新型冠状病毒肺炎时期湖北一线医务人员睡眠质量及影响因素分析

Analysis of sleep quality and influencing factors on sleep quality among frontline medical staff in Hubei during COVID-19 epidemic

目的了解新型冠状病毒肺炎疫情期间湖北地区一线医务人员睡眠状况,并寻找导致其睡眠障碍的影响因素及相应干预对策。方法选取2020年2月12日~3月3日10家湖北地区新型冠状病毒肺炎定点医院的医务人员,使用包含基本信息、匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)量表等内容的网络问卷调查。回收问卷,根据PSQI量表成绩划分为睡眠障碍组和正常组,对两组结果进行比较,并通过logistic回归分析筛选出睡眠障碍的影响因素。结果回收有效问卷1028份,有效回收率为89.7%。一线医务人员睡眠障碍检出率达73.9%。logistic回归分析显示护士(OR=1.66,95%CI 1.11~2.50)、女性(OR=1.83,95%CI 1.19~2.82)、倒班(OR=1.84,95%CI 1.26~2.70)、所处疫情时期是医务人员睡眠障碍发生的影响因素(P<0.05)。结论在突发公共卫生事件中,应采取针对性的措施保障医务人员睡眠质量。

Objective This study aimed to assess sleep states of frontline medical workers in Hubei during COVID-19 epidemic,and to explore the potential influencing factors.Methods An online questionnaire which included Pittsburgh Sleep Quality Index(PSQI)and basic information etc.was contributed to medical workers in multiple COVID-19 designated hospitals.Data were divided into sleep disorder group(PSQI>7)and normal group(PSQI≤7)according to PSQI score.Differences were compared between two groups.And logistic regression was conducted to screen influencing factors.Results A total of 1028 valid questionnaires were collected.The prevalence of sleep disorders was 73.9%,which was beyond the normal period(39.2%).Logistic regression analysis showed that nurse(OR=1.66,95%CI:1.11-2.50),women(OR=1.83,95%CI:1.19-2.82),shift work(OR=1.84,95%CI:1.26-2.70),the epidemic period have significant effects on the occurrence of sleep disorders(P<0.05).Conclusion During the COVID-19 epidemic,nurse,women,shift work,the epidemic period are the risk factors for sleep disorders in medical staff(P<0.05).Therefore,targeted measures should be taken to ensure the sleep quality of medical staff in similar health emergencies in the future.