Alinab Ryan O, Diamante Pearl Angeli B
Department of Neurology, The Medical City, Quezon City, PHL.
Department of Neurology, The Medical City, Pasig City, PHL.
Cureus. 2025 Mar 9;17(3):e80294. doi: 10.7759/cureus.80294. eCollection 2025 Mar.
Healthcare workers, especially physician trainees, are often required to work demanding shifts exceeding 24 hours, which expose them to various stressors and impact sleep quality and patterns.
This study investigated the impact of sociodemographic, personal, and lifestyle factors on sleep quality among hospital trainees and explored their coping mechanisms for managing stress.
This analytic, cross-sectional study approved by the hospital's IRB was conducted among hospital trainees (fellows, non-surgical, and surgical residents) in a tertiary hospital. Data were gathered through an online survey using three validated questionnaires: the Pittsburgh Sleep Quality Index, Brief COPE, and FANTASTIC Lifestyle Questionnaire.
Out of 107 respondents, 92 were included in the study, with the majority of respondents being single, female, and having working shifts over 24 hours. The study revealed an 85% (n=79) prevalence of poor sleep quality, with an average sleep duration of 5.7 hours. Sleep duration was significantly associated with working hours and marital status in the non-surgical resident group. Poor sleep quality in general negatively impacted lifestyle factors, especially in surgical residents. Problem-focused coping was the most commonly used strategy, especially among fellows, while surgical residents scored lower in emotion-focused strategies like humor and religion. Avoidant coping, though generally low, was more evident through self-distraction.
This study highlights a high prevalence of sleep deprivation among physician trainees, linked to poor sleep quality and influenced by lifestyle factors. It recommends implementing consistent work shifts, reducing long consecutive hours, and introducing educational programs on sleep hygiene and institutional support to improve trainees' well-being and coping strategies.
医护人员，尤其是实习医生，经常需要轮值超过24小时的高强度班次，这使他们面临各种压力源，并影响睡眠质量和模式。
本研究调查了社会人口统计学、个人和生活方式因素对医院实习医生睡眠质量的影响，并探讨了他们应对压力的机制。
这项经医院机构审查委员会批准的分析性横断面研究在一家三级医院的医院实习医生（研究员、非外科和外科住院医生）中进行。通过在线调查使用三份经过验证的问卷收集数据：匹兹堡睡眠质量指数、简易应对方式问卷和FANTASTIC生活方式问卷。
在107名受访者中，92名被纳入研究，大多数受访者为单身、女性，且轮值超过24小时。研究显示，睡眠质量差的患病率为85%（n = 79），平均睡眠时间为5.7小时。非外科住院医生组的睡眠时间与工作时间和婚姻状况显著相关。总体而言，睡眠质量差对生活方式因素有负面影响，尤其是对外科住院医生。以问题为中心的应对是最常用的策略，尤其是在研究员中，而外科住院医生在以情绪为中心的策略（如幽默和宗教）方面得分较低。回避应对虽然总体较低，但通过自我分心更为明显。
本研究强调实习医生中睡眠剥夺的患病率很高，这与睡眠质量差有关，并受生活方式因素影响。建议实施一致的轮班制度，减少连续长时间工作，并引入关于睡眠卫生的教育项目和机构支持，以改善实习医生的幸福感和应对策略。
