Prevalence and Demographic Correlates of Poor Sleep Quality Among Frontline Health Professionals in Liaoning Province, China During the COVID-19 Outbreak

Abstract

Background: Little empirical evidence is known about the sleep quality of frontline health professionals working in isolation units or hospitals during the novel coronavirus disease (COVID-19) outbreak in China. This study thus aimed to examine the prevalence of poor sleep quality and its demographic and correlates among frontline health professionals.Methods: This is a multicenter, cross-sectional survey conducted in Liaoning province, China. Sleep quality was measured by the Pittsburgh Sleep Quality Index (PSQI).Results: A total of 1,931 frontline health professionals were recruited. The prevalence of poor sleep quality was 18.4% (95%CI: 16.6%-20.11%). Multivariate logistic regression analysis found that older age (OR=1.043, 95%CI=1.026-1.061, P < 0.001), being nurse (OR=3.132, 95%CI=1.727-5.681, P < 0.001), and working in outer emergency medical team (OR=1.755, 95%CI=1.029-3.064, P=0.039) were positively associated with poor sleep quality. Participants who were familiar with crisis response knowledge were negatively associated with poor sleep quality (OR=0.70, 95%CI=0.516-0.949, P=0.021). Conclusion:The prevalence of poor sleep quality was relatively low among frontline health professionals during the COVID-19 epidemic. Considering the negative impact of poor sleep quality on health professionals' health outcomes and patient outcomes, regularly screening and timely treatments are warranted to reduce the likelihood of poor sleep quality in health professionals.

Prevalence of stress, depression, anxiety and sleep disturbance among nurses during the COVID-19 pandemic: A systematic review and meta-analysis

“…The prevalence rate of sleep disturbance in 18 studies [ 24 , 26 , 36 , 48 , 52 , 55 , 56 , 59 , 72 , 79 , 82 , 84 , 86 , 88 , 96 , 104 , 109 , 110 ] ranged from 12% to 87% ( Fig. 5 : Forest plots) with pooled prevalence estimates of 43% (4082/10,697 participants, 95% CI 36–50).…”

The prevalence of sleep disturbances among physicians and nurses facing the COVID-19 patients: a systematic review and meta-analysis

“… China Cross –sectional media platform-based smartphone Children’s Healthcare Centre of Renmin Hospital of Wuhan 123 33.75(8.41) 90 75 48 PSQI > 7 24 60.4 5 Zhang, C. X.2020 [ 16 ]. China Cross sectional questionnaire delivered through the mobile phone, WeChat hospital staff from all over China, including the frontline medical workers in Wuhan 1563 > 18 82.7 984 454 ISI > 8 40.1 27.3 6 Tu, Zhi-hao.2020 [ 28 ] China Cross sectional questionnaire delivered through the mobile phone, WeChat “Huoshenshan” Hospital in Wuhan 100 34.44(5.85) 100 100 _ PSQI > 7 60 _ 7 Zhou, Y.2020 [ 29 ]. China Cross –sectional using the Wenjuanxing program which is an application embedded with WeChat, hospital in Liaoning province, China 1931 35.08(8.04) 12 1614 _ PSQI > 7 19.5 _ …”

“…According to our study, the prevalence of sleep disturbances among nurses is 34.8% (95% CI: 24.8-46.4%). The lowest prevalence reported in the research conducted by Zhou et al (2020) and was reported as 19.5% (95% CI: 17.6-21.54%) [ 29 ]. Tu et al (2020) reported the highest prevalence of sleep disturbances among nurses with 60% (95% CI: 50.1-69.1%) [ 28 ].…”

“…All collected pieces of research had used self-reporting questionnaires. The Sleep disturbances Severity Index (ISI) questionnaire was used in 3 studies [16,25,26], the other 3 studies used the Pittsburgh Sleep Quality Index (PSQI) questionnaire [27][28][29] and the Athens Sleep disturbances Scale (AIS) questionnaire was used in one study [24]. Further characteristics and information related to these studies are provided in Table 2.…”

Stress, Burnout, and Coping Strategies of Frontline Nurses During the COVID-19 Epidemic in Wuhan and Shanghai, China

“…Frontline nursing and medical staff, especially in the early stages of epidemics, have suffered from anxiety and depression due to high workload, insufficient personal protective equipment, lack of knowledge of the pathogen and direct contact with patients (7)(8)(9)(10). Consequently, nurses have commonly reported to experience a greater decline of morale and decreased job satisfaction due to the nature of the profession (11).…”