新冠疫情常态化防控阶段急诊科护士睡眠质量、焦虑及抑郁调查研究

Sleep quality, anxiety, and depression of emergency department nurses during regular epidemic prevention and control

目的 了解山东省三级甲等医院急诊科护士在新冠疫情常态化防控阶段睡眠质量情况,探讨睡眠质量的相关因素并提出应对策略。方法 使用方便取样的方法选取2022年7月—12月山东省三级甲等医院323名急诊科护士作为研究对象。采用一般资料情况问卷、新冠相关知识问卷、匹兹堡睡眠质量指数量表(PSQI)、广泛性焦虑量表(GAD-7)、抑郁自评量表收集相关数据。结果 急诊科护士匹兹堡睡眠质量指数量表平均得分为(7.36±3.64)分,存在睡眠问题的人数占46.13%;急诊科护士焦虑平均得分是(6.21±4.46)分,有焦虑症状的人数占17.03%。抑郁平均得分为(54.60±11.30)分,有抑郁症状的人数占65.95%;是否有躯体疾病、工作年限对急诊科护士匹兹堡睡眠质量指数量表得分的影响在统计学上有显著意义,P<0.05;采用相关分析,匹兹堡睡眠质量指数量表得分与新冠知识、焦虑、抑郁得分的相关均存在统计学意义,P<0.05;采用回归分析,结果焦虑、抑郁及新冠相关知识得分对急诊科护士睡眠质量有显著预测作用,P<0.05。结论 新冠疫情常态化防控阶段急诊科护士的睡眠质量总体偏差;是否患有躯体疾病、工作年限对急诊科护士睡眠质量影响较大;睡眠质量与焦虑、抑郁、新冠相关知识掌握情况关系密切;焦虑、新冠相关知识掌握情况和抑郁对急诊科护士睡眠质量有显著预测作用。

Objective To study the sleep quality of nurses in the emergency departments of tertiary hospitals in Shandong Province during regular epidemic prevention and control,explore the related factors of sleep quality and propose countermeasures.Methods The convenient sampling method was employed to recruit 323 nurses for the emergency departments of the tertiary hospitals in Shandong Province from July to December 2022 as the research subjects.Relevant data were collected by using the general information questionnaire,COVID-19 knowledge questionnaire,Pittsburgh sleep quality index(PSQI),Generalized Anxiety Scale(GAD-7),and Self Rating Depression Scale.Results The average score by the Pittsburgh Sleep Quality Index was 7.36±3.64,with 46.13%of nurses developing sleep problems.The average score of anxiety among the emergency department nurses was 6.21±4.46,with 17.03%of them experiencing anxiety symptoms.The average score of depression was 54.60±11.30,with 65.95%of them presenting depressive symptoms.The physical illnesses and years of working significantly influenced the Pittsburgh Sleep Quality Index score(P<0.05).The correlation analysis revealed a significant relationship between the score by the Pittsburgh Sleep Quality Index and the scores of COVID-19 knowledge,anxiety and depression(P<0.05).Regression analysis indicated that the scores of anxiety,depression and COVID-19 knowledge significantly predicted their sleep quality(P<0.05).Conclusion The sleep quality of nurses in the emergency departments during the period of regular epidemic prevention and control is generally poor.The two factors of physical illnesses and years of working have a significant impact on their sleep quality.Sleep quality is closely associated to anxiety,depression,and COVID-19 knowledge,which can significantly predict their sleep quality.