Sleep disturbance and its association with quality of life among psychiatric nurses in China

PeerJ

article

Li Lu¹  Ka-In Lok⁴  Qinge Zhang⁵  Ling Zhang⁵  Yifan Xiang⁶  Gabor S. Ungvari⁷  Brian J. Hall⁹  Feng-Rong An⁵  Yu-Tao Xiang¹ 

[1] Center for Cognition and Brain Sciences, University of Macau;Institute of Advanced Studies in Humanities and Social Sciences, University of Macau;Team IETO, Bordeaux Population Health Research Center, UMR U1219, INSERM, Université de Bordeaux;Kiang Wu Nursing College of Macau;The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical University;Pui Ching Middle School Macau;Division of Psychiatry, School of Medicine, University of Western Australia;University of Notre Dame Australia;Global and Community Mental Health Research Group, New York University

关键词: Sleep disturbance;    Nurse;    Psychiatry;    Quality of life;    China;   

DOI  :  10.7717/peerj.10659

学科分类：社会科学、人文和艺术（综合）

来源: Inra

【 摘 要 】

Background Sleep disturbance is associated with a number of negative adverse outcomes. This study examined the prevalence of sleep disturbance and its association with demographic and clinical characteristics and quality of life (QOL) in psychiatric nurses in China. Methods This is a multi-center, cross-sectional study involving 11 psychiatric hospitals in China. Three types of sleep disturbance (difficulty initiating sleep (DIS), difficulty maintaining sleep (DMS) and early-morning awakening (EMA)) and QOL were measured by standardized questions or instruments. Results A total of 1,847 psychiatric nurses participated. The overall prevalence of at least one type of sleep disturbance was 71.5% (95% CI [69.3–73.5]); the prevalence of DIS, DMS and EMA was 58.5% (95% CI [56.2–60.8]), 53.7% (95% CI [51.4–56.0]) and 54.6% (95% CI [52.3–56.9]), respectively. Nurses with sleep disturbance had significantly lower QOL in physical (F(1, 1,846) = 219.12, P < 0.001), psychological (F(1, 1,846) = 72.18, P < 0.001), social (F(1, 1,846) = 37.57, P < 0.001) and environmental domains (F(1, 1,846) = 95.45, P < 0.001). Multivariable logistic regression analyses revealed that shift work (DIS, OR = 1.6, 95% CI [1.28–1.98]; DMS, OR = 1.2, 95% CI [1.001–1.54]; EMA, OR = 1.3, 95% CI [1.02–1.58]) and alcohol use (DIS, OR = 1.8, 95% CI [1.46–2.32]; DMS, OR = 1.8, 95% CI [1.43–2.23]; EMA, OR = 1.7, 95% CI [1.33–2.07]) were positively associated with sleep disturbance, while higher monthly income (DIS, OR = 0.5, 95% CI [0.38–0.75]; DMS, OR = 0.7, 95% CI [0.51–0.98]) was negatively associated with sleep disturbance. Conclusion Sleep disturbance was common among nurses in psychiatric hospitals in China, particularly those on shifts and having alcohol use. Health authorities should develop effective measures to reduce risk of sleep disturbance in this population.

【 授权许可】

CC BY