Yang Chunyan, Cheng Jie, Xiao Lu, Tian Juhua, Zhang Daiying, Ren Jianlan
Department of Cardiology, Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, China.
School of Nursing, Southwest Medical University, Luzhou, China.
BMC Nurs. 2025 Feb 20;24(1):197. doi: 10.1186/s12912-025-02833-3.
Anesthesiology, as the core field of the treatment of critically ill patients, carries great work risks and pressure. Due to the uniqueness of their working environment and nature, medical staff have become a high incidence group of sleep-related worry and sleep disorders.
To investigate the sleep status of anesthesia nurses and analyze related influencing factors, so as to provide a reference for formulating targeted intervention measures.
This study was a cross-sectional study design. From August to October 2024, convenience sampling was used to investigate 330 nurses in the Department of anesthesia in Sichuan Province of China with the general information questionnaire, Sleep-related Worry scale, Self-regulatory Fatigue Scale, Perceived Stress Scale, Athens Insomnia Scale and Perceived Social Support Scale. Single factor analysis, Pearson correlation analysis and multiple hierarchical regression analysis were used to explore the influencing factors of sleep-related worry of nurses in the department of anesthesiology.
The total score of sleep-related worry was (32.53 ± 12.00), the score of self-regulatory fatigue was (47.01 ± 9.25), the score of stress perception was (28.84 ± 7.96), and the score of insomnia was (17.18 ± 6.24). The score of perceived social support was (61.56 ± 14.93). Sleep-related worry was positively correlated with self-regulatory fatigue (r = 0.459, P < 0.001), perceived stress (r = 0.489, P < 0.001), Athens insomnia (r = 0.671, P < 0.001), and negatively correlated with perceived social support (r=-0.362, P = 0.002). The results of multivariate analysis showed that health status, self-regulatory fatigue, perceived stress, insomnia and social support were the influencing factors of sleep-related worry of nurses in the department of Anesthesiology, which could explain 51.1% of the total variation.
Anesthesiology nurses have serious sleep-related worry, which need to be further improved. Clinical nursing managers should pay attention to the special needs of nurses in the department of anesthesiology, and reduce the sleep-related worry of anesthesiology nurses by improving their insomnia symptoms, reducing their stress and self-regulatory fatigue, and improving the level of social support.
麻醉学作为危重症患者治疗的核心领域，工作风险和压力巨大。由于工作环境和性质的特殊性，医务人员已成为睡眠相关担忧和睡眠障碍的高发群体。
调查麻醉护士的睡眠状况并分析相关影响因素，为制定针对性干预措施提供参考。
本研究采用横断面研究设计。2024年8月至10月，采用便利抽样法，使用一般信息问卷、睡眠相关担忧量表、自我调节疲劳量表、感知压力量表、雅典失眠量表和感知社会支持量表，对中国四川省某医院麻醉科的330名护士进行调查。采用单因素分析、Pearson相关分析和多元逐步回归分析，探讨麻醉科护士睡眠相关担忧的影响因素。
睡眠相关担忧总分（32.53±12.00）分，自我调节疲劳得分（47.01±9.25）分，压力感知得分（28.84±7.96）分，失眠得分（17.18±6.24）分，感知社会支持得分（61.56±14.93）分。睡眠相关担忧与自我调节疲劳（r=0.459，P<0.001）、压力感知（r=0.489，P<0.001）、雅典失眠（r=0.671，P<0.001）呈正相关，与感知社会支持（r=-0.362，P=0.002）呈负相关。多因素分析结果显示，健康状况、自我调节疲劳、压力感知、失眠和社会支持是麻醉科护士睡眠相关担忧的影响因素，可解释总变异的51.1%。
麻醉科护士存在严重的睡眠相关担忧，需要进一步改善。临床护理管理者应关注麻醉科护士的特殊需求，通过改善失眠症状、减轻压力和自我调节疲劳、提高社会支持水平，降低麻醉科护士的睡眠相关担忧。
