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Research article
Sleep quality and anxiety among nurses in tertiary hospitals in China and the influencing factors: A cross-sectional study
De-Min Han
Beijing Tongren Hospital
Corresponding Author
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This work is licensed under a CC BY 4.0 License. Read Full License
Background: The purpose of the study was to investigate to understand the situation of sleep quality and anxiety among nurses in tertiary hospitals in China, and analyze their influencing factors.
Methods: A cross-sectional survey was performed for nurses in Beijing tertiary hospitals including Beijing Tongren hospital, Anzhen Hospital and Beijing Children Hospital. The Pittsburgh Sleep Quality Indes (PSQI) and Zung Self-Rating Anxiety Scale (SAS) were used to measured the sleep quality and anxiety symptoms, respectively. Survey of quality of life in nurses was measured by 36-item Short Form Health Survey (SF-36). Spearman’s correlations analysis and logistic regression analysis was used to understand the influencing factors with sleep disorder, anxiety symptoms and quality of sleep. Quality of life (both PCS and MCS) were affected by influencing factors including marital status, working years, education background, income monthly, working hours, regular diet, physical exercise, sleep disorder, anxiety symptoms, felling of stress, and stress from economic, social, occupational.
Results: 643 registered nurses in three tertiary hospitals were surveyed, 517 (80.4%) returned questionnaires were valid for analysis. The average PSQI score was 7.71±3.62, including 372 participants that scores were above 5 (72.0%). The average SAS score was 45.18±9.90,including 157 participants with a SAS score ＞ 50 (30.4%) that had different anxiety symptoms. The nurses’ sleep quality were affected by some factors including income monthly, working hours, regular diet, physical exercise, stress from economic, social, occupational. Education background, income monthly, working hours, regular diet and economic stress, social stress, occupational stress have significantly related to anxiety symptoms. Correlation between sleep disorder and anxiety severity was positive for nurses.
Conclusions: The situation of sleep disorder and anxiety symptoms among nurses in tertiary hospitals in China were very serious. The problem has negative effect on physical and mental health in nurses which reminded hospital administrators should take preventive actions. In addition, the results of the study hinted that promotion of health lifestyle, effort-reward balance and providing social support may be significant to decrease the poor sleep quality and anxiety symptoms and increase quality of life in nurses.
Keywords
Sleep disorder, Anxiety, Quality of life, Nurses, Influencing factor
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Research article
Sleep quality and anxiety among nurses in tertiary hospitals in China and the influencing factors: A cross-sectional study
De-Min Han
Beijing Tongren Hospital
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 2
Posted 23 Sep, 2020
No community comments so far
No comments provided
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Psychiatry
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: The purpose of the study was to investigate to understand the situation of sleep quality and anxiety among nurses in tertiary hospitals in China, and analyze their influencing factors.
Methods: A cross-sectional survey was performed for nurses in Beijing tertiary hospitals including Beijing Tongren hospital, Anzhen Hospital and Beijing Children Hospital. The Pittsburgh Sleep Quality Indes (PSQI) and Zung Self-Rating Anxiety Scale (SAS) were used to measured the sleep quality and anxiety symptoms, respectively. Survey of quality of life in nurses was measured by 36-item Short Form Health Survey (SF-36). Spearman’s correlations analysis and logistic regression analysis was used to understand the influencing factors with sleep disorder, anxiety symptoms and quality of sleep. Quality of life (both PCS and MCS) were affected by influencing factors including marital status, working years, education background, income monthly, working hours, regular diet, physical exercise, sleep disorder, anxiety symptoms, felling of stress, and stress from economic, social, occupational.
Results: 643 registered nurses in three tertiary hospitals were surveyed, 517 (80.4%) returned questionnaires were valid for analysis. The average PSQI score was 7.71±3.62, including 372 participants that scores were above 5 (72.0%). The average SAS score was 45.18±9.90,including 157 participants with a SAS score ＞ 50 (30.4%) that had different anxiety symptoms. The nurses’ sleep quality were affected by some factors including income monthly, working hours, regular diet, physical exercise, stress from economic, social, occupational. Education background, income monthly, working hours, regular diet and economic stress, social stress, occupational stress have significantly related to anxiety symptoms. Correlation between sleep disorder and anxiety severity was positive for nurses.
Conclusions: The situation of sleep disorder and anxiety symptoms among nurses in tertiary hospitals in China were very serious. The problem has negative effect on physical and mental health in nurses which reminded hospital administrators should take preventive actions. In addition, the results of the study hinted that promotion of health lifestyle, effort-reward balance and providing social support may be significant to decrease the poor sleep quality and anxiety symptoms and increase quality of life in nurses.