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

Abstract

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.

Nurses’ Sleep Quality and Quality of Life During the Covid-19 Pandemic: Analysis of Correlation and Differences in the Rajawali Isolation and Non-Isolation Wards

“…There was a significant correlation between sleep quality and the physical domain of quality of life in this study. This is in line with the research conducted by Lu et al (2021). Sleep is one of the important things for a nurse's physical health because sleep is a strong regulator of the immunological process 10,11,17 .…”

“…This is in line with the research conducted by Lu et al (2021). Sleep is one of the important things for a nurse's physical health because sleep is a strong regulator of the immunological process 10,11,17 . People with adequate sleep quality have more energy, better cognitive function, a healthier immune system, better memory, alertness, attention, and performance throughout the day.…”

“…Impaired sleep quality increases morbidity and mortality and also reduces the quality of life. A person who has impaired sleep quality can have problems with memory, concentration, social isolation, anxiety, and low self-esteem, which can affect the quality of life 14,16,17 .…”

“…It's similar to the research conducted by Lu et al (2021) which stated that there was a significant correlation between sleep quality and the psychological domain of the nurses' quality of life. Sleep quality problems can cause stress to nurses 16,17 . Stress and repetitive negative thinking patterns are associated with sleep issues 19 .…”

“…Disturbing quality of life and sleep can interfere with their efficiency in providing medical services. 13 Some previous studies concluded that there was a relationship between sleep quality and quality of life among nurses 14,15,16,17 . However, previous studies did not compare sleep quality and quality of life between nurses who served in isolation rooms and non-isolation rooms.…”