%（95%置信区间[CI]：28.5 - 36.1；I² = 92.6）。患病率估计在研究水平数据方面（即地区、国家收入、新冠疫情前后时期、医院类型、女护士比例、平均护理经验或已婚护士比例）没有显著差异。护士中EDS的患病率随时间保持不变。
这项荟萃分析确定了全球护士中EDS的高患病率，影响了近三分之一的这一职业群体。研究结果强调了迫切需要采取针对性干预措施，以减轻不同地理和经济背景下的EDS。
本研究凸显了全球护士中普遍存在的EDS问题，需要制定全面策略，以应对所有地区、收入水平、医院环境和人口群体面临的这一挑战。
