新型冠状病毒肺炎疫情对武汉一线医护人员睡眠质量的影响

Impact of COVID-19 outbreak on sleep quality of medical staff in Wuhan

目的:评估新型冠状病毒肺炎(COVID-19)疫情对武汉一线医护人员睡眠质量的影响,并与非医护人员睡眠质量作对比分析。方法:采用匹兹堡睡眠质量指数(PSQI)和自制问卷对我院一线医护人员(一线医护组)和COVID-19感染确认医护人员(新冠医护组)进行量表评定,对出现急性睡眠障碍的主要影响因素进行调查分析,最后将结果与武汉非医护人员(非医护组)的睡眠质量进行对照分析。结果:本次研究纳入总人数为362人,其中,一线医护人员组218人,新冠医护组38人;非医护人员组106人;3组人员之间的性别和年龄无明显差异。在COVID-19疫情期间,3组人员都存在不同程度睡眠障碍症状(PSQI>7分),一线医护人员和COVID-19确诊医护人员的睡眠障碍(PSQI>7分)比例明显高于非医护人员的比例(P<0.001);一线医护人员和COVID-19确诊医护人员的严重睡眠障碍(PSQI>10分)比例亦明显高于非医护人员的比例。一线医护人员与非医护人员相比,其在睡眠质量、入睡时间、睡眠时间和日间功能障碍方面都存在统计学差异(P<0.01),一线医护人员睡眠障碍的主要原因与高强度的工作压力和被感染的风险明显相关。结论:COVID-19疫情增加武汉一线医护人员睡眠障碍的发生率与严重程度,这与高强度的工作压力和担心被感染风险明显相关。

Objective:To investigate the sleep quality of medical staff in response to the outbreak of corona-virus disease 2019(COVID-19)in Wuhan,Hubei.Methods:We did a sleep quality survey with Pitts-burgh Sleep Quality Index(PSQI)and questionnaire in frontline medical staff who were working in the period of COVID-19 outbreak,and the results were compared with that of non-medical staff.Results:The total number of people included in this study was 362,of which 218 were in the first-line medical staff group,38 were in the COVID-19 diagnosed medical staff group;106 were in the non-medical staff group;and there was no significant difference in genders and ages among the three groups.Dur-ing the outbreak of COVID-19,sleep disturbance symptoms(PSQI>7 points)were presented with some degree in these groups.The proportions of sleep disturbance in the frontline medical staff group and COVID-19 diagnosed medical staff group were significantly higher than that of non-medical staff(P<0.001);The proportion of severe sleep disturbance(PSQI>10)in the first-line medical staff group and COVID-19 diagnosed medical staff group were also significantly higher than that of non-medical staff(P<0.001).Compared with non-medical staff,frontline medical staff had statistical dif-ferences in sleep quality,sleep latency,sleep time and daytime dysfunction(P<0.01);The main causes of sleep disorders in first-line medical staff were significantly related to high workload and fear of infection.Conclusions:The outbreak of COVID-19 increases the incidence and severity of sleep disorders among frontline medical staff in Wuhan,which is related to high workload and fear of infec-tion.