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| 504名抗击新型冠状病毒肺炎临床护士的失眠现状及影响因素分析 |
| 蔡喆燚1,詹昱新2*,蔡亚宏3,陈献4,桂玲莉5,黄璐6,余艳兰4 |
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(1. 湖南中医药大学第一附属医院重症医学科, 长沙 410007;
2. 华中科技大学同济医学院附属协和医院护理部, 武汉 430022;
3. 湖南中医药大学第一附属医院肾脏内科, 长沙 410007;
4. 湖南中医药大学第一附属医院护理部, 长沙 410007;
5. 武汉大学中南医院放化疗胸部肿瘤二病区, 武汉 430071;
6. 湖南中医药大学第一附属医院神经外科, 长沙 410007
*通信作者) |
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| 摘要: |
| 目的 探讨武汉市抗击新型冠状病毒肺炎（COVID-19）临床护士的失眠现状及影响因素，为COVID-19疫情防控期间开展针对性的心理干预提供依据和参考。方法 采用便利抽样法，于2020年3月3日至7日选择武汉大学中南医院的抗击COVID-19临床护士作为调查对象。采用一般资料问卷、阿森斯失眠量表（AIS）、患者健康调查问卷（PHQ-9）进行问卷调查，采用多元线性回归分析抗击COVID-19临床护士失眠的影响因素。结果 共回收问卷521份，其中有效问卷504份，回收有效率为96.74%。504名抗击COVID-19临床护士的AIS得分为6（3，9）分，其中352名（69.84%）有睡眠障碍；PHQ-9得分为6（2，9）分，其中292名（57.94%）有不同程度的抑郁症状。职称、疫情一线工作总时长、直系亲属是否感染COVID-19、个体对COVID-19疫情的恐惧程度、抑郁水平进入回归方程（P均<0.05），解释抗击COVID-19临床护士失眠总变异的56.2%。结论 武汉市抗击COVID-19临床护士失眠状况较普遍，影响因素较复杂。建议护理管理者重视抗击COVID-19临床护士失眠现象并及早进行全方位的有效干预，以改善护士的睡眠质量。 |
| 关键词: 新型冠状病毒肺炎 突发重大公共卫生事件 护士 入睡和睡眠障碍 抑郁 |
| DOI：10.16781/j.0258-879x.2021.05.0527 |
| 投稿时间：2020-07-21修订日期：2020-12-18 |
| 基金项目:湖南中医药大学中医药防治新型冠状病毒肺炎科研专项（2020XGXM14），中国生命关怀协会生命质量照护研究课题（HL20210119）. |
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| Insomnia status and influencing factors of 504 clinical nurses fighting against coronavirus disease 2019 |
| CAI Zhe-yi1,ZHAN Yu-xin2*,CAI Ya-hong3,CHEN Xian4,GUI Ling-li5,HUANG Lu6,YU Yan-lan4 |
(1. Department of Critical Care Medicine, the First Hospital of Hunan University of Chinese Medicine, Changsha 410007, Hunan, China;
2. Department of Nursing, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, Hubei, China;
3. Department of Nephrology, the First Hospital of Hunan University of Chinese Medicine, Changsha 410007, Hunan, China;
4. Department of Nursing, the First Hospital of Hunan University of Chinese Medicine, Changsha 410007, Hunan, China;
5. The Second Ward, Department of Radiotherapy and Chemotherapy for Thoracic Oncology, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei, China;
6. Department of Neurosurgery, the First Hospital of Hunan University of Chinese Medicine, Changsha 410007, Hunan, China
*Corresponding author) |
| Abstract: |
| Objective To investigate the insomnia status and the related influencing factors of clinical nurses fighting against coronavirus disease 2019 (COVID-19) in Wuhan, so as to provide references for targeted psychological intervention during the prevention and control of the COVID-19 epidemic. Methods Convenience sampling method was conducted among clinical nurses fighting against COVID-19 in the Zhongnan Hospital of Wuhan University from Mar. 3 to 7, 2020. General information questionnaire, Athens insomnia scale (AIS) and patient health questionnaire (PHQ-9) were used, and multivariate linear regression analysis was conducted to analyze the influencing factors of insomnia in clinical nurses fighting against COVID-19. Results A total of 521 questionnaires were collected, including 504 valid ones, with an effective rate of 96.74%. The AIS score was 6 (3, 9), of which 352 (69.84%) had sleep disorder; the PHQ-9 score was 6 (2, 9), of which 292 (57.94%) had different degrees of depression. Professional title, total working time at epidemic frontline, whether the direct relatives diagnosed as COVID-19 or not, fear of the COVID-19 epidemic and depression level were included in the regression equation (all P<0.05), which explained 56.2% of the total variation of insomnia in clinical nurses fighting against COVID-19. Conclusion Insomnia is common among clinical nurses fighting against COVID-19 in Wuhan, and the related influencing factors are complex. Nursing administrators should pay attention to the insomnia status of clinical nurses fighting against COVID-19, and all-round and effective interventions should be carried out in time, so as to improve the sleep quality of nurses. |
| Key words: coronavirus disease 2019 major public health emergencies nurses sleep initiation and maintenance disorders depression |
