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Sleep disturbance and its association with quality of life among psychiatric nurses in China
Lu, Li1,2,3; Lok, Ka In4; Zhang, Qinge5; Zhang, Ling5; Xiang, Yifan6; Ungvari, Gabor S.7,8; Hall, Brian J.9; An, Feng Rong5; Xiang, Yu Tao1,2
2021-02-17
Source PublicationPeerJ
ISSN2167-8359
Volume9Pages:10659
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.

KeywordChina Nurse Psychiatry Quality Of Life Sleep Disturbance
DOI10.7717/peerj.10659
URLView the original
Indexed BySCIE ; SSCI
Language英語English
WOS Research AreaScience & Technology - Other Topics
WOS SubjectMultidisciplinary Sciences
WOS IDWOS:000619127500004
PublisherPEERJ INC, 341-345 OLD ST, THIRD FLR, LONDON EC1V 9LL, ENGLAND
Scopus ID2-s2.0-85101194860
Fulltext Access
Citation statistics
Document TypeJournal article
CollectionINSTITUTE OF COLLABORATIVE INNOVATION
INSTITUTE OF ADVANCED STUDIES IN HUMANITIES AND SOCIAL SCIENCES
Co-First AuthorLu, Li
Corresponding AuthorAn, Feng Rong; Xiang, Yu Tao
Affiliation1.Center for Cognition and Brain Sciences, University of Macau, Macao
2.Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao
3.Team IETO, Bordeaux Population Health Research Center, UMR U1219, INSERM, Université de Bordeaux, Bordeaux, France
4.Kiang Wu Nursing College of Macau, Macau SAR, China
5.The National Clinical Research Center for Mental Disorders, Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China
6.Pui Ching Middle School Macau, Macao SAR, China
7.Division of Psychiatry, School of Medicine, University of Western Australia, Perth, Australia
8.University of Notre Dame Australia, Fremantle, Australia
9.Global and Community Mental Health Research Group, New York University (Shanghai), Shanghai, China
First Author AffilicationUniversity of Macau
Corresponding Author AffilicationUniversity of Macau
Recommended Citation
GB/T 7714
Lu, Li,Lok, Ka In,Zhang, Qinge,et al. Sleep disturbance and its association with quality of life among psychiatric nurses in China[J]. PeerJ, 2021, 9, 10659.
APA Lu, Li., Lok, Ka In., Zhang, Qinge., Zhang, Ling., Xiang, Yifan., Ungvari, Gabor S.., Hall, Brian J.., An, Feng Rong., & Xiang, Yu Tao (2021). Sleep disturbance and its association with quality of life among psychiatric nurses in China. PeerJ, 9, 10659.
MLA Lu, Li,et al."Sleep disturbance and its association with quality of life among psychiatric nurses in China".PeerJ 9(2021):10659.
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