Analysis of mental health symptoms and insomnia levels of intensive care nurses during the COVID‐19 pandemic with a structural equation model

Abstract

Background: Faced with this critical situation and directly involved in the treatment and care of COVID-19 patients, front-line healthcare workers are at high risk in terms of mental health symptoms. Aims and Objectives:To determine the stress, anxiety, depression, and insomnia levels of intensive care nurses during the pandemic with a structural equation model. Design:A multi-site survey study. Methods:The study was performed with 194 nurses working in the intensive care units of five hospitals in Istanbul in July 2020. Data were collected using the Depression Anxiety Stress-21 Scale and Insomnia Severity Index electronically. The data were evaluated with descriptive statistics in SPSS package program. In order to test the structural model and hypotheses of the research, path analysis was performed with LISREL statistical software program. A validation study for the suitability of these scales to the study sample was done by the researchers using the confirmatory factor analysis method. The study conforms to the TREND checklist.Results: In this study, the majority of the intensive care nurses had moderate to extremely severe depression (65.5%), anxiety (58.3%) and stress (72.3%) scores; in addition, 39.7% of the nurses experienced moderate or severe insomnia. Within the framework of a structural model; the effects of stress, anxiety and insomnia on depression, which is the dependent variable, were found to be statistically significant (p < .001). Conclusions:It was found that the majority of the intensive care nurses fighting COVID-19 on the front-line experienced stress, anxiety, depression and insomnia at levels ranging from moderate to extremely severe; in addition, it was determined that there is a positive relationship between stress, anxiety, insomnia and depression. Relevance to clinical practice:This study, in which we have determined the mental health symptoms and insomnia levels of intensive care nurses, who are in the frontline during the COVID-19 pandemic, constitutes the scientific basis for the effective coping strategies that the authorities will take in this subject.

Subjective sleep alterations in healthy subjects worldwide during COVID-19 pandemic: A systematic review, meta-analysis and meta-regression

“…The total scores ranged from 3 to 6. Most of the studies (114) [ [37] , [38] , [39] , [40] , [41] , [42] , [43] , [44] , [45] , [46] ], [ [48] , [49] , [50] , [51] , [52] , [53] , [54] , [55] , [56] , [57] , [58] , [59] , [60] ], [ [63] , [64] , [65] , [66] , [67] , [68] ], [ [70] , [71] , [72] , [73] , [75] , [76] , [77] ], [ [79] , [80] , [81] , [82] , [83] , [84] , [85] , [86] , [87] , [88] , [89] , 91 , [93] , [94] , [95] , [96] , [97] , [98] , [99] ], [ [101] , [102] , [103] , [104] , [105] , [106] , [107] , [108] , [109] , [110] , [113] , …”

Association between sleep disturbance and mental health of healthcare workers: A systematic review and meta-analysis

“…In addition, they were in a state of high arousal more potentially, which will seriously affect sleep (49). Kandemir et al investigated 192 frontline HCWs in the fight against the epidemic and found that approximately 80.41% of them had sleep disturbance (69). Therefore, psychological problems were more likely to occur when sleep disturbance occurred.…”

Anxiety, Depression and Burnout Levels of Nurses Working in COVID-19 Intensive Care Units

“…Nurses working in the COVID-19 intensive care units during the pandemic period experience many problems, such as stress, sleep problems, anxiety, depression, and burnout ( Kandemir et al, 2022 ; Azoulay et al, 2020 ). According to the results obtained in our study, 53.0% of the nurses were found to have anxiety and 76.6% to have depression.…”